Examining the longitudinal effect of depressive symptoms on physical activity in persons with type 2 diabetes during the COVID-19 pandemic

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-10-01 DOI:10.1016/j.mhpa.2024.100647

Emmanuel Ekpor , Samuel Akyirem , Precious Adade Duodu , Jonathan Bayuo , Veronica Brady

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Abstract

Background and aims

The American Diabetes Association recommends that individuals with type 2 diabetes (T2D) engage in at least 150 min of physical activity per week for optimal health. However, depressive symptoms, prevalent in this population, may hinder the ability to follow this recommendation, particularly during stressful events like the COVID-19 pandemic. This longitudinal study aimed at investigating the impact of depressive symptoms on physical activity levels among individuals with T2D during the COVID-19 pandemic.

Methods

We analyzed data from 5348 individuals with T2D participating in the All of Us Research Program's COVID-19 Participant Experience (COPE) survey. Depressive symptoms and physical activity levels were measured using the Patient Health Questionnaire (PHQ-9) and the International Physical Activity Questionnaire (IPAQ), respectively. Stabilized inverse probability weights (sIPW)-weighted mixed-effect logistic regression models evaluated the association between depressive symptoms and physical activity across three time points: May, June, and July 2020.

Results

Participants had a mean age of 61.43 (11.63) years, with majority being female (56.49%) and non-Hispanic White (76.25%). At baseline, 50% of the participants had moderate-to-severe depressive symptoms, and 20% were physically active. The predicted probability of being physically active decreased with increasing depressive symptoms (aOR = 0.66; 95%CI: 0.60, 0.73). The inverse association between depressive symptoms and physical activity was strongest among non-Hispanic White.

Conclusions

Depressive symptoms were significantly associated with lower odds of engaging in physical activity among individuals with T2D during the COVID-19 period. Further studies capturing pre- and post-pandemic data are needed to clarify the pandemic's impact on these associations.

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研究 COVID-19 大流行期间抑郁症状对 2 型糖尿病患者体育锻炼的纵向影响

背景和目的美国糖尿病协会建议 2 型糖尿病（T2D）患者每周至少进行 150 分钟的体育锻炼，以获得最佳健康状态。然而，在这一人群中普遍存在的抑郁症状可能会妨碍他们遵守这一建议，尤其是在 COVID-19 大流行等压力事件期间。这项纵向研究旨在调查 COVID-19 大流行期间抑郁症状对 T2D 患者体育锻炼水平的影响。抑郁症状和体力活动水平分别采用患者健康问卷（PHQ-9）和国际体力活动问卷（IPAQ）进行测量。稳定逆概率权重（sIPW）加权混合效应逻辑回归模型评估了三个时间点上抑郁症状与体力活动之间的关联：结果参与者的平均年龄为 61.43 (11.63) 岁，大多数为女性（56.49%）和非西班牙裔白人（76.25%）。基线时，50%的参与者有中度至重度抑郁症状，20%的参与者积极参加体育锻炼。随着抑郁症状的加重，参加体育锻炼的预测概率降低（aOR = 0.66；95%CI：0.60, 0.73）。结论在 COVID-19 期间，抑郁症状与 T2D 患者参加体育锻炼的几率较低密切相关。需要对大流行前后的数据进行进一步研究，以明确大流行对这些关联的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;