B Stubbs1,2, A Koyanagi3,4, F B Schuch5, J Firth6, S Rosenbaum7, N Veronese8, M Solmi9, J Mugisha10,11, D Vancampfort12,13. 1. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, United Kingdom. 2. Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. 3. Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain. 4. Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain. 5. Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil. 6. Institute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK. 7. Department of Exercise Physiology, School of Medical Sciences, University of New South Wales, Sydney, Australia. 8. Geriatrics Division, Department of Medicine-DIMED, University of Padova, Italy, Institute of clinical Research and Education in Medicine (IREM), Padova, Italy. 9. Department of Neurosciences, University of Padova, Padova, Italy. 10. Kyambogo University, Kampala, Uganda. 11. Butabika National Referral and Mental Health Hospital, Kampala, Uganda. 12. KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium. 13. KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.
Abstract
OBJECTIVE: Physical activity (PA) is good for health, yet several small-scale studies have suggested that depression is associated with low PA. A paucity of nationally representative studies investigating this relationship exists, particularly in low- and middle-income countries (LMICs). This study explored the global association of PA with depression and its mediating factors. METHOD: Participants from 36 LMICs from the World Health Survey were included. Multivariable logistic regression analyses were undertaken exploring the relationship between PA and depression. RESULTS: Across 178 867 people (mean ± SD age = 36.2 ± 13.5 years; 49.9% male), the prevalence of depression and the prevalence of low PA were 6.6% and 16.8% respectively. The prevalence of low PA was significantly higher among those with depression vs. no depression (26.0% vs. 15.8%, P < 0.0001). In the adjusted model, depression was associated with higher odds for low PA (OR = 1.42; 95% CI = 1.24-1.63). Mediation analyses demonstrated that low PA among people with depression was explained by mobility limitations (40.3%), pain and discomfort (35.8%), disruptions in sleep and energy (25.2%), cognition (19.4%) and vision (10.9%). CONCLUSION: Individuals with depression engage in lower levels of PA in LMICs. Future longitudinal research is warranted to better understand the relationships observed.
OBJECTIVE: Physical activity (PA) is good for health, yet several small-scale studies have suggested that depression is associated with low PA. A paucity of nationally representative studies investigating this relationship exists, particularly in low- and middle-income countries (LMICs). This study explored the global association of PA with depression and its mediating factors. METHOD:Participants from 36 LMICs from the World Health Survey were included. Multivariable logistic regression analyses were undertaken exploring the relationship between PA and depression. RESULTS: Across 178 867 people (mean ± SD age = 36.2 ± 13.5 years; 49.9% male), the prevalence of depression and the prevalence of low PA were 6.6% and 16.8% respectively. The prevalence of low PA was significantly higher among those with depression vs. no depression (26.0% vs. 15.8%, P < 0.0001). In the adjusted model, depression was associated with higher odds for low PA (OR = 1.42; 95% CI = 1.24-1.63). Mediation analyses demonstrated that low PA among people with depression was explained by mobility limitations (40.3%), pain and discomfort (35.8%), disruptions in sleep and energy (25.2%), cognition (19.4%) and vision (10.9%). CONCLUSION: Individuals with depression engage in lower levels of PA in LMICs. Future longitudinal research is warranted to better understand the relationships observed.
Authors: Davy Vancampfort; Joseph Firth; Felipe B Schuch; Simon Rosenbaum; James Mugisha; Mats Hallgren; Michel Probst; Philip B Ward; Fiona Gaughran; Marc De Hert; André F Carvalho; Brendon Stubbs Journal: World Psychiatry Date: 2017-10 Impact factor: 49.548
Authors: Marja Eliisa Holm; Päivi Sainio; Jaana Suvisaari; Katri Sääksjärvi; Tuija Jääskeläinen; Suvi Parikka; Seppo Koskinen Journal: Int J Environ Res Public Health Date: 2022-06-07 Impact factor: 4.614
Authors: Brendon Stubbs; Nicola Veronese; Davy Vancampfort; Trevor Thompson; Cristiano Kohler; Patricia Schofield; Marco Solmi; James Mugisha; Kai G Kahl; Toby Pillinger; Andre F Carvalho; Ai Koyanagi Journal: Sci Rep Date: 2017-08-02 Impact factor: 4.379
Authors: Felipe B Schuch; Rugero A Bulzing; Jacob Meyer; Davy Vancampfort; Joseph Firth; Brendon Stubbs; Igor Grabovac; Peter Willeit; Vagner Deuel O Tavares; Vitor C Calegaro; Jeroen Deenik; Guillermo F López-Sánchez; Nicola Veronese; Cristina M Caperchione; Kabir P Sadarangani; Mohammad Abufaraj; Mark A Tully; Lee Smith Journal: Psychiatry Res Date: 2020-07-27 Impact factor: 3.222