Association between Type and Intensity of Physical Activity and Depression
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background: Although numerous studies have indicated that lower levels of physical activity correlate with a high-er risk of depression, an association between the type of physical activity and depression has not been identified in Korea. This study aimed to examine whether the type and intensity of physical activity are associated with depres-sion in Korean adults.Methods: This cross-sectional study used data from the Korea National Health and Nutrition Examination Survey (KNHANES). A total of 11,679 individuals were analyzed using multiple logistic regression analyses to identify any association between the type of physical activity and depressive disorders in the sample subjects.Results: Measured weekly in units of energy expenditure, known as metabolic equivalents (METs), the amount of work-related physical activity was higher in individuals with depression according to the Patient Health Question-naire-9 than the participants without depression (386.7 vs. 206.7 MET-min/wk, P=0.01). Those diagnosed with de-pression tended to engage in less recreational activity per week (143.7 vs. 316.3 MET-min/wk, P<0.001) than those without depression. After controlling for covariates, the risk of depression among all participants was 1.012 times higher with a 100-unit increase in total work-related activity measured in METs (95% confidence interval [CI], 1.006–1.017; P<0.001) and 0.962 times lower with a 100-unit increase in total leisure activity measured in METs (95% CI, 0.937–0.987; P=0.003).Conclusion: Different types of physical activity were shown to be differently associated with depressive disorders in Korean adults. This study might guide in reducing work-related physical activity and increasing leisure activity to prevent the occurrence of depression.
Abstract
Background: Although numerous studies have indicated that lower levels of physical activity correlate with a high-er risk of depression, an association between the type of physical activity and depression has not been identified in Korea. This study aimed to examine whether the type and intensity of physical activity are associated with depres-sion in Korean adults.Methods: This cross-sectional study used data from the Korea National Health and Nutrition Examination Survey (KNHANES). A total of 11,679 individuals were analyzed using multiple logistic regression analyses to identify any association between the type of physical activity and depressive disorders in the sample subjects.Results: Measured weekly in units of energy expenditure, known as metabolic equivalents (METs), the amount of work-related physical activity was higher in individuals with depression according to the Patient Health Question-naire-9 than the participants without depression (386.7 vs. 206.7 MET-min/wk, P=0.01). Those diagnosed with de-pression tended to engage in less recreational activity per week (143.7 vs. 316.3 MET-min/wk, P<0.001) than those without depression. After controlling for covariates, the risk of depression among all participants was 1.012 times higher with a 100-unit increase in total work-related activity measured in METs (95% confidence interval [CI], 1.006–1.017; P<0.001) and 0.962 times lower with a 100-unit increase in total leisure activity measured in METs (95% CI, 0.937–0.987; P=0.003).Conclusion: Different types of physical activity were shown to be differently associated with depressive disorders in Korean adults. This study might guide in reducing work-related physical activity and increasing leisure activity to prevent the occurrence of depression.
참고문헌 (30)
- Greenberg PE, "The economic burden of adults with major depressive disorder in the United States(2005 and 2010)", J Clin Psychiatry, 76, pp.155~162 (2015)
- Belvederi Murri M, "Physical exercise in major depression : reducing the mortality gap while improving clinical outcomes", Front Psychiatry, 9, pp.762~ (2019)
- Lee HY, "The effect of leisure activity diversity and exercise time on the prevention of depression in the middle-aged and elderly residents of Taiwan", Int J Environ Res Public Health, 15, pp.654~ (2018)
- North TC, "Effect of exercise on depression", Exerc Sport Sci Rev, 18, pp.379~415 (1990)
- Majumder P, "The effect of aerobic exercise in the maintenance treatment of depression", BJPsych Int, 12(RESEARCH), pp.S3~S6 (2015)
- Peluso MA, "Physical activity and mental health: the association between exercise and mood", Clinics (Sao Paulo), 60, pp.61~70 (2005)
- Paluska SA, "Physical activity and mental health : current concepts", Sports Med, 29, pp.167~180 (2000)
- Sampasa-Kanyinga H, "Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents : a systematic review", Int J Behav Nutr Phys Act, 17, pp.72~ (2020)
- Stubbs B, "Physical activity and mental health", Lancet Psychiatry, 5, pp.873~ (2018)
- Malm C, "Physical activity and sports-real health benefits: a review with insight into the public health of Sweden", Sports(Basel), 7, pp.127~ (2019)
- van der Ploeg HP, "Invest in physical activity to protect and promote health : the 2020 WHO guidelines on physical activity and sedentary behaviour", Int J Behav Nutr Phys Act, 17, pp.145~ (2020)
- Segar ML, "Everything counts in sending the right message : science-based messaging implications from the 2020 WHO guidelines on physical activity and sedentary behaviour", Int J Behav Nutr Phys Act, 17, pp.135~ (2020)
- Chaput JP, "2020WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5-17 years : summary of the evidence", Int J Behav Nutr Phys Act, 17, pp.141~ (2020)
- Dugan SA, "Association between physical activity and depressive symptoms : midlife women in SWAN", Med Sci Sports Exerc, 47, pp.335~342 (2015)
- Mumba MN, "Intensity and type of physical activity predicts depression in older adults", Aging Ment Health, 25, pp.664~671 (2021)
- Asiamah N, "The association between work-related physical activity and depression", J Phys Act Res, 2, pp.1~6 (2017)
- Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
- Manea L, "Optimal cut-offscore for diagnosing depression with the Patient Health Questionnaire(PHQ-9) : a metaanalysis", CMAJ, 184, pp.E191~E196 (2012)
- Lowe B, "Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians’ diagnoses", J Affect Disord, 78, pp.131~140 (2004)
- Bull FC, "Global physical activity questionnaire(GPAQ) : nine country reliability and validity study", J Phys Act Health, 6, pp.790~804 (2009)
- Teychenne M, "Physical activity, sedentary behavior and depression among disadvantaged women", Health Educ Res, 25, pp.632~644 (2010)
- Vallance JK, "Associations of objectively-assessed physical activity and sedentary time with depression : NHANES(2005-2006)", Prev Med, 53, pp.284~288 (2011)
- Cahuas A, "Relationship of physical activity and sleep with depression in college students", J Am Coll Health, 68, pp.557~564 (2020)
- Haßdenteufel K, "Reduction in physical activity significantly increases depression and anxiety in the perinatal period : a longitudinal study based on a self-report digital assessment tool", Arch Gynecol Obstet, 302, pp.53~64 (2020)
- Teychenne M, "Physical activity and likelihood of depression in adults : a review", Prev Med, 46, pp.397~411 (2008)
- Kok RM, "Management of depression in older adults : a review", JAMA, 317, pp.2114~2122 (2017)
- Kandola A, "Physical activity and depression : towards understanding the antidepressant mechanisms of physical activity", Neurosci Biobehav Rev, 107, pp.525~539 (2019)
- Mammen G, "Physical activity and the prevention of depression : a systematic review of prospective studies", Am J Prev Med, 45, pp.649~657 (2013)
- Nawaz A, "Physical enrichment enhances memory function by regulating stress hormone and brain acetylcholinesterase activity in rats exposed to restraint stress", Life Sci, 207, pp.42~49 (2018)
- Nam JY, "The impact of sitting time and physical activity on major depressive disorder in South Korean adults : a cross-sectional study", BMC Psychiatry, 17, pp.274~ (2017)
