The moderating role of different lifestyle domains in the association between physical activity and depressive symptoms in brazilian university students

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-03-01 DOI:10.1016/j.mhpa.2025.100682

Debora Tornquist , Maria Eduarda Adornes Guimarães , Eduarda Bitencourt dos Santos , Julia Amaral Teixeira , Jênifer de Oliveira , Aline Josiane Waclawovsky , Ana Carolina Guidorizzi Zanetti , Daniel Alvarez Pires , Danilo Rodrigues Pereira da Silva , Fabianna Resende de Jesus-Moraleida , Helena Ferreira Moura , Luis Eduardo Wearick-Silva , Nicole Leite Galvão-Coelho , Renato Sobral Monteiro-Junior , Thiago Sousa Matias , Andrea Camaz Deslandes , Felipe Barreto Schuch

{"title":"The moderating role of different lifestyle domains in the association between physical activity and depressive symptoms in brazilian university students","authors":"Debora Tornquist , Maria Eduarda Adornes Guimarães , Eduarda Bitencourt dos Santos , Julia Amaral Teixeira , Jênifer de Oliveira , Aline Josiane Waclawovsky , Ana Carolina Guidorizzi Zanetti , Daniel Alvarez Pires , Danilo Rodrigues Pereira da Silva , Fabianna Resende de Jesus-Moraleida , Helena Ferreira Moura , Luis Eduardo Wearick-Silva , Nicole Leite Galvão-Coelho , Renato Sobral Monteiro-Junior , Thiago Sousa Matias , Andrea Camaz Deslandes , Felipe Barreto Schuch","doi":"10.1016/j.mhpa.2025.100682","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Evidence shows that physical activity (PA) is associated with a lower risk of depression, but the moderating factors of this relationship still need to be better elucidated. This study aimed to investigate the association between <span>PA</span> and depressive symptoms (DS), and whether substance use, diet, sleep, social support, stress management, and screen time can moderate this association.</div></div><div><h3>Method</h3><div>This cross-sectional study was conducted using data from the UNILIFE-M Cohort (pilot phase). The sample consisted of undergraduate and graduate students from 11 Brazilian universities. DS were measured using the Patient Health Questionnaire-2 and PA and lifestyle domains, using the Short Multidimensional Inventory Lifestyle Evaluation. Moderation analyses were conducted by multiple linear regression. In models with significant interactions, the Johnson-Neymann technique estimated points of the moderating variables that demonstrate modification in the association between PA and DS.</div></div><div><h3>Results</h3><div>The final sample included 790 students (23 ± 6 years; 56.3 % women). PA was associated with DS (β: 0.014; 95 %CI: −0.018;-0.011), with significant interaction with diet (p = 0.016) and stress management (p = 0.041). A linear reduction in the effect of PA on DS was observed as diet and stress management scores increased. The association ceased to be significant among students who presented ≥77.70 out of 100 points in the diet score and ≥55.82 out of 100 points in the stress management score. Substance use, sleep, social support, and screen time did not show significant interactions.</div></div><div><h3>Conclusion</h3><div>These findings indicate that staying active appears especially important among students who are unable to adopt good eating habits and stress management measures.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100682"},"PeriodicalIF":2.3000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mental Health and Physical Activity","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755296625000134","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

Evidence shows that physical activity (PA) is associated with a lower risk of depression, but the moderating factors of this relationship still need to be better elucidated. This study aimed to investigate the association between PA and depressive symptoms (DS), and whether substance use, diet, sleep, social support, stress management, and screen time can moderate this association.

Method

This cross-sectional study was conducted using data from the UNILIFE-M Cohort (pilot phase). The sample consisted of undergraduate and graduate students from 11 Brazilian universities. DS were measured using the Patient Health Questionnaire-2 and PA and lifestyle domains, using the Short Multidimensional Inventory Lifestyle Evaluation. Moderation analyses were conducted by multiple linear regression. In models with significant interactions, the Johnson-Neymann technique estimated points of the moderating variables that demonstrate modification in the association between PA and DS.

Results

The final sample included 790 students (23 ± 6 years; 56.3 % women). PA was associated with DS (β: 0.014; 95 %CI: −0.018;-0.011), with significant interaction with diet (p = 0.016) and stress management (p = 0.041). A linear reduction in the effect of PA on DS was observed as diet and stress management scores increased. The association ceased to be significant among students who presented ≥77.70 out of 100 points in the diet score and ≥55.82 out of 100 points in the stress management score. Substance use, sleep, social support, and screen time did not show significant interactions.

Conclusion

These findings indicate that staying active appears especially important among students who are unable to adopt good eating habits and stress management measures.

查看原文本刊更多论文

不同生活方式域在巴西大学生体育活动与抑郁症状关联中的调节作用

目的有证据表明，体育活动（PA）与抑郁风险降低相关，但其调节因素仍有待进一步阐明。本研究旨在探讨PA与抑郁症状（DS）之间的关系，以及物质使用、饮食、睡眠、社会支持、压力管理和屏幕时间是否可以调节这种关系。方法本横断面研究采用unife - m队列（试点阶段）的数据。样本包括来自巴西11所大学的本科生和研究生。使用患者健康问卷-2和生活方式域测量DS，使用短多维清单生活方式评估。采用多元线性回归进行适度分析。在具有显著相互作用的模型中，Johnson-Neymann技术估计了显示PA和DS之间关联变化的调节变量的点。结果最终样本包括790名学生(23±6岁；56.3%女性)。PA与DS相关(β: 0.014；95% CI:−0.018;-0.011)，与饮食（p = 0.016）和压力管理（p = 0.041）有显著的相互作用。随着饮食和压力管理评分的增加，PA对DS的影响呈线性降低。在饮食得分≥77.70分和压力管理得分≥55.82分的学生中，这种关联不再显著。物质使用、睡眠、社会支持和屏幕时间没有显示出显著的相互作用。结论：对于不能养成良好饮食习惯和压力管理措施的学生，保持运动显得尤为重要。

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

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;