Autor(es): 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.
Data: 2022
Identificador Persistente: http://hdl.handle.net/11449/223272
Origem: Oasisbr
Assunto(s): Depression; Exercise; Inflammation; Lifestyle; Physical activity; Smoking
Made available in DSpace on 2022-04-28T19:49:39Z (GMT). No. of bitstreams: 0 Previous issue date: 2022-03-15
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.
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 César
Department of Rehabilitation Sciences KU Leuven University of Leuven
Department 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 8AF
Department of Physical Education Federal University of Sergipe UFS
Department of Sport Exercise and Rehabilitation Northumbria University Newcastle Upon Tyne
Department of physical education Universidade Estadual Paulista “Júlio de Mesquita Filho”
Hospital Israelita Albert Einstein
Heart Institute (InCor) University of São Paulo Medical School Hospital
Post-graduate Program in Rehabilitation Sciences Universidade Nove de Julho
Faculdade Israelita de Ciências da Saúde Albert Einstein
Center for Clinical and Epidemiological Research University Hospital University of São Paulo
Department of physical education Universidade Estadual Paulista “Júlio de Mesquita Filho”
