{"title":"Association between lifestyle behaviors and depression in 90.846 Brazilian adults: A cluster analysis","authors":"Sarah Vitoria Bristot Carnevalli , Renato Claudino , Leticia Schmitz Nacur de Almeida , Tuane Sarmento , Jhonatan Wélington Pereira Gaia , 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<sup>adjusted</sup> = 0.65; 95%CI = 0.57, 0.74) and the “healthier” cluster had 27% (OR<sup>adjusted</sup> = 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":"2025-01-29","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}
Christian W. Schmidt , Megan Agnew , Kristen Malecki , Ronald Gangnon , Amy Schultz , Paul E. Peppard , Lisa Cadmus-Bertram
{"title":"Physical activity and mental health in patients with multimorbidity","authors":"Christian W. Schmidt , Megan Agnew , Kristen Malecki , Ronald Gangnon , Amy Schultz , Paul E. Peppard , Lisa Cadmus-Bertram","doi":"10.1016/j.mhpa.2025.100673","DOIUrl":"10.1016/j.mhpa.2025.100673","url":null,"abstract":"<div><h3>Background and aims</h3><div>Multimorbidity, defined as the presence of two or more chronic health conditions, is a growing problem in the United States and abroad. Physical activity is a modifiable health behavior that promotes physical and mental health, yet little is known about the relationship between physical activity and mental health among those with multimorbidity.</div></div><div><h3>Methods</h3><div>Using a population-based survey of community dwelling adults in Wisconsin, the Survey of the Health of Wisconsin (SHOW), we assessed the relationship between accelerometer-measured physical activity and self-reported depressive and anxiety symptoms among those with and without multimorbidity.</div></div><div><h3>Results</h3><div>Participants with multimorbidity were significantly more likely to have moderate to extremely severe levels of anxiety than those without multimorbidity (17.2% vs 10.5%, p < 0.001). One hour of moderate-to-vigorous physical activity (MVPA) per week was associated with decreased odds of anxiety of those with multimorbidity (0.86 [0.75, 0.99]). We also found a positive association between light intensity physical activity and a lower burden of depressive symptoms among those with one chronic condition (0.95 [0.93, 0.98]) or multimorbidity (0.97 [0.95, 1.00]), and lower odds of anxiety among those without chronic conditions (0.98 [0.95, 1.00]) or with only one chronic condition (0.95 [0.93, 0.98]).</div></div><div><h3>Conclusions</h3><div>Our study suggests that MVPA and light intensity physical activity may be associated with lower odds of elevated depressive and anxiety symptoms among those with and without multimorbidity. Further research is needed to identify populations, disease states, and condition clusters that may have the most potential benefit from light intensity activity and MVPA.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100673"},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104646","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}
Jin Kuang , Katherine M. Lloyd , Tomasz S. Ligeza , Neha Bashir , Hannah Martin , Ramiya Shanmugam , Lauryn Pickerill , Sharon Liang , Talha Syed , Paige Tewell , Arushi Sharma , Flor B. Quiroz , Cole Stanfield , Bryan Montero Herrera , Qian Yu , Corinne N. Cannavale , Liye Zou , Nicholas A. Burd , Naiman A. Khan , Arthur F. Kramer , Dominika M. Pindus
{"title":"Interrupting sitting with moderate-intensity physical activity breaks improves inhibitory control in adults with overweight and obesity: Findings from the SITLess pilot randomized crossover trial","authors":"Jin Kuang , Katherine M. Lloyd , Tomasz S. Ligeza , Neha Bashir , Hannah Martin , Ramiya Shanmugam , Lauryn Pickerill , Sharon Liang , Talha Syed , Paige Tewell , Arushi Sharma , Flor B. Quiroz , Cole Stanfield , Bryan Montero Herrera , Qian Yu , Corinne N. Cannavale , Liye Zou , Nicholas A. Burd , Naiman A. Khan , Arthur F. Kramer , Dominika M. Pindus","doi":"10.1016/j.mhpa.2025.100671","DOIUrl":"10.1016/j.mhpa.2025.100671","url":null,"abstract":"<div><h3>Introduction</h3><div>Adults with overweight and obesity (OW/OB) show deficits in inhibitory control, which may be amplified by prolonged sitting. This study tested the acute effects of interrupting 3-h prolonged sitting every 30 min with 3.5-min moderate-intensity physical activity bouts (MPA + SIT) on inhibitory control relative to a sedentary social interaction condition (SOC + SIT) in young and middle-aged adults with OW/OB.</div></div><div><h3>Method</h3><div>Data from 19 adults (63% females; 29.9 ± 7.5 years; BMI = 30.0 ± 3.64 kg∗m<sup>−2</sup>) were analysed from the SITLess pilot randomized crossover trial. Inhibitory control was expressed as response accuracy and reaction time (RT) on incongruent trials of a flanker task. Choice RT was expressed as accuracy and RT on congruent trials. Attentional resource allocation and the speed of stimulus evaluation were measured using the amplitude and latency of the P3b component of event-related brain potentials, respectively. Intervention effects were tested using Generalized Linear Mixed Models with Time (pre, post) by Condition (MPA + SIT vs. SOC + SIT) interactions and simple effects within each time point.</div></div><div><h3>Results</h3><div>Participants were faster on incongruent trials after MPA + SIT than SOC + SIT (<em>F</em>(18.0, 54) = 5.59, <em>p</em> = 0.02; △M = 16.7 ms, 95% CI: 1.64, 31.7). A similar trend (<em>F</em>(18.0, 54) = 4.03, <em>p</em> = 0.05) emerged for congruent trials (△M = 17.3 ms, 95% CI: 5.66, 29.0). P3b amplitude and latency did not differ between conditions or time.</div></div><div><h3>Conclusion</h3><div>Interrupting sitting with short MPA bouts is a viable strategy to prevent a decline in cognitive performance following a continuous bout of sitting in adults with OW/OB. A definitive trial should test its efficacy in enhancing cognitive and brain health in obesity.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100671"},"PeriodicalIF":2.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104644","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}
Chaston Wu , Jana Waldmann , Jacqueline McPherson , Nicole Korman , Stephen Parker
{"title":"Use of yoga in acute mental health inpatient settings: A systematic review","authors":"Chaston Wu , Jana Waldmann , Jacqueline McPherson , Nicole Korman , Stephen Parker","doi":"10.1016/j.mhpa.2024.100666","DOIUrl":"10.1016/j.mhpa.2024.100666","url":null,"abstract":"<div><h3>Background</h3><div>People with mental disorders accessing acute psychiatric inpatient care experience high levels of distress and acute symptoms. Yoga has been proposed as an intervention to support health and wellbeing in this context. This study aimed to synthesize the literature considering the effectiveness (including psychiatric, physical health, and service-level outcomes) and implementation (including participant experience, feasibility and safety data) of yoga in acute psychiatric inpatient settings.</div></div><div><h3>Methods</h3><div>We conducted a systematic review by searching Medline, CINAHL, PsycINFO, Embase, <span><span>Clinicaltrials.gov</span><svg><path></path></svg></span>, and PubMed Central as of April 2023. Any study presenting relevant empirical data was included. The population focus was people any age recruited in an inpatient psychiatric setting regardless of the primary psychiatric diagnosis, except for primary diagnoses of drug and alcohol disorders. Studies not focused on yoga as primary intervention, or not delivered in an inpatient psychiatric setting were excluded. No specific comparator or outcome focus was defined a priori. Quality appraisal was completed using the Cochrane Risk of Bias tool and Joanna Briggs Institute (JBI) checklists. Due to study heterogeneity, it was not appropriate to conduct a meta-analysis and a narrative synthesis was completed.</div></div><div><h3>Results</h3><div>15 studies (n = 2016) met the inclusion criteria, including four Randomised Controlled Trials (RCTs), seven pre/post studies, and four qualitative studies. Six studies had a comparison group, with three of them comparing against treatment as usual and three comparing against alternative interventions. Based on the limited available data, yoga appears to be feasible and acceptable in inpatient psychiatric settings. The main findings were subjective improvements in anxiety and positive participant experiences (relaxation; increased awareness of mind and body; feelings of connectedness with others; and spiritual wellbeing). One RCT found improvements in physical health, global functioning, and quality of life, which were sustained post-discharge. There were mixed results considering depressive and psychotic symptoms, as well as biological markers of stress. No study examined service-related implementation outcomes.</div></div><div><h3>Conclusion</h3><div>There is a limited evidence base for yoga conducted in inpatient mental health settings. The available evidence suggests that yoga is feasible and acceptable, without significant adverse events, with preliminary findings for anxiety reduction and positive qualitative experiences. Further research is required to determine the effectiveness on mental and physical health outcomes and what effect yoga program components have on outcomes (i.e., type, duration). Future research should also investigate the impact on service-related outcomes, such as length of stay and cost.</di","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100666"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104645","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}
Rodrigo Sudatti Delevatti , Larissa Leonel , Felipe Barreto Schuch , Elisa Côrrea Marson , Salime Donida Chedid Lisboa , Thais Reichert , Ana Carolina Kanitz , Vitória de Mello Bones , Luiz Fernando Martins Kruel
{"title":"Aquatic training and sleep quality, depressive symptoms and quality of life in patients with type 2 diabetes: Diabetes and Aquatic Training Study (DATS2)- A Randomized Controlled Trial","authors":"Rodrigo Sudatti Delevatti , Larissa Leonel , Felipe Barreto Schuch , Elisa Côrrea Marson , Salime Donida Chedid Lisboa , Thais Reichert , Ana Carolina Kanitz , Vitória de Mello Bones , Luiz Fernando Martins Kruel","doi":"10.1016/j.mhpa.2025.100670","DOIUrl":"10.1016/j.mhpa.2025.100670","url":null,"abstract":"<div><h3>Background</h3><div>Aquatic training is one type of exercise used for type 2 diabetes (T2D) management, but it has not been investigated in depth. <strong>Purpose</strong>: To verify the effects of both aerobic and combined (aerobic plus resistance) aquatic training on sleep quality, depressive symptoms, and quality of life in patients with T2D.</div></div><div><h3>Methods</h3><div>Patients with T2D were randomly assigned to the aerobic (AERO) training group, combined (COMB) training group, and control (CON) group. The intervention period lasted 15 weeks, consisting of three 50-min weekly sessions. The AERO and COMB groups were structured in three mesocycles with progressive increases in intensity. The CON group performed sessions of stretching and relaxation in the aquatic environment. Sleep quality, depressive symptoms, and quality of life (secondary outcomes of the Diabetes and Aquatic Training Study) were evaluated before and after the intervention period. Analysis was performed using generalized estimating equations, adopting ɑ = 0.05.</div></div><div><h3>Results</h3><div>The AERO, COMB, and CON groups showed significant improvements in sleep quality, depressive symptoms, and quality of life in the overall, psychological, and physical domains, with time effects being statistically significant (<em>p</em> < 0.05). However, no significant changes were observed in their quality of life in the environmental and social domains (<em>p</em> > 0.05). Effect sizes were small for both intervention and CON groups. The AERO group exhibited larger increases than the COMB group in overall quality of life.</div></div><div><h3>Conclusion</h3><div>Participation in an aquatic training program, regardless of the modality, is effective in reducing depressive symptoms and improving the sleep quality and overall quality of life of patients with T2D.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100670"},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104678","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":"Potentials and pitfalls of peer support: Experiences and recommendations for peer supported physical activity programmes for mental health service users","authors":"Kinnafick F.E. , Anthony J.L. , Tweed L.","doi":"10.1016/j.mhpa.2024.100669","DOIUrl":"10.1016/j.mhpa.2024.100669","url":null,"abstract":"<div><h3>Background</h3><div>Volunteers with lived experience of mental health problems can play a valuable role in the delivery of physical activity interventions for mental health service users. However, research has under-explored individuals’ experiences of peer volunteering with mental health service users from the perspective of the peer volunteers (PVs).</div></div><div><h3>Aims</h3><div>This study explored PV's experiences within a community-based physical activity programme for Mental Health Service Users. A secondary aim was to utilise these findings to develop recommendations for peer-supported physical activity programmes.</div></div><div><h3>Methods</h3><div>Thirty-one PV's (15 male, 16 female, M age = 48 years, SD = 9.5 years) were recruited from local programme delivery sites across four regions in England (Midlands n = 10, London n = 5, North East n = 8 and North West n = 8). A hybrid approach of inductive and deductive thematic analysis, was adopted and themes generated from data.</div></div><div><h3>Results</h3><div>Four overarching themes representing PV's experiences of their role included: (i) Reciprocity – a two-way relationship, (ii) Commitment to Volunteering, (iii) Establishing Boundaries: necessary but challenging and (iv) Support Network for Peer Volunteers Results are discussed in the context of wider literature, and their implications for peer-supported physical activity programmes. Based on these findings, we developed a series of recommendations for the inclusion of PVs within physical activity programmes. Our recommendations highlight the incorporation of structured training that provides clear guidance on roles and responsibilities, while also addressing boundary maintenance. Additionally, we advocate for the provision of consistent and accessible support to PVs to ensure they can perform their roles effectively.</div></div><div><h3>Conclusion</h3><div>This study highlights the valuable contribution of PVs in the delivery of peer supported physical activity programmes. We provide insights into their experiences of the challenges, and advantages of their role. We provide practical recommendations for the inclusion of PVs in peers supported physical activity programmes.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100669"},"PeriodicalIF":2.3,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104677","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}
Jordi Rodeiro , Beatriz Olaya , Josep Maria Haro , Aina Gabarrell-Pascuet , José Luis Ayuso-Mateos , Lea Francia , Cristina Rodríguez-Prada , Blanca Dolz-del-Castellar , Joan Domènech-Abella
{"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 , Beatriz Olaya , Josep Maria Haro , Aina Gabarrell-Pascuet , José Luis Ayuso-Mateos , Lea Francia , Cristina Rodríguez-Prada , Blanca Dolz-del-Castellar , 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}
Rosa Palazuelos-González , Richard C. Oude Voshaar , Sacha la Bastide-van Gemert , Nynke Smidt
{"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 , Richard C. Oude Voshaar , Sacha la Bastide-van Gemert , 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 (<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 , 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> < 0.05), anxiety (<em>b</em> = 7.94, <em>p</em> < 0.05), and perceived stress (<em>b</em> = 5.14, <em>p</em> < 0.05). More MVPA time was associated with lower scores for depression (<em>b</em> = −2.24, <em>p</em> < 0.05) and perceived stress scores (<em>b</em> = −1.56, <em>p</em> < 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 , Fariha Binte Hossain , Anupama Thabrew , Sadia Fatema Kabir , Sultan Mahmood , 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 <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}