Bidirectional association between physical activity and depression: the “Como Vai?” cohort study

Authors

  • Bárbara Sutil da Silva Universidade Federal de Pelotas, Programa de Pós-graduação em Educação Física, Pelotas, Rio Grande do Sul, Brasil. https://orcid.org/0000-0001-7859-189X
  • Debora Tornquist Universidade Federal de Santa Maria, Programa de Pós-graduação em Ciências do Movimento e Reabilitação, Santa Maria, Rio Grande do Sul, Brasil. https://orcid.org/0000-0002-7363-1669
  • Andrea Wendt Böhm Pontifícia Universidade Católica do Paraná, Programa de Pós-Graduação em Tecnologia e Saúde, Curitiba, Paraná, Brasil. https://orcid.org/0000-0002-4640-2254
  • Andréa Dâmaso Bertoldi Universidade Federal de Pelotas, Programa de Pós-graduação em Epidemiologia, Pelotas, Rio Grande do Sul, Brasil. https://orcid.org/0000-0002-4680-3197
  • Elaine Tomasi Universidade Federal de Pelotas, Programa de Pós-graduação em Epidemiologia, Pelotas, Rio Grande do Sul, Brasil.il. https://orcid.org/0000-0001-7328-6044
  • Maria Cristina Gonzalez Universidade Federal de Pelotas, Departamento de Nutrição, Programa de Pós-graduação em Nutrição e Alimentos, Pelotas, Rio Grande do Sul, Brasil.
  • Renata Moraes Bielemann Universidade Federal de Pelotas, Programa de Pós-graduação em Epidemiologia, Pelotas, Rio Grande do Sul, Brasil. Universidade Federal de Pelotas, Departamento de Nutrição, Programa de Pós-graduação em Nutrição e Alimentos, Pelotas, Rio Grande do Sul, Brasil. https://orcid.org/0000-0003-0202-3735
  • Inácio Crochemore-Silva Universidade Federal de Pelotas, Programa de Pós-graduação em Educação Física, Pelotas, Rio Grande do Sul, Brasil. Universidade Federal de Pelotas, Programa de Pós-graduação em Epidemiologia, Pelotas, Rio Grande do Sul, Brasil. https://orcid.org/0000-0001-5390-8360

DOI:

https://doi.org/10.12820/rbafs.29e0358

Keywords:

Depressive symptoms, Physical activity, Older adults, Cohort study

Abstract

To evaluate bidirectional and longitudinal association between physical activity (PA) and depressive symptoms (DS). This is a cohort study called “Como Vai?” (How are you?), conducted by older population representative sample of the city of Pelotas-Rio Grande do Sul. The analyses used data from the first interview (2014) and follow-up (2019/20). The long version of the International Physical Activity Questionnaire (IPAQ) was applied to assess PA in the leisure, commuting and total domains. The presence of DS was measured using the Geriatric Depression Scale (GDS-10). Linear regression models were used to evaluate bidirectional associations between PA and DS. Analytical sample included 515 individuals with a mean age of 70.7 (± 9.2) years. Each weekly minute of total PA (β: -0.0006; 95% CI: -0.0011; -0.0001) and commuting PA (β: -0.0008; 95% CI: -0.0016; -0.0001) in 2014 predicts worse DS scores in 2019/20. At the same time, DS score in 2014 (β: -9.79; 95% CI: -18.81; -0.76) was a negative predictor of leisure-time PA in the 2019/20 follow-up adjusted for sociodemographic and other health behaviors. However, when adjusted for the respective outcomes at baseline, the associations found were not statistically significant. The present study did not find evidence of bidirectionality between PA and DS and the prospective associations lost statistical significance after adjustment for the respective outcomes at baseline. Other investigations are necessary including more periods of follow-up, objective analyses of PA to complement analyses by domains and, therefore, provide a better understanding of this complex relationship.

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References

Buchan MC, Romano I, Butler A, Laxer RE, Patte KA, Leatherdale ST. Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study. Int J Behav Nutr Phys Act. 2021;18(1):132. doi: https://doi.org/10.1186/s12966-021-01201-z. DOI: https://doi.org/10.1186/s12966-021-01201-z

OPAS. Organização Pan-Americana de Saúde. Transtornos mentais: Principais Fatos. Available in: <https://www.paho.org/pt/topicos/transtornos-mentais> [2021 March].

Schuch FB, Stubbs B. The Role of Exercise in Preventing and Treating Depression. Curr Sports Med Rep. 2019;(8):299-304. doi: https://doi.org/10.1249/JSR.0000000000000620. DOI: https://doi.org/10.1249/JSR.0000000000000620

Schuch FB, Werneck AO, Vancampfort D, Stubbs B, Teychene M, Lotufo PA, et al. Cross-sectional associations of leisure and transport related physical activity with depression and anxiety. J Psychiatr Res. 2021;140:228-34. doi: https://doi.org/10.1016/j.jpsychires.2021.05.053. DOI: https://doi.org/10.1016/j.jpsychires.2021.05.053

Pearce M, Garcia L, Abbas A, Strain T, Schuch FB, Golubic R, et al. Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(6):550-9. doi: https://doi.org/10.1001/jamapsychiatry.2022.0609. DOI: https://doi.org/10.1001/jamapsychiatry.2022.0609

Choi KW, Chen CY, Stein MB, Klimentidis YC, Wang MJ, Koenen KC, et al. Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium. Assessment of Bidirectional Relationships Between Physical Activity and Depression Among Adults: A 2-Sample Mendelian Randomization Study. JAMA Psychiatry. 2019;76(4):399-408. doi: https://doi.org/10.1001/jamapsychiatry.2018.4175. DOI: https://doi.org/10.1001/jamapsychiatry.2018.4175

Schuch FB, Vancampfort D, Firth J, Rosenbaum S, Ward PB, Silva ES, et al. Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies. Am J Psychiatry. 2018;175(7):631-48. doi: https://doi.org/10.1176/appi.ajp.2018.17111194. DOI: https://doi.org/10.1176/appi.ajp.2018.17111194

Ku PW, Fox KR, Chen LJ, Chou P. Physical activity and depressive symptoms in older adults: 11-year follow-up. Am J Prev Med. 2012;42(4):355-62. doi: https://doi.org/10.1016/j.amepre.2011.11.010. DOI: https://doi.org/10.1016/j.amepre.2011.11.010

Moghaddam BR, Katon WJ, Russo J. The longitudinal effects of depression on physical activity. Gen Hosp Psychiatry. 2009;31(4):306-15. doi: https://doi.org/10.1016/j.genhosppsych.2009.04.002. DOI: https://doi.org/10.1016/j.genhosppsych.2009.04.002

Zhang D, Pettee Gabriel K, Sidney S, Sternfeld B, Jacobs D Jr, Whitaker KM. Longitudinal bidirectional associations of physical activity and depressive symptoms: The CARDIA study. Prev Med Rep. 2021;23:101489. doi: https://doi.org/10.1016/j.pmedr.2021.101489. DOI: https://doi.org/10.1016/j.pmedr.2021.101489

Gibbs BB, Sternfeld B, Whitaker KM, Brach JS, Hergenroeder AL, Jacobs DR Jr, et al. Bidirectional associations of accelerometer-derived physical activity and stationary behavior with self-reported mental and physical health during midlife. Int J Behav Nutr Phys Act. 2021;18(1):74. doi: https://doi.org/10.1186/s12966-021-01145-4. DOI: https://doi.org/10.1186/s12966-021-01145-4

Wassink-Vossen S, Collard RM, Penninx BW, Hiles SA, Oude Voshaar RC, Naarding P. The reciprocal relationship between physical activity and depression: Does age matter? Eur Psychiatry. 2018;51:9-15. doi: https://doi.org/10.1016/j.eurpsy.2017.12.029. DOI: https://doi.org/10.1016/j.eurpsy.2017.12.029

Steinmo S, Hagger-Johnson G, Shahab L. Bidirectional association between mental health and physical activity in older adults: Whitehall II prospective cohort study. Prev Med. 2014;66:74-9. doi: https://doi.org/10.1016/j.ypmed.2014.06.005. DOI: https://doi.org/10.1016/j.ypmed.2014.06.005

He F, Li Y, Hu Z, Zhang H. Association of domain-specific physical activity with depressive symptoms: A population-based study. Eur Psychiatry. 2022;66(1):e5. doi: https://doi.org/10.1192/j.eurpsy.2022.2350. DOI: https://doi.org/10.1192/j.eurpsy.2022.2350

Böhm AW, Mielke GI, Cruz MF, Ramirez VV, Wehrmesister FC. Social Support and Leisure-Time Physical Activity Among the Elderly: A Population-Based Study. J Phys Act Health. 2016;13(6):599-605. doi: https://doi.org/10.1123/jpah.2015-0277. DOI: https://doi.org/10.1123/jpah.2015-0277

Bielemann RM, Silveira MPT, Lutz BH, Miranda VIA, Gonzalez MC, Brage S, Ekelund U, Bertoldi AD. Objectively Measured Physical Activity and Polypharmacy Among Brazilian Community-Dwelling Older Adults. J Phys Act Health. 2020;17(7):729-35. doi: https://doi.org/10.1123/jpah.2019-0461. DOI: https://doi.org/10.1123/jpah.2019-0461

IBGE. Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Brasileiro de 2010. Rio de Janeiro: IBGE, 2012.

Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17(1):37-49. doi: https://doi.org/10.1016/0022-3956(82)90033-4. DOI: https://doi.org/10.1016/0022-3956(82)90033-4

Almeida OP, Almeida SA. Short versions of the geriatric depression scale: a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. Int J Geriatr Psychiatry. 1999;14(10):858-65. doi: https://doi.org/10.1002/(sici)1099-1166(199910)14:10<858::aid-gps35>3.0.co;2-8. DOI: https://doi.org/10.1002/(SICI)1099-1166(199910)14:10<858::AID-GPS35>3.0.CO;2-8

Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, Braggion G. Questionário internacional de atividade física (ipaq): estudo de validade e reprodutibilidade no brasil. Rev. Bras. Ativ. Fís. Saúde. 2012;6(2):5-18. doi: https://doi.org/10.12820/rbafs.v.6n2p5-18.

Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia de Atividade Física para a População Brasileira [recurso eletrônico] / Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Promoção da Saúde. – Brasília: Ministério da Saúde, 2021.

Ku PW, Fox KR, Chen LJ. Physical activity and depressive symptoms in Taiwanese older adults: a seven-year follow-up study. Prev Med. 2009;48(3):250-5. doi: https://doi.org/10.1016/j.ypmed.2009.01.006. DOI: https://doi.org/10.1016/j.ypmed.2009.01.006

Gunnell KE, Flament MF, Buchholz A, Henderson KA, Obeid N, Schubert N, et al. Examining the bidirectional relationship between physical activity, screen time, and symptoms of anxiety and depression over time during adolescence. Prev Med. 2016;88:147-52. doi: https://doi.org/10.1016/j.ypmed.2016.04.002. DOI: https://doi.org/10.1016/j.ypmed.2016.04.002

WHO. World mental health report: transforming mental health for all. Geneva: World Health Organization; 2022.

Ma T, Kim J, Godinho MA, Leeuw E, Clapham K, Kobel C, Ivers R. A Systematic Review with Framework Synthesis of the Ways That Urban Environments Influence Opportunities for Healthy and Sustainable Mobility in Older Age. Int J Environ Res Public Health. 2022;19(20):13014. doi: https://doi.org/10.3390/ijerph192013014. DOI: https://doi.org/10.3390/ijerph192013014

Werneck AO, Stubbs B, Szwarcwald CL, Silva DR. Independent relationships between different domains of physical activity and depressive symptoms among 60,202 Brazilian adults. Gen Hosp Psychiatry. 2020;64:26-32. doi: https://doi.org/10.1016/j.genhosppsych.2020.01.007. DOI: https://doi.org/10.1016/j.genhosppsych.2020.01.007

Cocker K, Biddle SJH, Teychenne MJ, Bennie JA. Is all activity equal? Associations between different domains of physical activity and depressive symptom severity among 261,121 European adults. Depress Anxiety. 2021;38(9):950-60. doi: https://doi.org/10.1002/da.23157. DOI: https://doi.org/10.1002/da.23157

Zorzi VN, Wanderley Júnior RS, Onita BM, Silva AAP, Silva AT, Oliveira ES, et al. Perspectivas sobre mobilidade urbana na promoção da atividade física no contexto dos deslocamentos no Brasil. Rev. Bras. Ativ. Fís. Saúde. 2023;28:1-6. doi: https://doi.org/10.12820/rbafs.28e0310. DOI: https://doi.org/10.12820/rbafs.28e0310

WHO. Depressive disorder (depression). Contributing factors and prevention. World Health Organization; 2022. Available in: <https://www.who.int/news-room/fact-sheets/detail/depression> [2024 july].

Brasil. Vigitel Brasil 2021: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2021. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Brasília, 2021.

Silva DB, Sixel TRS, Medeiros AA, Schmitt ACB. Força de trabalho de Profissionais de Educação Física na Atenção Primária à Saúde. Rev. Bras. Ativ. Fís. Saúde. 2022;27:e0240. doi: https://doi.org/10.12820/rbafs.27e0240. DOI: https://doi.org/10.12820/rbafs.27e0240

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Published

2024-10-30

How to Cite

1.
Silva BS da, Tornquist D, Wendt A, Bertoldi AD, Tomasi E, Gonzalez MC, et al. Bidirectional association between physical activity and depression: the “Como Vai?” cohort study. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2024 Oct. 30 [cited 2024 Nov. 7];29:1-9. Available from: https://rbafs.org.br/RBAFS/article/view/15250

Issue

Vol. 29 (2024)

Section

Original Articles

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Copyright (c) 2024 Bárbara Sutil da Silva, Debora Tornquist, Andrea Wendt Böhm, Andréa Dâmaso Bertoldi, Elaine Tomasi, M. Cristina Gonzalez, Renata Moraes Bielemann, Inácio Crochemore-Silva

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