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":"2024-12-21","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":"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":"2024-12-20","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":"The relationship between device-measured movement behaviors and optimal mental health in Chinese youth: A compositional data analysis","authors":"Zan Huang ,&nbsp;Jiayu Li","doi":"10.1016/j.mhpa.2024.100664","DOIUrl":"10.1016/j.mhpa.2024.100664","url":null,"abstract":"<div><h3>Background</h3><div>This study explores the relationship between movement behaviors and mental health indicators (depression, anxiety, and perceived stress) in youth, aiming to identify optimal balance of movement behaviors for mental health benefits.</div></div><div><h3>Methods</h3><div>327 participants aged 17–24years wore accelerometers for 7 consecutive days to measure moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), and sedentary behavior (SB). Sleep (SLP) was self-reported. Depression, anxiety, and perceived stress were assessed using self-report questionnaires. Compositional data analysis examined the relationship between movement behaviors and mental health indicators. Optimal time-use were identified by investigating all possible 24-h combinations associated with the best 5% of outcomes.</div></div><div><h3>Results</h3><div>More SB time was associated with higher scores for depression (<em>b</em> = 6.34, <em>p</em> &lt; 0.05), anxiety (<em>b</em> = 7.94, <em>p</em> &lt; 0.05), and perceived stress (<em>b</em> = 5.14, <em>p</em> &lt; 0.05). More MVPA time was associated with lower scores for depression (<em>b</em> = −2.24, <em>p</em> &lt; 0.05) and perceived stress scores (<em>b</em> = −1.56, <em>p</em> &lt; 0.05). Substituting 30 min of SB with LPA or MVPA improved depression and perceived stress, while substituting SB with LPA reduced anxiety. Optimal time-use compositions were 503 min for sleep, 503 min for sedentary, 322 min for LPA, and 112 min for MVPA.</div></div><div><h3>Conclusion</h3><div>This study emphasizes the association between movement behaviors and mental health in youth. Reducing sedentary time and increasing MVPA were linked to better mental health. Achieving optimal mental health requires balancing time spent on various daily activities, minimizing sedentary behavior, and maximizing time allocated to MVPA whenever possible.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100664"},"PeriodicalIF":2.3,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104675","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":"2024-12-14","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":"Barriers and facilitators to increasing physical activity in medium secure mental health settings: An exploration of staff perceptions","authors":"Kiara Lewis ,&nbsp;Gloria Roden-Lui ,&nbsp;Guy Faulkner ,&nbsp;Simon Gibbon ,&nbsp;Catherine Hewitt ,&nbsp;Elizabeth Hughes ,&nbsp;Wajid Khan ,&nbsp;Mike Lucock ,&nbsp;Bal Singh ,&nbsp;Phil Walters ,&nbsp;Judith Watson ,&nbsp;Tammi Walker","doi":"10.1016/j.mhpa.2024.100663","DOIUrl":"10.1016/j.mhpa.2024.100663","url":null,"abstract":"<div><h3>Purpose</h3><div>The benefits of physical activity for people with severe mental illness (SMI) is widely recognised but for those in medium secure settings there are additional environmental barriers to being active that have not been fully explored. The aim of this study was to explore the perceived barriers and facilitators from the perspective of staff within the medium secure setting.</div></div><div><h3>Method</h3><div>Semi-structured focus groups were conducted with qualified and unqualified staff (n = 24) across two UK medium secure NHS settings. Michie's COM-B framework was used to inform the topic guide and the analysis of the data.</div></div><div><h3>Results</h3><div>The opportunities to be active in medium secure settings depend not only on access to facilities but also staff availability and willingness to support such activities. When an individualised approach is taken, and staff are skilled and motivated to support such activities then it is possible for people with SMI in medium secure settings to be physically active.</div></div><div><h3>Conclusion</h3><div>People with SMI in secure settings have reduced autonomy to increase their own physical activities but it was suggested that with the appropriate opportunities and the motivation of staff their capability to be active could be enhanced.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100663"},"PeriodicalIF":2.3,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104707","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":"2024-12-06","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}

{"title":"Fostering physical activity motivation at substance use disorder treatment facilities: A qualitative study grounded in self-determination theory","authors":"Sascha Thal ,&nbsp;Chloe Graham ,&nbsp;Nikos Ntoumanis ,&nbsp;Bronwyn Myers ,&nbsp;Stephen Bright ,&nbsp;Jocelyn Jones ,&nbsp;Eleanor Quested","doi":"10.1016/j.mhpa.2024.100650","DOIUrl":"10.1016/j.mhpa.2024.100650","url":null,"abstract":"<div><h3>Background and aims</h3><div>Studies have found inconclusive results for the effects of physical activity (PA) interventions on substance use, mental health, and physiological health of people experiencing substance use disorders (SUDs). To improve PA interventions for individuals with SUDs, a deeper understanding of the underlying motivational processes is imperative. This study employs self-determination theory as a framework to explore factors impacting PA motivation in SUD treatment contexts.</div></div><div><h3>Methods</h3><div>A qualitative research design utilising semi-structured interviews explored the experiences and perspectives of five people with lived or living experience of SUD treatment and five stakeholders within SUD treatment facilities across Western Australia. A reflexive thematic analysis was employed for the data analysis.</div></div><div><h3>Results</h3><div>Five themes were developed: (i) Belonging to a Community, describing the sense of community fostered by group PA (ii) Mind, Body, and Soul, outlining the impact of PA on mental and physical well-being and sense of self; (iii) Physical Activity and Recovery Integration, describing how structured PA supports individuals transitioning from SUD treatment to community environments, (iv) Goals and Rewards, illustrating how setting goals fosters a sense of accomplishment, and (v) Safe Space, describing the importance of creating safe environments for PA exploration.</div></div><div><h3>Conclusion</h3><div>Insights gained from this study could be used to design PA interventions that address individuals’ basic psychological needs and promote more autonomous motivation while fostering peer connections, PA knowledge, and independence. These implementations may lead to greater PA engagement and adherence.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100650"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651796","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":"An integrative overview of physical activity for people with opioid use disorder","authors":"Evan Matthews ,&nbsp;Hannah Fabian ,&nbsp;Martina Gooney ,&nbsp;Denise Rogers ,&nbsp;Joseph Firth","doi":"10.1016/j.mhpa.2024.100651","DOIUrl":"10.1016/j.mhpa.2024.100651","url":null,"abstract":"<div><h3>Background</h3><div>People with and in recovery from opioid use disorder face a burden of poor physical and mental health. However, an emergent and growing body of evidence shows that physical activity has a multidimensional therapeutic potential to help people with opioid use disorders during recovery.</div></div><div><h3>Methods</h3><div>We conducted a narrative review that incorporated a broad range of quantitative and qualitative evidence, in addition to key review evidence, to offer an overview of the benefits of physical activity on (i) abstinence and related outcomes, (ii) other mental health and cognitive outcomes, (iii) physical health outcomes, (iv) social health and wellbeing outcomes. We also discuss the evidence for (v) physical activity levels and behaviour in people with opioid use disorder, (vi) and, key factors of influences on physical activity behaviour among people with opioid use disorder. The article concludes with key recommendations for future research and practice.</div></div><div><h3>Results</h3><div>A limited body of evidence exists for using physical activity to improve outcomes of abstinence, improved physical health, mental health and social health among people with opioid use disorder. To date, such interventions are somewhat limited in quality and scale, and few have examined effects beyond light and moderate intensity, including high intensity PA and resistance exercise intervention. People with opioid use disorder appear to have nuanced physical activity behaviours that are influenced by a plethora of individual, interpersonal and environmental factors. Such populations also typically have low levels of physical activity, but more research is required to understand this.</div></div><div><h3>Conclusion</h3><div>There is an apparent need for integrated efforts to improve opportunities for physical activity as part of treatment for opioid use disorders. There is also a need for the inclusion of people with opioid use disorder in PA implementation research.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100651"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651799","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":"Acute effect of different types of moderate intensity physical exercise on affective response and mood state in individuals with substance use disorder","authors":"Bruno Marson Malagodi ,&nbsp;Marcia Greguol ,&nbsp;Vagner Deuel de Oliveira Tavares ,&nbsp;Attilio Carraro ,&nbsp;Helio Serassuelo Júnior","doi":"10.1016/j.mhpa.2024.100634","DOIUrl":"10.1016/j.mhpa.2024.100634","url":null,"abstract":"<div><div>Substance use disorder (SUD) affects a significant percentage of people around the world, negatively influencing aspects of physical and mental health. Physical exercise can promote acute and chronic effects on the affective response and mood of individuals and has shown promising effects in all phases of rehabilitation. The objective of this study was to verify the acute effects of two types of physical exercises at moderate intensity on the mood state and on the affective response of individuals hospitalized for the treatment of SUD. For this purpose, 43 individuals (31 men and 12 women) underwent two physical exercise sessions (one aerobic and one functional) and a control session. Before and immediately after the sessions, subjects answered questionnaires about mood, affective valence, and perceived arousal. Generalized estimating equations (GEE) followed by the Bonferroni post hoc test were used to assess the effect of timing and session on the variables. The results showed significant improvements after both physical exercise sessions in mood (reduction in levels of tension, depression, anger, fatigue, and confusion) and in affective valences (feeling of pleasure and arousal perception), with no changes after the control session. It is observed that different types of physical exercises can positively impact the mental health of individuals undergoing treatment for SUD and should be used as a non-pharmacological strategy in the rehabilitation process.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100634"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417213","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":"Examining the longitudinal effect of depressive symptoms on physical activity in persons with type 2 diabetes during the COVID-19 pandemic","authors":"Emmanuel Ekpor ,&nbsp;Samuel Akyirem ,&nbsp;Precious Adade Duodu ,&nbsp;Jonathan Bayuo ,&nbsp;Veronica Brady","doi":"10.1016/j.mhpa.2024.100647","DOIUrl":"10.1016/j.mhpa.2024.100647","url":null,"abstract":"<div><h3>Background and aims</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100647"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572471","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}