Mental Health and Physical Activity最新文献

{"title":"The longitudinal relationship among physical activity, loneliness, and mental health in middle-aged and older adults: Results from the Edad con Salud cohort","authors":"Jordi Rodeiro ,&nbsp;Beatriz Olaya ,&nbsp;Josep Maria Haro ,&nbsp;Aina Gabarrell-Pascuet ,&nbsp;José Luis Ayuso-Mateos ,&nbsp;Lea Francia ,&nbsp;Cristina Rodríguez-Prada ,&nbsp;Blanca Dolz-del-Castellar ,&nbsp;Joan Domènech-Abella","doi":"10.1016/j.mhpa.2024.100667","DOIUrl":"10.1016/j.mhpa.2024.100667","url":null,"abstract":"<div><h3>Objectives</h3><div>Existing research suggests there to be interrelated connections among physical activity, loneliness, and mental health. However, the possible mediating effects between them in middle-aged and older adults is unclear. This study aims to investigate the longitudinal relationship among physical activity, loneliness, and common mental disorders to clarify potential mediation effects.</div></div><div><h3>Methods</h3><div>We analysed longitudinal data from 1973 participants aged 50 and over, drawn from the Longitudinal Ageing and Health Study Spain (“Edad con Salud”, <span><span>ageingandhealth.com</span><svg><path></path></svg></span>). Loneliness was evaluated using the 3-item UCLA loneliness scale, while physical activity was measured with the Global Physical Activity Questionnaire version 2 (GPAQ v2). Common mental disorders were assessed by considering lifetime episodes of major depressive and generalized anxiety disorders (MDD and GAD) following the criteria outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Employing a crosslagged panel model (CLPM), cross-lagged and autoregressive longitudinal associations among loneliness, common mental disorders, and physical activity were examined.</div></div><div><h3>Results</h3><div>Physical inactivity predicted higher subsequent loneliness, which in turn predicted common mental disorders. The reverse pathways were statistically supported as well, suggesting bi-directional influences. All autoregressive associations were statistically significant.</div></div><div><h3>Discussion</h3><div>The improvement of mental health through physical activity is facilitated by the mediation of loneliness, indicating the potential of the social aspect of physical activity as a preventive measure for MDD and GAD, as well as the need to address feelings of loneliness in individuals with common mental disorders in order to facilitate their participation in physical activities.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100667"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The moderating role of different lifestyle domains in the association between physical activity and depressive symptoms in brazilian university students","authors":"Debora Tornquist ,&nbsp;Maria Eduarda Adornes Guimarães ,&nbsp;Eduarda Bitencourt dos Santos ,&nbsp;Julia Amaral Teixeira ,&nbsp;Jênifer de Oliveira ,&nbsp;Aline Josiane Waclawovsky ,&nbsp;Ana Carolina Guidorizzi Zanetti ,&nbsp;Daniel Alvarez Pires ,&nbsp;Danilo Rodrigues Pereira da Silva ,&nbsp;Fabianna Resende de Jesus-Moraleida ,&nbsp;Helena Ferreira Moura ,&nbsp;Luis Eduardo Wearick-Silva ,&nbsp;Nicole Leite Galvão-Coelho ,&nbsp;Renato Sobral Monteiro-Junior ,&nbsp;Thiago Sousa Matias ,&nbsp;Andrea Camaz Deslandes ,&nbsp;Felipe Barreto Schuch","doi":"10.1016/j.mhpa.2025.100682","DOIUrl":"10.1016/j.mhpa.2025.100682","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":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a 6-week at-home exercise intervention on psychological and physical indicators of well-being during the COVID-19 pandemic: Secondary analysis of a pragmatic randomized trial","authors":"Benjamin A. Hives ,&nbsp;Brook L. Haight ,&nbsp;Mark R. Beauchamp ,&nbsp;Yan Liu ,&nbsp;Joshua Webster ,&nbsp;Boaz Injege ,&nbsp;Michael S. Koehle ,&nbsp;Eli Puterman","doi":"10.1016/j.mhpa.2025.100675","DOIUrl":"10.1016/j.mhpa.2025.100675","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether a 6-week at-home exercise intervention, delivered via mobile applications (apps), improves psychological and physical well-being and alleviates ill-being symptoms in adults during the early months of the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>Low active Canadian adults (n = 334) were recruited and randomized to one of three app conditions [Yoga, n = 86; high-intensity interval training (HIIT), n = 82, HIIT + Yoga, n = 83] or a waitlist control condition (n = 83). Those in the exercise conditions (HIIT, Yoga, HIIT + Yoga) were asked to use their respective modules in the apps to complete four 20-min sessions per week for six weeks. Indicators of well-being (flourishing, general mental health, life satisfaction, positive affect, resilience, and perceived physical health) and ill-being (burden of psychosocial problems, negative affect, psychological distress, psychological stress, and physical symptoms) were measured every week over the intervention.</div></div><div><h3>Results</h3><div>After six weeks, compared to the waitlist control condition, those in the HIIT + Yoga condition improved in all well-being outcomes, those in the Yoga condition showed improvements in flourishing, positive affect, and perceived physical health, and those in the HIIT condition showed no improvements in well-being indicators. None of the three exercise conditions demonstrated any improvement in ill-being indicators compared to the waitlist control condition.</div></div><div><h3>Conclusion</h3><div>Engagement with at-home exercise apps over 6 weeks can improve multiple facets of well-being (e.g., flourishing, positive affect), especially when a variety of modalities of exercise are presented.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100675"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capoeira and brain function: Hypotheses and perspectives from a systematic review","authors":"Renato Sobral Monteiro-Junior ,&nbsp;Valter da Rocha Fernandes ,&nbsp;Henrique Nunes Pereira Oliva ,&nbsp;Tiago Paiva Prudente ,&nbsp;Sidarta Ribeiro","doi":"10.1016/j.mhpa.2025.100678","DOIUrl":"10.1016/j.mhpa.2025.100678","url":null,"abstract":"<div><h3>Objective</h3><div>To review the literature on brain activation and cognitive network in individuals involved in Capoeira. Additionally, we propose a hypothetical model of brain function in response to Capoeira stimuli.</div></div><div><h3>Methods</h3><div>This systematic review was conducted based on PRISMA guidelines. Articles investigating neurocognitive domains or neurophysiological mechanisms in the brains of individuals involved with Capoeira were retrieved from PubMed, Web of Science, Scopus, Embase, and Lilacs in July 2024 (PROSPERO CRD42024556159). Outcomes related to neurocognitive domains or brain functionality, such as cortical and subcortical activity, neural circuitry, and oxygen or glucose metabolism, were analyzed.</div></div><div><h3>Results</h3><div>Five articles with a total of 1365 individuals involved with Capoeira were selected and analyzed. Individuals involved with Capoeira presented alterations in the left hemisphere of the precentral gyrus, the right dorsal premotor cortex, posterior insular cortex, visual cortex, supplementary motor area, and post-central gyrus, among other subregions. Neurocognitive effects were particularly prominent in children.</div></div><div><h3>Conclusion</h3><div>Capoeira practice engages a broad network of brain regions, notably the prefrontal, temporal, and parietal cortices, regions related to motor and cognitive processing. Subcortical regions also seem to be activated in individuals involved in Capoeira, potentially relating to executive control and emotions. This review highlights the neural engagement related to Capoeira exposure, suggesting benefits in motor, cognitive, and emotional processing, which may inspire future research and therapeutic applications of Capoeira.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100678"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of replacing sedentary behaviour with different intensities of physical activity on depression: A meta-analysis of isotemporal substitution studies","authors":"Xiaojun Liu ,&nbsp;Zhongyan Du ,&nbsp;Lina Wang ,&nbsp;Jiaqi Tian ,&nbsp;Ling Zhang ,&nbsp;Yuanyuan Li","doi":"10.1016/j.mhpa.2025.100677","DOIUrl":"10.1016/j.mhpa.2025.100677","url":null,"abstract":"<div><h3>Objective</h3><div>Physical activity, sedentary behaviour and sleep are modifiable risk factors associated with depressive symptoms, but there are conflicting findings regarding their relationship. Some studies reported that increased physical activity significantly reduces depressive symptoms, while others suggested that changes in sedentary behaviour or sleep have a more significant effect on depressive symptoms. In addition, many individual studies have ignored the dependencies between these behaviours. Studies have explored the effects of replacing sedentary behaviour with physical activity on depression, but the results remain inconclusive. Therefore, we aimed to summarize the evidence from studies that have used isotemporal substitution models to explore the effects of reallocating sedentary time to different activity intensities on adults with depression.</div></div><div><h3>Methods</h3><div>From inception to July 2024, a systematic search of Chinese and English databases was conducted to look for observational studies reporting the effects of replacing sedentary behaviours with light and/or moderate to vigorous physical activity, as well as sleep on depression. Random effects meta-analyses were performed to summarize the estimated odds ratios (ORs) and regression coefficients (β) and the corresponding 95 % confidence intervals (CIs). The OR reflects the effect of the substitution effect on the risk of depression, while the β reflects the effect on the level of depression. Subgroup analyses were also performed to explore potential moderators of heterogeneity. Study quality was assessed via the Newcastle-Ottawa Scale and the Agency for Health care Research and Quality evaluation criteria.</div></div><div><h3>Results</h3><div>Seventeen studies with 136,270 participants met the inclusion criteria. Pooled analyses revealed that replacing sedentary time with LPA was not significantly associated with depression in either cross-sectional (OR = 0.93, 95 % CI: 0.77–1.13) or prospective cohort studies (OR = 0.99, 95 % CI: 0.93–1.05). Reallocating sedentary time to patients' self-reported duration of sleep was associated with a reduction in depression (OR = 0.84, 95 %CI: 0.74–0.96). An accelerometer was used to measure physical activity, and replacing sedentary time with MVPA was cross-sectionally associated with depression (OR = 0.79, 95 % CI: 0.69–0.91), but no longitudinal association was found.</div></div><div><h3>Conclusion</h3><div>Replacing sedentary behaviours with moderate to vigorous physical activity and sleep may reduce the odds ratio of depression, but more research is needed to demonstrate the role of light-intensity physical activity on depression. Exercise guidelines and effective strategies to prevent depression must be developed to integrate the interplay of activity behaviours and provide targeted recommendations for time reallocation.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100677"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of an exercise and sport intervention on symptoms of post-traumatic stress disorder and other mental health indices among asylum seekers in a camp. A pragmatic randomized controlled trial","authors":"Konstantinia Filippou ,&nbsp;Florian Knappe ,&nbsp;Antonis Hatzigeorgiadis ,&nbsp;Ioannis D. Morres ,&nbsp;Emmanouil Tzormpatzakis ,&nbsp;Theodoros Proskinitopoulos ,&nbsp;Marianne Meier ,&nbsp;Harald Seelig ,&nbsp;Sebastian Ludyga ,&nbsp;Uwe Pühse ,&nbsp;Roland von Känel ,&nbsp;Yannis Theodorakis ,&nbsp;Markus Gerber","doi":"10.1016/j.mhpa.2025.100676","DOIUrl":"10.1016/j.mhpa.2025.100676","url":null,"abstract":"<div><h3>Background and aims</h3><div>People seeking asylum face a high risk of mental health disorders, in particular post-traumatic stress (PTSD). Physical activity has been recommended as an effective treatment for relieving mental health symptoms, yet the impact of exercise and sport in this particular and steeply increasing population has been scantly studied. This study aimed to examine the effects of an exercise and sport intervention primarily on PTSD but also on symptoms of depression, anxiety, stress, and well-being, among asylum seekers living in a camp.</div></div><div><h3>Methods</h3><div>One hundred and forty-two asylum seekers (75 women) were enrolled and randomly assigned into intervention and control groups. A 10-week intervention was implemented during which a variety of organized exercise and sport activities were provided daily for men and women separately. Mixed model ANOVAs were conducted to examine changes in outcome measures from pre-to post-intervention.</div></div><div><h3>Results</h3><div>Ninety-eight participants (58% women) with a mean age of 29.87 (±10.12) years completed both the pre-and post-intervention measures. They displayed a rather poor mental health profile, with 59% suffering from PTSD. The results showed that among participants of the intervention group, those attending the sport and exercise activities on average twice or more per week showed improved PTSD symptoms (p = .03, η²_p = .05), whereas no changes were found for those attending less than twice per week (p = .95, η²_p &lt; .001), and participants of the control group (p = .98, η²_p &lt; .001); no significant changes were revealed for depression, anxiety, stress, and well-being.</div></div><div><h3>Conclusion</h3><div>The findings provided indications that engagement in exercise and sport can help ameliorate symptoms of PTSD among asylum seekers and highlight the importance of participation frequency; the lack of improvements in other mental health indices may be linked to external factors and requires further investigation.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100676"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143685365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burdens of sedentary behaviour and symptoms of mental health disorders and their associations among 297,354 school-going adolescents from 68 countries","authors":"Md Shajedur Rahman Shawon ,&nbsp;Fariha Binte Hossain ,&nbsp;Anupama Thabrew ,&nbsp;Sadia Fatema Kabir ,&nbsp;Sultan Mahmood ,&nbsp;Md Saiful Islam","doi":"10.1016/j.mhpa.2024.100665","DOIUrl":"10.1016/j.mhpa.2024.100665","url":null,"abstract":"<div><h3>Background</h3><div>Sedentary behaviour has become a critical public health issue among adolescents, with growing evidence linking it to adverse mental health outcomes. This study aimed to quantify the prevalence of sedentary behaviour and mental health symptoms among adolescents and explore their associations using data from countries across various WHO regions.</div></div><div><h3>Methods</h3><div>We analysed data from the Global School-based Health Survey (GSHS) covering 68 countries between 2009 and 2018, including 297,354 adolescents aged 13–17 years. A meta-analysis with random effects was conducted to estimate the prevalence of sedentary behaviour (defined as spending 3 or more hours per day sedentary) and mental health symptoms (including loneliness, anxiety, suicidal ideation, suicide planning, and suicide attempts). Multi-level mixed-effect logistic regressions were used to investigate the associations between these factors.</div></div><div><h3>Results</h3><div>Overall, 37.2% of adolescents engaged in sedentary behaviour, with a slightly higher prevalence among girls than boys (38.5% vs. 35.8%). The highest prevalence was in the Region of the Americas (46.9%), while the lowest was in the South-East Asia Region (25.7%), with significant variations between countries within each WHO region. Additionally, 19.0% of adolescents reported psychological distress, defined as experiencing at least two mental health symptoms. Sedentary behaviour was significantly associated with psychological distress (OR 1.34, 95% CI: 1.32–1.37) and each mental health symptom, with stronger associations observed among girls, younger adolescents, and those with lower parental support. A dose-response relationship was evident, with the odds of psychological distress increasing almost linearly with more hours spent sedentary (P for trend &lt;0.001).</div></div><div><h3>Conclusions</h3><div>This study highlights the high prevalence of sedentary behaviour and mental health symptoms among adolescents and demonstrates a clear dose-response association between sedentary behaviour and mental health outcomes. These findings underscore the urgent need for strategies aimed at reducing sedentary time among adolescents to promote better mental health.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100665"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between lifestyle behaviors and depression in 90.846 Brazilian adults: A cluster analysis","authors":"Sarah Vitoria Bristot Carnevalli ,&nbsp;Renato Claudino ,&nbsp;Leticia Schmitz Nacur de Almeida ,&nbsp;Tuane Sarmento ,&nbsp;Jhonatan Wélington Pereira Gaia ,&nbsp;Thiago Sousa Matias","doi":"10.1016/j.mhpa.2025.100672","DOIUrl":"10.1016/j.mhpa.2025.100672","url":null,"abstract":"<div><h3>Background and aims</h3><div>A lifestyle that includes high screen time, unhealthy eating behaviors, physical inactivity, and tobacco use has been associated with an increased risk of developing depressive disorders. However, lifestyles often encompass a combination of both positive and negative behaviors. This study aimed to investigate the association between clusters of lifestyle behaviors and depression in Brazilians.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using the data from the Brazilian National Health Survey. Brazilians aged ≥15 years participated in this study. Lifestyle evaluations included eating behavior, physical activity, screen time, tobacco use, and alcohol consumption. Clinical diagnoses of depression were self-reported. Two-step cluster analysis was used to identify the lifestyle profiles. We used a multivariate logistic regression model to examine the association between the lifestyle cluster profiles and depression.</div></div><div><h3>Results</h3><div>A total of 90,846 Brazilians were analyzed, revealing three lifestyle clusters. The “At Risk” cluster, characterized by the least healthy behaviors represented 12.5% of the sample and had a depression prevalence of 10.9%. The results demonstrated that participants in the “active with alcohol consumption” cluster had approximately 35% (OR^adjusted = 0.65; 95%CI = 0.57, 0.74) and the “healthier” cluster had 27% (OR^adjusted = 0.73; 95%CI = 0.65, 0.85) lower odds of reporting depression than those in the at-risk cluster.</div></div><div><h3>Conclusion</h3><div>Participants in clusters that combine multiple detrimental health behaviors showed an association with depression. Synergies between lifestyle behaviors may be key to understanding mental health issues.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100672"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143196583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time spent in physical activities, TV watching and sleep and its association with executive functioning in middle age and older adults: An isotemporal substitution analysis","authors":"Rosa Palazuelos-González ,&nbsp;Richard C. Oude Voshaar ,&nbsp;Sacha la Bastide-van Gemert ,&nbsp;Nynke Smidt","doi":"10.1016/j.mhpa.2024.100668","DOIUrl":"10.1016/j.mhpa.2024.100668","url":null,"abstract":"<div><h3>Background</h3><div>Time spent in physical activities, sedentary behavior and sleep during the day are interrelated and are differentially associated with executive functioning (EF). Most studies have not analyzed these three activities simultaneously when examining this association. We examined the association between these activities and EF, and estimated the influence of time reallocation of sedentary behavior (TV watching) for other activities on EF.</div></div><div><h3>Methods</h3><div>Baseline data (≥40y) from Lifelines Cohort study (n = 58,582) was used to assess the association between self-reported time spent in TV-watching, sleep, and physical activities (active commuting, leisure, sports, household, and work) with EF (Ruff Figural Fluency Test) using multivariable linear regression. Isotemporal substitution analyses were applied to estimate the impact of time replacement of TV-watching by other activities on CP. Analyses were stratified by age (middle age (&lt;60y) and older adults) and sleep duration (short, normal (7–8 h/day), and long).</div></div><div><h3>Results</h3><div>In participants with normal sleep (75%), TV-watching time was inversely associated with EF in middle aged (β −0.30, 95%CI -0.41, −0.19) and older (β −0.33, 95%CI -0.51, −0.14) participants. Replacing 30 min of TV-watching with leisure (β 0.22, 95%CI 0.11, 0.34), sports (β 0.51, 95%CI 0.48, 0.97), household (β 0.21, 95%CI 0.09, 0.33), or work (β 0.39, 95%CI 0.28, 0.50) showed a stronger and positive association with EF. Associations were less pronounced in short sleepers, and absent among long sleepers aged ≥60y.</div></div><div><h3>Conclusion</h3><div>Substituting 30 min of TV-watching by with physical activities may be a potential strategy to improve or preserve EF. Future research should explore this theoretical implication.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100668"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between physical activity and mortality across levels of psychological stress and distress among Korean adults","authors":"Suyeon Kim ,&nbsp;Younghwan Choi ,&nbsp;Yeon Soo Kim","doi":"10.1016/j.mhpa.2024.100662","DOIUrl":"10.1016/j.mhpa.2024.100662","url":null,"abstract":"<div><h3>Background</h3><div>Psychological issues persist in South Korea. We investigated the protective effects of physical activity (PA) on all-cause mortality among individuals with psychological issues.</div></div><div><h3>Methods</h3><div>We included 35,011 Korean adults from the 2007–2013 Korean National Health and Nutrition Examination Survey with all-cause mortality data up to 2019. Participants were classified into following three PA levels: insufficiently active, active, and highly active. Psychological issues were defined as a composite measure encompassing the following three factors: perceived stress, depressive symptoms, and suicidal thoughts. The participants were categorized based on their psychological status. Differences in mortality risk according to the PA levels and psychological status were examined using subgroup analyses. Hazard ratios (HRs) for mortality were estimated using the Cox proportional hazards model.</div></div><div><h3>Results</h3><div>Over a mean follow-up period of 9.2 years, 1925 deaths occurred. Compared to no symptoms, the HRs for mortality were 1.09 (95% confidence interval [CI]: 0.93–1.29), and 1.26 (95%CI: 1.14–1.40) for psychological stress and distress, respectively. Highly active individuals showed a significantly lower HR for mortality at 0.83 (95%CI: 0.75–0.92). Among individuals experiencing psychological distress, active individuals (HR = 0.81, 95%CI: 0.63–1.03) or highly active ones (HR = 0.80, 95%CI: 0.67–0.95) showed a low risk of mortality.</div></div><div><h3>Conclusion</h3><div>Psychological status and PA are independent predictors of mortality. Engaging in PA significantly reduces mortality risk associated with psychological issues, emphasizing the importance of promoting PA in individuals with psychological issues as a key strategy for reducing mortality risk in public health.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100662"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}