Prospective associations between multiple lifestyle behaviors and depressive symptoms

Werneck, André O., Vancampfort, Davy, Stubbs, Brendon, Silva, Danilo R., Cucato, Gabriel, Christofaro, Diego G.D., Santos, Raul D., Ritti-Dias, Raphael M. and Bittencourt, Márcio S. (2022) Prospective associations between multiple lifestyle behaviors and depressive symptoms. Journal of Affective Disorders, 301. pp. 233-239. ISSN 0165-0327

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Official URL: https://doi.org/10.1016/j.jad.2021.12.131

Abstract

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.

Item Type: Article
Additional Information: Funding information: AW is supported by the São Paulo Research Foundation (FAPESP) with a PhD scholarship (FAPESP process: 2019/24124-7). RDS is a recipient of a scholarship from the Conselho Nacional de Pesquisa e Desenvolvimento Tecnologico (CNPq) process # 303734/2018-3, Brazil.
Uncontrolled Keywords: Exercise, smoking, depression, inflammation, physical activity, lifestyle
Subjects: B100 Anatomy, Physiology and Pathology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Rachel Branson
Date Deposited: 05 Jan 2022 11:28
Last Modified: 21 Jan 2022 16:15
URI: http://nrl.northumbria.ac.uk/id/eprint/48076

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