Physical activity and depression: a large cross-sectional, population-based study across 36 low- and middle-income countries

被引:84
作者
Stubbs, B. [1 ,2 ]
Koyanagi, A. [3 ,4 ]
Schuch, F. B. [5 ]
Firth, J. [6 ]
Rosenbaum, S. [7 ]
Veronese, N. [8 ]
Solmi, M. [9 ]
Mugisha, J. [10 ,11 ]
Vancampfort, D. [12 ,13 ]
机构
[1] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, London, England
[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, London, England
[3] Univ Barcelona, Fdn St Joan Deu, Parc Sanitari St Joan Deu, Res & Dev Unit, Barcelona, Spain
[4] CIBERSAM, Ctr Invest Biomed Red Salud Mental, Inst Salud Carlos 3, Madrid, Spain
[5] Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
[6] Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester, Lancs, England
[7] Univ New South Wales, Sch Med Sci, Dept Exercise Physiol, Sydney, NSW, Australia
[8] Univ Padua, Inst Clin Res & Educ Med IREM, Dept Med DIMED, Geriatr Div, Padua, Italy
[9] Univ Padua, Dept Neurosci, Padua, Italy
[10] Kyambogo Univ, Kampala, Uganda
[11] Butabika Natl Referral & Mental Hlth Hosp, Kampala, Uganda
[12] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium
[13] Katholieke Univ Leuven, Univ Psychiat Ctr, Leuven Kortenberg, Belgium
关键词
physical activity; depression; exercise; major depression; MENTAL-DISORDERS; COGNITIVE FUNCTION; OLDER-ADULTS; HEALTH; METAANALYSIS; EXERCISE; RISK; INDIVIDUALS; ASSOCIATION; COMORBIDITY;
D O I
10.1111/acps.12654
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
ObjectivePhysical activity (PA) is good for health, yet several small-scale studies have suggested that depression is associated with low PA. A paucity of nationally representative studies investigating this relationship exists, particularly in low- and middle-income countries (LMICs). This study explored the global association of PA with depression and its mediating factors. MethodParticipants from 36 LMICs from the World Health Survey were included. Multivariable logistic regression analyses were undertaken exploring the relationship between PA and depression. ResultsAcross 178 867 people (mean SD age = 36.2 +/- 13.5 years; 49.9% male), the prevalence of depression and the prevalence of low PA were 6.6% and 16.8% respectively. The prevalence of low PA was significantly higher among those with depression vs. no depression (26.0% vs. 15.8%, P < 0.0001). In the adjusted model, depression was associated with higher odds for low PA (OR = 1.42; 95% CI = 1.24-1.63). Mediation analyses demonstrated that low PA among people with depression was explained by mobility limitations (40.3%), pain and discomfort (35.8%), disruptions in sleep and energy (25.2%), cognition (19.4%) and vision (10.9%). ConclusionIndividuals with depression engage in lower levels of PA in LMICs. Future longitudinal research is warranted to better understand the relationships observed.
引用
收藏
页码:546 / 556
页数:11
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