Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2024, Volume and Issue: 21(1)

Published: Nov. 28, 2024

Abstract Background While evidence consistently demonstrates that physical activity is beneficial to mental health, it remains relatively unknown how benefits and which factors influence the effect of on health. This understanding could vastly increase our capacity design, recommend, prescribe in more optimal ways. The purpose this study was systematically review synthesise all mediators moderators relationship between Methods Systematic searches four databases (i.e., Scopus, PsycINFO, PubMed, SPORTDiscus) identified 11,633 initial studies. Empirical studies quantitatively assessed activity, or conducted a intervention, measured health outcome, tested one mediator moderator were included. A total 247 met inclusion criteria; 173 examined mediation 82 moderation. Results best-evidence synthesis revealed strong for 12 including affect, wellbeing, self-esteem, self-efficacy, self-worth, body image satisfaction, resilience, social support, connection, pain, fatigue. Moderate further 15 eight moderators. Conclusions Findings should inform design future interventions ensure effects related outcomes. Additionally, if professionals take these into consideration when prescribing recommending would likely have greater impact population

Language: Английский

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Associação entre domínios da atividade física e sintomas depressivos em adultos brasileiros: todo movimento conta?

Cadernos de Saúde Pública, Journal Year: 2024, Volume and Issue: 40(3)

Published: Jan. 1, 2024

Resumo: O objetivo desta pesquisa foi investigar a relação da prática de atividade física nos quatro domínios (tempo livre, deslocamento, doméstico e trabalho) prevalência sintomas depressivos em adultos brasileiros, maneira geral estratificando-se por sexo, escolaridade ter ou não diagnóstico referido depressão. Estudo transversal, com dados 88.531 indivíduos 18 anos mais, respondentes Pesquisa Nacional Saúde 2019. Os foram avaliados pelo Patient Health Questionnaire-9 (Questionário do Paciente-9, PHQ-9). Foram considerados fisicamente ativos aqueles que referiram realizar menos uma vez semana no respectivo domínio. Adicionalmente, realizado o cálculo tempo semanal, sendo posteriormente divididos quartis cada Para as análises associação, calculados odds ratio bruto (ORbruto) ajustado (ORajustado), total nas estratificadas. livre tiveram menor chance apresentar depressivos, (ORajustado = 0,74; IC95%: 0,64-0,86) todas estratificações, naqueles depressão autorreferida. As associações na mais frequentes praticavam entre 121 360 minutos semanais. trabalho maior alguns grupos, resultados consistentes para doméstica. evidenciaram brasileiros varia conforme domínio duração física, ideia “todo movimento conta” parece adequada apenas livre.

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How race and socioeconomic status moderate the association between moderate-to-vigorous physical activity and depressive symptoms: a cross-sectional study with compositional data

British Journal of Sports Medicine, Journal Year: 2024, Volume and Issue: unknown, P. bjsports - 108290

Published: June 26, 2024

Objectives This study explored how race and socioeconomic status (SES) moderated the association between moderate-to-vigorous physical activity (MVPA) depressive symptoms with compositional data. Methods Participants were 2803 US adults from 2005–2006 cycle of National Health Nutrition Examination Survey. Accelerometers used to measure MVPA, light-intensity (LPA) sedentary behaviours (SB). self-reported sleep duration symptoms. SES was derived by latent class analysis using household income level, education attainment occupation. The relative time MVPA moderating effects investigated through data analysis. Isotemporal substitution employed estimate reallocation other movement Results Increased spent in LPA, SB inversely associated (OR (95% CI)=0.679 (0.538–0.855)). significantly interacted for (P interaction <0.05). Reallocating 10–30 min sleep, or LPA lower odds solely among non-Hispanic white individuals those higher SES. Conclusion reveal a reverse Our results provide evidence moderate relationship Future research is needed further explore these racial differences.

Language: Английский

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Associations Between Transdiagnostic Psychological Processes and Global Symptom Severity Among Outpatients With Various Mental Disorders: A Cross‐Sectional Study

Clinical Psychology & Psychotherapy, Journal Year: 2025, Volume and Issue: 32(1)

Published: Jan. 1, 2025

ABSTRACT Objective Knowledge about transdiagnostic factors associated with global symptom severity among patients diagnosed various mental disorders remains limited. This study examined the cross‐sectional associations between processes including emotion regulation and specific strategies (i.e., amount of physical activity sedentary behaviour, repetitive negative thinking sleep routines) severity, while controlling for sociodemographic data (age, gender, employment status, relationship educational level) fear coronavirus. Methods Data from 401 outpatients, aged 42.08 years on average ( SD = 13.26; 71.3% female), depressive disorders, non‐organic primary insomnia, agoraphobia, panic disorder and/or post‐traumatic stress were examined. is a secondary analysis randomized controlled trial. collected 10 different sites March 2021 May 2022 analysis. The influence predictors was determined using three‐step hierarchical multiple regression: (1) control variables, (2) (3) strategies. Global measured Severity Index, derived Brief Symptom Inventory‐18. Predictors validated scales, additionally assessed via accelerometer‐based sensors. Results In first step, variables accounted 4% variance in severity. inclusion second step explained 26% outcome variance, incorporation third increased to 37%. Significant included β 0.28), 0.26) routines 0.25). Conclusion along as are identified psychological that may serve treatment targets evidence‐based interventions designed enhance regulation, particularly samples stress‐related disorders. Additional prospective longitudinal studies necessary explore possible causal relationships.

Language: Английский

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Em defesa da caminhada e do uso de bicicleta como deslocamento no Brasil

Cadernos de Saúde Pública, Journal Year: 2025, Volume and Issue: 41(2)

Published: Jan. 1, 2025

This essay aims to discuss walking and cycling as a means of transportation for the Brazilian population. Scientific evidence (mainly from high-income countries) shows their contributions people's health, pointing out that these physical activities can constitute an important part daily life contribute preventing diseases health municipalities by reducing air noise pollution problems due excess motor vehicles. We forms measurement in national surveys new technologies have been used. Trend analyses show decrease this type activity adults living capitals. However, analyzing together impairs interpretations limits study factors associated with different types commuting. some capitals are increasing environmental structures, but population indicators groups lower socioeconomic levels less access the. how much still practiced necessity - rather than choice Brazil costs remain high unequal environments. most studies being cross-sectional evaluation possible effects on influence social variables changes behavior. New longitudinal support policies essential promote transportation.

Language: Английский

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Association between physical activity domains and depressive symptoms among Brazilian adults: does every move count?

Cadernos de Saúde Pública, Journal Year: 2024, Volume and Issue: 40(3)

Published: Jan. 1, 2024

Abstract: This study aimed to investigate the practice of physical activities in four domains (leisure time, transportation, household, and work) prevalence depressive symptoms Brazilian adults, general stratified by sex, schooling level, having or not a self-reported diagnosis depression. is cross-sectional with data from 88,531 individuals aged 18 years older, who responded National Health Survey 2019. The were evaluated Patient Questionnaire-9 (PHQ-9). Those at least once week given domain considered physically active. Additionally, calculation duration was conducted later divided into quartiles for each domain. For association analyses, crude odds ratio (crudeOR) adjusted (adjustedOR) calculated total analyses. Individuals are active during leisure time showed lower chance presenting symptoms, (adjustedOR = 0.74; 95%CI: 0.64-0.86) all stratifications, except associations leisure-time activity most frequent those 121 360 minutes/week. work had higher some groups, more consistent results household activities. that relationship between depression among Brazilians varies according duration, concept “every move counts” seemed be correct only

Language: Английский

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The association of changes in leisure-time physical activity on depressive symptoms during Covid-19 in German adults: A longitudinal study

Psychology of sport and exercise, Journal Year: 2023, Volume and Issue: 70, P. 102562 - 102562

Published: Nov. 11, 2023

Language: Английский

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Bewegung und Chemotherapie bei Mammakarzinom : Auswirkungen einer Chemotherapie auf das Bewegungsverhalten und Zusammenhänge zu Angst, Depressivität und Fatigue

Published: Jan. 1, 2024

Körperliche Aktivität hat bei Brustkrebserkrankten vielfältige positive Effekte auf die körperliche und psychische Gesundheit. Sie werden diesbezüglich jedoch oft nicht ausreichend beraten, u.a. aufgrund fehlenden Wissens unter Behandelnden. Offene Fragen umfassen das Spektrum möglicher körperlicher Aktivitäten Abhängigkeit des Bewegungsverhaltens von verschiedenen Behandlungsaspekten. Der zunehmende Einsatz technischer Aktivitätsmessung widersprüchliche Forschungsergebnisse erfordern Klärung Übereinstimmung Unterschieden zwischen selbstberichteten technisch erfassten Bewegungsdaten. Psychisches Befinden ist ein multidimensionales Konstrukt jeder Indikator gleich stark mit assoziiert. Zudem wird dieser Zusammenhang über verschiedene Mechanismen vermittelt, jeweils spezifischen Charakteristika begünstigt könnten. Daher in der vorliegenden Arbeit untersucht, welches beratungsrelevante Wissen während Chemotherapie gegen Brustkrebs existiert. Das Bewegungsverhalten (Brust )Krebspatient:innen seiner Zusammensetzung beschrieben Unterschiede je nach Behandlungssetting, Behandlungsform Abstand zu Behandlungsbeginn sowie Zusammenhänge unterschiedlichen Indikatoren psychischen Befindens überprüft. Dabei evaluiert, inwiefern selbstberichtete erfasste Bewegungsdaten beim Überprüfen Einhaltung Bewegungsempfehlungen ihrem psychischem übereinstimmen. Abschließend geprüft, ob Alltagstätigkeiten, natürlicher Umgebung, Gesellschaft Freizeit den Gesamtbewegungsumfang hinaus Varianz aufklären. Die beschriebenen Fragestellungen wurden einem Review zwei Originalstudien untersucht. Studie A war als zweiwöchige Querschnittsstudie konzipiert, B prospektive Kohortenstudie vier Datenerhebungswochen innerhalb eines halben Jahres. Studienteilnehmer:innen entstammten erwachsenen klinischen Populationen: 50 Patient:innen Krebserkrankungen ohne Metastasen (n = 29 [58%] männlich; Alter: M 59.7 Jahre, SD 11.2 Jahre; 25 aus einer Rehabilitationsklinik, ambulanten Tagesklinik) 99 Frauen (Alter: md IQR: 45 bis 56 Jahre) erstdiagnostiziertem Carcinoma situ oder nicht-metastasiertem Mammakarzinom ab dem Beginn Strahlen- systemischer Therapie. wurde Bewegungsprotokolle einen wearable activity monitor (Garmin® vivofit 3) erfasst. Als für psychisches gesundheitsbezogene Lebensqualität, Funktionsskalen Symptombereiche, Fatigue, Angst Depression im Selbstbericht erhoben. Ergebnis Literaturstudie Wirkungswege Aktivität, empfohlenes tatsächliches Brustkrebspatientinnen Position Behandelnden berichtet, außerdem mögliche Aktivitätsformen, Kontraindikationen Umgang subjektiven Hindernissen. empirischen Daten erbrachten, dass mäßig darin übereinstimmten, welche einhalten. Technisch erfasster Bewegungsumfang korrelierte stärker Befinden, dagegen zeigte nur verschiedener Gruppen Brustkrebspatientinnen. Trotz Hinweisen geringeren Behandlungswoche 18 damit keine konsistenten zeitlichem nachgewiesen. korrelierten Patientinnen Brustkrebs, aber Gruppe gemischten onkologischen Diagnosen, Korrelationsstärke unterschied sich verwendetem Befindens. Varianzaufklärung vor allem durch schwächer Alltagstätigkeiten möglich, Umgebung keinen Beitrag zur lieferten. Befunde implizieren, behandlungsabhängige )Krebspatientinnen gegenüber interindividuellen Schwankungen Hintergrund treten. Selbstberichtete müssen nicht-äquivalent betrachtet werden, können dafür Forschungskontext ergänzen. Gleiches gilt untersuchten Befindens, unterschiedlich zusammenhingen. Verschiedene Wirkmechanismen bieten hier Forschungsansatz Gründe, wobei sozialer Kontakt Empfinden Selbstwirksamkeit zentral scheinen. Limitationen (z.B. Selektionseffekte, Beschränkung Beobachtungsstudien, Rückschluss objektiven Bewegungsmerkmalen Erleben) Stärken Studien (niedriger Dropout, Triangulation, Integration Forschungsrichtungen) sind Interpretation Ergebnisse berücksichtigen. Für onkologische Behandlung implizieren Befunde, weites empfohlen kann. sollte anhand unterschiedlicher abgefragt da einzelne neben Gesamtumfang Empfehlung stellen Evidenz dar.

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The effects of community built environment and physical activity of varying intensity and purpose on depressive trajectories among middle-aged and elderly: a national longitudinal study based on latent growth curve modeling

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: June 17, 2024

Background The effects of physical activity (PA) with different purposes and intensities on depression are inconclusive, while it is critical to incorporate the contextual community built environment (CBE) into longitudinal reviews PA depression. Methods This study included 5993 middle-aged elderly people from China Health Retirement Longitudinal Study, a CBE evaluation indicator system was developed based questionnaire measure attributes for each community. Using latent growth curve modeling evaluate 3 waves cohort data (2015–2020) explore differential impact among them. Results level low-intensity exercise entertainment showed negative predictive effect initial people, moderate-to-vigorous-intensity work opposite effect. In terms trajectories, these two also has Among all variables, only infrastructure condition can significantly negatively predict (β=-0.11, p < 0.01). (β = 0.12, 0.001), diversity care facilities 0.06, 0.05), accessibility public transport 0.01) positively purposes. density 0.10, 0.05) predicts rising changes in Conclusions identified types trajectories elderly, expanding insights "PA paradox" mental health field emphasizing that varies by purpose intensity. findings provide evidence health-promoting environmental planning guidance.

Language: Английский

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Associations between transdiagnostic psychological processes and global symptom severity among outpatients with various mental disorders: A cross-sectional study

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: June 25, 2024

Abstract Objective Knowledge about transdiagnostic factors associated with global symptom severity among patients diagnosed various mental disorders remains limited. This study examined the cross-sectional associations between psychological processes (emotional regulation, emotional intelligence, sleep quality, perceived stress, fear of coronavirus, repetitive negative thinking), amount physical activity, and sedentary behavior severity, while controlling for sociodemographic data (age, gender, employment status, relationship educational level). Methods Data from 401 outpatients, aged 42.08 years on average (SD = 13.26; 71.3% female), depressive disorders, non-organic primary insomnia, agoraphobia, panic disorder, and/or posttraumatic stress disorder were analyzed. was collected 10 different sites March 2021 May 2022 analysis. The influence predictors determined using multiple regression. Global measured Severity Index, derived Brief Symptom Inventory-18. Predictors validated scales activity additionally assessed via accelerometer-based sensors. Results proposed model explained 40.3% variance Index. Higher levels thinking, worse quality as well greater difficulties regulation intelligence significantly higher in our clinical outpatient sample; however, no found behavior. Conclusion Transdiagnostic severity. Additional prospective longitudinal studies samples are necessary to explore possible causal relationships. Key Practitioner Message Repetitive can be considered distinct individual outpatients disorders. Treatment approaches aiming at improving might an efficacious target reducing Among (75% already receiving or pharmacological treatment) PTSD, appear not predictive

Language: Английский

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