Prospective associations between multiple lifestyle behaviors and depressive symptoms
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jad.2021.12.131 http://hdl.handle.net/11449/223272 |
Resumo: | Background: Our aim was to analyze the associations between multiple lifestyle behaviors and depressive symptoms. Methods: We included 4,725 adults (18–59y), that provided data in routine health evaluations of a hospital in Brazil, followed for a mean period of 3.1 ± 1.6 years. Physical activity, alcohol consumption (measured using Alcohol Use Disorders Identification Test) and tobacco smoking were categorized as: (1) absence of the behavior (inactivity i.e. not complying with 150 min of moderate-to-vigorous PA/week, not smoking, no risky drinking, i.e. AUDIT<5) during baseline and follow-up; (2) Absence during baseline and presence during follow-up; (3) Presence during baseline and absence during follow-up; (4) Presence during both time points. Depressive symptoms were measured with the Beck Inventory was adopted to analyze patterns of depressive symptoms over time (as exposure). C-reactive protein [HS-CRP]) was assessed and its role in the association was tested. Incidence indicators of behaviors and depressive symptoms were created and used as outcomes. We used crude and adjusted Poisson regression analysis. Results: Fully adjusted models revealed that persistently physical inactive participants (RR:1.71;95%CI:1.33–2.21), those who became physically inactive (1.68;1.19–2.26), with consistently risky drinking (1.62;1.15–2.30), and who became risky drinkers (1.62;1.15–2.30) had higher risk for incidence of elevated depressive symptoms. Vice versa participants with incidence of depressive symptoms over time presented higher risk for physical inactivity (1.44;1.11–1.87) and risky drinking (1.65;1.16–2.34) incidence. HS-CRP did not influence the associations. Limitations: Self-reported physical activity, binary tobacco smoking, and non-probabilistic sampling. Conclusions: There is a prospective relationship between elevated depressive symptoms and adverse lifestyle behaviors. |
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Prospective associations between multiple lifestyle behaviors and depressive symptomsDepressionExerciseInflammationLifestylePhysical activitySmokingBackground: Our aim was to analyze the associations between multiple lifestyle behaviors and depressive symptoms. Methods: We included 4,725 adults (18–59y), that provided data in routine health evaluations of a hospital in Brazil, followed for a mean period of 3.1 ± 1.6 years. Physical activity, alcohol consumption (measured using Alcohol Use Disorders Identification Test) and tobacco smoking were categorized as: (1) absence of the behavior (inactivity i.e. not complying with 150 min of moderate-to-vigorous PA/week, not smoking, no risky drinking, i.e. AUDIT<5) during baseline and follow-up; (2) Absence during baseline and presence during follow-up; (3) Presence during baseline and absence during follow-up; (4) Presence during both time points. Depressive symptoms were measured with the Beck Inventory was adopted to analyze patterns of depressive symptoms over time (as exposure). C-reactive protein [HS-CRP]) was assessed and its role in the association was tested. Incidence indicators of behaviors and depressive symptoms were created and used as outcomes. We used crude and adjusted Poisson regression analysis. Results: Fully adjusted models revealed that persistently physical inactive participants (RR:1.71;95%CI:1.33–2.21), those who became physically inactive (1.68;1.19–2.26), with consistently risky drinking (1.62;1.15–2.30), and who became risky drinkers (1.62;1.15–2.30) had higher risk for incidence of elevated depressive symptoms. Vice versa participants with incidence of depressive symptoms over time presented higher risk for physical inactivity (1.44;1.11–1.87) and risky drinking (1.65;1.16–2.34) incidence. HS-CRP did not influence the associations. Limitations: Self-reported physical activity, binary tobacco smoking, and non-probabilistic sampling. Conclusions: There is a prospective relationship between elevated depressive symptoms and adverse lifestyle behaviors.Center for Epidemiological Research in Nutrition and Health Department of Nutrition School of Public Health University of São Paulo (USP), Av. Dr. Arnaldo 715 Cerqueira CésarDepartment of Rehabilitation Sciences KU Leuven University of LeuvenDepartment of Psychological Medicine Psychology and Neuroscience Institute of Psychiatry King's College London United Kingdom and South London and Maudsley NHS Foundation Trust, De Crespigny Park, Box SE5 8AFDepartment of Physical Education Federal University of Sergipe UFSDepartment of Sport Exercise and Rehabilitation Northumbria University Newcastle Upon TyneDepartment of physical education Universidade Estadual Paulista “Júlio de Mesquita Filho”Hospital Israelita Albert EinsteinHeart Institute (InCor) University of São Paulo Medical School HospitalPost-graduate Program in Rehabilitation Sciences Universidade Nove de JulhoFaculdade Israelita de Ciências da Saúde Albert EinsteinCenter for Clinical and Epidemiological Research University Hospital University of São PauloDepartment of physical education Universidade Estadual Paulista “Júlio de Mesquita Filho”Universidade de São Paulo (USP)University of LeuvenUnited Kingdom and South London and Maudsley NHS Foundation TrustUniversidade Federal de Sergipe (UFS)Newcastle Upon TyneUniversidade Estadual Paulista (UNESP)Hospital Israelita Albert EinsteinUniversidade Nove de JulhoFaculdade Israelita de Ciências da Saúde Albert EinsteinWerneck, André O.Vancampfort, DavyStubbs, BrendonSilva, Danilo R.Cucato, Gabriel G.Christofaro, Diego G.D. [UNESP]Santos, Raul D.Ritti-Dias, Raphael M.Bittencourt, Márcio S.2022-04-28T19:49:39Z2022-04-28T19:49:39Z2022-03-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article233-239http://dx.doi.org/10.1016/j.jad.2021.12.131Journal of Affective Disorders, v. 301, p. 233-239.1573-25170165-0327http://hdl.handle.net/11449/22327210.1016/j.jad.2021.12.1312-s2.0-85122955207Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Affective Disordersinfo:eu-repo/semantics/openAccess2022-04-28T19:49:39Zoai:repositorio.unesp.br:11449/223272Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-28T19:49:39Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
title |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
spellingShingle |
Prospective associations between multiple lifestyle behaviors and depressive symptoms Werneck, André O. Depression Exercise Inflammation Lifestyle Physical activity Smoking |
title_short |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
title_full |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
title_fullStr |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
title_full_unstemmed |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
title_sort |
Prospective associations between multiple lifestyle behaviors and depressive symptoms |
author |
Werneck, André O. |
author_facet |
Werneck, André O. Vancampfort, Davy Stubbs, Brendon Silva, Danilo R. Cucato, Gabriel G. Christofaro, Diego G.D. [UNESP] Santos, Raul D. Ritti-Dias, Raphael M. Bittencourt, Márcio S. |
author_role |
author |
author2 |
Vancampfort, Davy Stubbs, Brendon Silva, Danilo R. Cucato, Gabriel G. Christofaro, Diego G.D. [UNESP] Santos, Raul D. Ritti-Dias, Raphael M. Bittencourt, Márcio S. |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) University of Leuven United Kingdom and South London and Maudsley NHS Foundation Trust Universidade Federal de Sergipe (UFS) Newcastle Upon Tyne Universidade Estadual Paulista (UNESP) Hospital Israelita Albert Einstein Universidade Nove de Julho Faculdade Israelita de Ciências da Saúde Albert Einstein |
dc.contributor.author.fl_str_mv |
Werneck, André O. Vancampfort, Davy Stubbs, Brendon Silva, Danilo R. Cucato, Gabriel G. Christofaro, Diego G.D. [UNESP] Santos, Raul D. Ritti-Dias, Raphael M. Bittencourt, Márcio S. |
dc.subject.por.fl_str_mv |
Depression Exercise Inflammation Lifestyle Physical activity Smoking |
topic |
Depression Exercise Inflammation Lifestyle Physical activity Smoking |
description |
Background: Our aim was to analyze the associations between multiple lifestyle behaviors and depressive symptoms. Methods: We included 4,725 adults (18–59y), that provided data in routine health evaluations of a hospital in Brazil, followed for a mean period of 3.1 ± 1.6 years. Physical activity, alcohol consumption (measured using Alcohol Use Disorders Identification Test) and tobacco smoking were categorized as: (1) absence of the behavior (inactivity i.e. not complying with 150 min of moderate-to-vigorous PA/week, not smoking, no risky drinking, i.e. AUDIT<5) during baseline and follow-up; (2) Absence during baseline and presence during follow-up; (3) Presence during baseline and absence during follow-up; (4) Presence during both time points. Depressive symptoms were measured with the Beck Inventory was adopted to analyze patterns of depressive symptoms over time (as exposure). C-reactive protein [HS-CRP]) was assessed and its role in the association was tested. Incidence indicators of behaviors and depressive symptoms were created and used as outcomes. We used crude and adjusted Poisson regression analysis. Results: Fully adjusted models revealed that persistently physical inactive participants (RR:1.71;95%CI:1.33–2.21), those who became physically inactive (1.68;1.19–2.26), with consistently risky drinking (1.62;1.15–2.30), and who became risky drinkers (1.62;1.15–2.30) had higher risk for incidence of elevated depressive symptoms. Vice versa participants with incidence of depressive symptoms over time presented higher risk for physical inactivity (1.44;1.11–1.87) and risky drinking (1.65;1.16–2.34) incidence. HS-CRP did not influence the associations. Limitations: Self-reported physical activity, binary tobacco smoking, and non-probabilistic sampling. Conclusions: There is a prospective relationship between elevated depressive symptoms and adverse lifestyle behaviors. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-28T19:49:39Z 2022-04-28T19:49:39Z 2022-03-15 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.jad.2021.12.131 Journal of Affective Disorders, v. 301, p. 233-239. 1573-2517 0165-0327 http://hdl.handle.net/11449/223272 10.1016/j.jad.2021.12.131 2-s2.0-85122955207 |
url |
http://dx.doi.org/10.1016/j.jad.2021.12.131 http://hdl.handle.net/11449/223272 |
identifier_str_mv |
Journal of Affective Disorders, v. 301, p. 233-239. 1573-2517 0165-0327 10.1016/j.jad.2021.12.131 2-s2.0-85122955207 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Affective Disorders |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
233-239 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1797789652824883200 |