Association of Physical Activity and Sleep Metrics with Depression in People with Type 1 Diabetes

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychology Research and Behavior Management Pub Date : 2024-07-19 DOI:10.2147/prbm.s459097

Abdullah Al-Ozairi, Mohammad Irshad, Husain Alsaraf, Jumana AlKandari, Ebaa Al-Ozairi, Stuart R Gray

{"title":"Association of Physical Activity and Sleep Metrics with Depression in People with Type 1 Diabetes","authors":"Abdullah Al-Ozairi, Mohammad Irshad, Husain Alsaraf, Jumana AlKandari, Ebaa Al-Ozairi, Stuart R Gray","doi":"10.2147/prbm.s459097","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to investigate the association of physical activity and sleep metrics, measured via wrist-worn accelerometers, with depression in people with type 1 diabetes. Patients and Methods: People with type 1 diabetes were recruited from the Dasman Diabetes Institute in Kuwait and were invited to wear a wrist-worn accelerometer device for 7 days. Mean physical activity (overall acceleration), inactivity, light activity, moderate activity, vigorous activity, the distribution of physical activity intensity (intensity gradient), sleep duration and sleep efficiency were quantified from the accelerometer data. The associations of these metrics with depression were investigated using multiple linear regression. Results: A total of 551 people with type 1 diabetes (age 33.1 (9.5) years) were included. Overall physical activity (B = − 0.09, CI = − 0.14 to – 0.04), moderate intensity activity (B = − 0.02, CI = − 0.02 to − 0.01), vigorous intensity activity (B = − 0.16, CI = − 0.27 to − 0.05), and the intensity gradient (B = − 2.11, CI = − 3.51 to − 0.72) were negatively associated with depression score (p < 0.01) and these associations remain significant even after adjustment for age, sex, diabetes duration, and BMI. However, sleep duration and efficiency were not associated with depression. After mutual adjustment overall physical activity (B = − 0.07, CI = − 0.12 to − 0.01), but not the intensity gradient (B = − 0.90, CI = − 2.47 to 0.68), remained associated with depression. Conclusion: Overall, moderate and vigorous physical activity, and the intensity gradient were associated with lower symptoms of depression. Overall physical activity, rather than the distribution of activity intensity, appears more important in depression. This information can help guide physical activity interventions to improve depression in people with type 1 diabetes. Keywords: type 1 diabetes, depression, physical activity, sedentary behaviors ","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"42 1","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Research and Behavior Management","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.2147/prbm.s459097","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to investigate the association of physical activity and sleep metrics, measured via wrist-worn accelerometers, with depression in people with type 1 diabetes.
Patients and Methods: People with type 1 diabetes were recruited from the Dasman Diabetes Institute in Kuwait and were invited to wear a wrist-worn accelerometer device for 7 days. Mean physical activity (overall acceleration), inactivity, light activity, moderate activity, vigorous activity, the distribution of physical activity intensity (intensity gradient), sleep duration and sleep efficiency were quantified from the accelerometer data. The associations of these metrics with depression were investigated using multiple linear regression.
Results: A total of 551 people with type 1 diabetes (age 33.1 (9.5) years) were included. Overall physical activity (B = − 0.09, CI = − 0.14 to – 0.04), moderate intensity activity (B = − 0.02, CI = − 0.02 to − 0.01), vigorous intensity activity (B = − 0.16, CI = − 0.27 to − 0.05), and the intensity gradient (B = − 2.11, CI = − 3.51 to − 0.72) were negatively associated with depression score (p < 0.01) and these associations remain significant even after adjustment for age, sex, diabetes duration, and BMI. However, sleep duration and efficiency were not associated with depression. After mutual adjustment overall physical activity (B = − 0.07, CI = − 0.12 to − 0.01), but not the intensity gradient (B = − 0.90, CI = − 2.47 to 0.68), remained associated with depression.
Conclusion: Overall, moderate and vigorous physical activity, and the intensity gradient were associated with lower symptoms of depression. Overall physical activity, rather than the distribution of activity intensity, appears more important in depression. This information can help guide physical activity interventions to improve depression in people with type 1 diabetes.

Keywords: type 1 diabetes, depression, physical activity, sedentary behaviors

查看原文本刊更多论文

体力活动和睡眠指标与 1 型糖尿病患者抑郁的关系

研究目的本研究旨在调查通过腕戴式加速度计测量的体力活动和睡眠指标与 1 型糖尿病患者抑郁的关系：从科威特 Dasman 糖尿病研究所招募 1 型糖尿病患者，并邀请他们佩戴腕戴式加速度计装置 7 天。根据加速度计数据对平均体力活动（总体加速度）、不活动、轻度活动、中度活动、剧烈活动、体力活动强度分布（强度梯度）、睡眠时间和睡眠效率进行量化。采用多元线性回归法研究了这些指标与抑郁症的关系：共纳入 551 名 1 型糖尿病患者（年龄为 33.1 (9.5) 岁）。总体体力活动（B = - 0.09，CI = - 0.14 至 - 0.04）、中等强度活动（B = - 0.02，CI = - 0.02 至 - 0.01）、剧烈强度活动（B = - 0.16，CI = - 0.27 至 - 0.05）和强度梯度（B = - 2.11，CI = - 3.51 to - 0.72）与抑郁评分呈负相关（p < 0.01），即使在调整了年龄、性别、糖尿病病程和体重指数后，这些关联仍然显著。然而，睡眠时间和效率与抑郁无关。经过相互调整后，总体体力活动（B = - 0.07，CI = - 0.12 至 - 0.01）仍与抑郁有关，但强度梯度（B = - 0.90，CI = - 2.47 至 0.68）与抑郁无关：结论：总体而言，中等强度和剧烈运动以及强度梯度与抑郁症状的降低有关。总体体力活动，而不是活动强度的分布，似乎对抑郁症更为重要。这些信息有助于指导体力活动干预措施，以改善1型糖尿病患者的抑郁状况。关键词：1型糖尿病；抑郁；体力活动；久坐行为

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.