Unique and cumulative effects of lifestyle-related behaviors on depressive symptoms among Chinese adolescents

2021 ◽  
pp. 002076402199673
Author(s):  
Ruilin Cao ◽  
Tingting Gao ◽  
Hui Ren ◽  
Yueyang Hu ◽  
Zeying Qin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Sleep Duration ◽  
Risk Index ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Lifestyle Factors ◽  
Chinese Adolescents ◽  
Cumulative Effects ◽  
Outdoor Activity

Background: It is well known that some lifestyle-related behaviors are related to depressive symptoms, but the unique and cumulative effects of lifestyle-related behaviors on depressive symptoms among Chinese adolescents are still controversial. Aims: The aims of this study were to examine the unique and cumulative effects of lifestyle-related behaviors on depressive symptoms among Chinese adolescents, and explored the potential influences of gender difference on these associations. Methods: We conducted a cross-sectional study among 3967 Chinese adolescents aged 11 to 19 from Jilin, China during September and October of 2018. Students reported their lifestyle factors including sleep duration, time spent on computer, time spent on television, time spent on homework, eating breakfast, smoking, drinking, physical activity, and outdoor activity. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D). Results: The prevalence of depressive symptoms was 28.2% among Chinese adolescents. Multivariate logistic regression analysis revealed that sleep duration <8 hour/day, time spent on homework ⩾3 hour/day, skipping breakfast, alcohol use, physical activity <3 days/week, and outdoor activity <2 hour/day were positively associated with depressive symptoms in both girls and boys. Time spent on computer ⩾2 hour/day was an independent risk predictor for depressive symptoms in males, while smoking only showed higher risk of depressive symptoms in females. There was an additive relationship between the lifestyle risk index scores and the risk of depressive symptoms for both genders, the relationship being strongest among females. Conclusion: The important role of lifestyle factors should be taking into consideration when create intervention programs to prevent and reduce depressive symptoms among adolescents. In addition, preventive interventions may need to focus on gender-informed approaches when targeting multiple lifestyle factors.

379 Do Depressive Symptoms Mediate the Association Between Insomnia and Physical Activity?

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A150-A151
Author(s):  
Jamie Walker ◽  
Rebecca Campbell ◽  
Ivan Vargas
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Online Survey ◽  
Longitudinal Design ◽  
Energy Levels ◽  
Depression Scale ◽  
Severity Index ◽  
Future Research ◽  
Activity Levels ◽  
Insomnia Symptoms

Abstract Introduction Insomnia and depression are highly comorbid and have been shown to be independently associated with lower levels of physical activity. It is not clear, however, if being less physically active is a risk factor for or consequence of depression and insomnia. The factors that explain the associations between insomnia, depression, and physical activity are likely complex and overlapping. For example, insomnia may predict inactivity by impacting one’s energy levels, leaving them too tired to exercise. Insomnia may also interfere with one’s motivation to exercise due to low mood, as insomnia is associated with the development of depressive symptoms. The purpose of the present study was to explore whether depression mediated the link between insomnia and low levels of physical activity. Methods A national online survey was conducted from April-June 2020. Participants completed surveys to assess demographics, mood, sleep, and physical activity. Depressive symptoms were estimated with the Center for Epidemiologic Studies Depression Scale (CES-D). Insomnia symptoms were estimated with the Insomnia Severity Index (ISI). Physical activity levels were estimated with the International Physical Activity Questionnaire (IPAQ). Analyses were conducted using multiple linear regression, with separate models for depression, insomnia, and the combination of the two, on levels of physical activity. Results 3,952 adults (Mage = 46.9 years) completed the survey. According to the unadjusted models, greater insomnia symptoms were associated with greater depressive symptoms (b = 0.4523, SE = 0.019593, p &lt; .001), and lower levels of physical activity (b = -38.741, SE = 18.236, p = 0.0337). The relationship between insomnia and physical activity was no longer significant, however, when controlling for depression (b = -6.140, SE = 19.274, p = 0.75). According to the mediation analyses, there was an indirect effect of insomnia on physical activity that was explained by differences in depressive symptoms (Sobel Test = -4.895, SE = 6.518, p &lt; .001). Conclusion Our findings support previous research indicating associations between symptoms of insomnia and depression and physical activity. Future research should examine if these same results hold using a longitudinal design. Support (if any) Vargas: K23HL141581

scholarly journals Regular Exercise and Depressive Symptoms in Korean Older Adults

2021 ◽  
Vol 18 (1) ◽  
pp. 303
Author(s):  
Young-Mee Kim ◽  
Sung-il Cho
Keyword(s):  
Depressive Symptoms ◽  
Grip Strength ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Hand Grip Strength ◽  
Regular Exercise ◽  
Older Individuals ◽  
Related Factors ◽  
Hand Grip

Prior studies have found that exercise has a positive effect on depressive symptoms in the general population. For older individuals, however, the association between exercise and depressive symptoms is conclusive. We examined whether regular exercise is related to depressive symptoms in 5379 Korean adults aged ≥55 years using data from a 2016 survey administered in the Korean Longitudinal Study of Aging. We used the 10-item Center for Epidemiological Studies–Depression scale to assess depressive symptoms. We performed a multivariate logistic regression analysis to investigate the relationship between regular exercise and depressive symptoms, adjusting for sociodemographic characteristics, self-rated health, number of chronic diseases, body mass index, hand-grip strength, physical disability, cognitive impairment, and health behavior. Interaction terms, including regular exercise and health-related factors, were also added. We found that a lack of regular exercise was significantly related to an increased frequency of depressive symptoms (OR = 1.18, 95% CI = 1.03–1.35). Moreover, hand-grip strength may increase the effect of regular exercise on depressive symptoms in individuals 65 years and older (OR = 1.01 vs. 1.70, 95% CI = 1.05–1.96). Our results suggest that it is important to encourage older individuals to exercise regularly as a means of relieving depressive symptoms.

scholarly journals 660 Chronotype Associations with Insomnia, Depressive Symptoms, and Changes in Sleep and Health Behaviors during the COVID-19 Pandemic

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A258-A258
Author(s):  
Megan Petrov ◽  
Matthew Buman ◽  
Dana Epstein ◽  
Shawn Youngstedt ◽  
Nicole Hoffmann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Health Behaviors ◽  
Screen Time ◽  
Online Survey ◽  
Light Exposure ◽  
Multinomial Logistic Regression ◽  
Depression Scale ◽  
Time In Bed ◽  
Significant Difference

Abstract Introduction Evening chronotype (i.e., night owl preference) is associated with worse insomnia and depressive symptoms, and poorer health behaviors. The aim of this study was to examine the association between chronotype and these symptoms and health behaviors during COVID-19 pandemic quarantine. Methods An online survey, distributed internationally via social media from 5/21/2020–7/1/2020, asked adults to report sociodemographic/economic information, changes in sleep (midpoint, total sleep time, sleep efficiency, time-in-bed), and health behaviors (i.e., physical activity, sedentary screen time, and outdoor light exposure patterns) from prior to during the pandemic, chronotype preference (definitely morning [DM], rather more morning [RM], rather more evening [RE], or definitely evening [DE]), and complete the Insomnia Severity Index (ISI) and the 10-item Center for Epidemiologic Studies Depression scale (CES-D-10). Multinomial logistic regression and ANCOVA models, adjusting for age and sex, examined associations of chronotype with COVID-19 pandemic related impacts on sleep, depressive symptoms, and health behaviors. Results A subsample of 579 participants (M age: 39y, range: 18–80; 73.6% female), currently under quarantine and neither pregnant nor performing shift work, represented each chronotype evenly (~25%). Participants delayed their sleep midpoint by 72.0min (SD=111.5) during the pandemic. DE chronotypes had a greater delay than morning types (M±SD DE: 91.0±9.0 vs. RM: 55.9±9.2 & DM: 66.1±9.3; p=0.046) with no significant change in other sleep patterns relative to other chronotypes. However, DE and RE chronotypes had greater odds of reporting that their new sleep/wake schedule was still not consistent with their “body clock” preference relative to morning types (Χ2[15]=54.8, p&lt;0.001), reported greater ISI (F[3,503]=5.3, p=.001) and CES-D-10 scores (F[3,492]=7.9, p&lt;.001), and had greater odds for increased or consistently moderate-to-high sedentary screen time (Χ2[12]=22.7, p=0.03) and decreased physical activity (Χ2[12]=22.5, p=0.03) than DM chronotype. There was no significant difference in change in outdoor light exposure by chronotype (Χ2[12]=12.1, p=0.43). Conclusion In an international online sample of adults under COVID-19 pandemic quarantine, evening chronotypes, despite taking the opportunity to delay sleep to match biological clock preference, reported their sleep/wake schedules were still inconsistent with personal preference, and reported greater insomnia and depressive symptoms, and odds of engaging in poorer health behaviors than morning chronotypes. Support (if any):

scholarly journals Physical activity and depressive symptoms in community-dwelling elders from southern Brazil

2011 ◽  
Vol 33 (2) ◽  
pp. 165-170 ◽  
Author(s):  
César L. Reichert ◽  
César L. Diogo ◽  
José L. Vieira ◽  
Roberta R. Dalacorte
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Linear Trend ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Population Based ◽  
Community Dwelling ◽  
Active Group ◽  
Lower Prevalence ◽  
Cross Sectional

OBJECTIVE: To determine the existence of a relationship between physical activity and depressive symptoms in community-dwelling elders. METHOD: This is a cross-sectional, population-based study, which included 379 community-dwelling elders from Novo Hamburgo, state of RS, Brazil. The level of physical activity was estimated using the International Physical Activity Questionnaire and depressive symptoms were diagnosed according to the Yesavage Geriatric Depression Scale. The association between the level of physical activity and depressive symptoms was analyzed by logistic regression. RESULTS: A tendency towards a lower prevalence of depressive symptoms was observed in individuals with higher levels of physical activity, both in the sample as a whole as well as among men, but not among women (p for linear trend 0.04, 0.03 and 0.36, respectively). The odds ratio of the presence of depressive symptoms in the very active group, as compared against that of the insufficiently active group was 0.32 (95% CI: 0.12-0.86) for men and 0.76 (95% CI: 0.39-1.46) for women. CONCLUSION: In this population of aged individuals, more intense physical activity is related to a lower prevalence of depressive symptoms. As shown by gender stratification, physical activity is inversely related to depressive symptoms in men, albeit not in women.

scholarly journals 0803 Sleep Duration and Depressive Symptoms in Chinese Adolescents: a 3-wave Prospective Cohort Study

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A322-A323
Author(s):  
Bao-Peng Liu ◽  
Zhen-Zhen Liu ◽  
Ze-Ying Wang ◽  
Di An ◽  
Yan-Xin Wei ◽  
...  
Keyword(s):  
Cohort Study ◽  
Depressive Symptoms ◽  
Sleep Duration ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Chinese Adolescents

scholarly journals Prevalence and Associated Factors for Depressive Symptomatology in Chinese Adults During COVID-19 Epidemic

2020 ◽  
Vol 11 ◽  
Author(s):  
Songxu Peng ◽  
Xin Lai ◽  
Yukai Du ◽  
Yuting Li ◽  
Kunming Tian ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
General Population ◽  
Associated Factors ◽  
Depressive Symptomatology ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Considerable Proportion ◽  
Chinese Adults ◽  
Cross Sectional ◽  
Targeted Interventions

Background: The coronavirus disease 2019 (COVID-19) has been rapidly transmitted worldwide, which contributed to various psychological problems (such as fear, depression, and anxiety) among the general population in China. The purpose of this study is to investigate the prevalence and associated factors of depressive symptoms among Chinese adults.Methods: A cross-sectional study of Chinese adults was conducted during 17–29 February 2020. Symptoms of depression were assessed using the Center for Epidemiologic Studies Depression scale (CES-D).Results: A total of 3,399 respondents were included in the analysis. It was observed that 14.2% (481/3,399) of the participants were screened positive for depressive symptoms. In a multivariate logistic regression analysis, older age (OR = 0.98; 95% CI, 0.97–0.99), smoking (OR = 1.57; 95% CI, 1.10–2.26), self-rated health (good: OR = 0.49; 95% CI, 0.37–0.66; fairly: OR = 0.60; 95% CI, 0.45–0.80), having greater support scores (OR = 0.95; 95% CI, 0.94–0.96), knowledge about the main symptom of COVID-19 (very clearly: OR = 0.58; 95% CI, 0.42–0.79; relatively clearly: OR = 0.59; 95% CI, 0.44–0.79), and staying in Wuhan within 3 months before the outbreak of epidemic (OR = 1.78; 95% CI, 1.34–2.38) were associated with depressive symptoms.Conclusion: A considerable proportion of the general population in China had depressive symptoms during the COVID-19 epidemic. Routine screening and targeted interventions for depression are needed among high-risk depressed individuals during the COVID-19 epidemic.

Depressive symptoms of informal caregivers are associated with those of community-dwelling dependent care recipients

2010 ◽  
Vol 22 (8) ◽  
pp. 1310-1317 ◽  
Author(s):  
Sachiko Izawa ◽  
Jun Hasegawa ◽  
Hiromi Enoki ◽  
Akihisa Iguch ◽  
Masafumi Kuzuya
Keyword(s):  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Japanese Version ◽  
Demographic Characteristics ◽  
Community Dwelling ◽  
Subjective Burden ◽  
Term Care ◽  
Care Recipients

ABSTRACTBackground: The relationship between care recipients’ depressive symptoms and those of caregivers remains unknown. We evaluated the association between the depressive status of caregivers and that of community-dwelling disabled care recipients.Methods: A prospective cohort study of 893 care recipients and paired caregivers was conducted. The care recipients were all eligible for a universal-coverage long-term care insurance program and their ages ranged from 65 to 104 years. They and their paired caregivers (age range 31–90 years) completed the 15-item Geriatric Depression Scale (GDS-15, score range: 0–15) assessment at baseline. The GDS-15 was used to measure the depression of caregivers and recipients with a threshold of <6/6+. The data included each care recipient's demographic characteristics, overall health status, basic activities of daily living, and comorbidities. The data also included the caregiver's demographic characteristics, including the caregiver's relationship to the recipient, and the caregiver's subjective burden as assessed by the Japanese version of the Zarit Burden Interview (ZBI).Results: The mean GDS-15 scores of care recipients and caregivers were 6.7 points and 5.6 points, respectively. There was a positive correlation between the GDS-15 scores of caregivers and care recipients (r = 0.307, p<0.001). Multivariate logistic regression analysis adjusting for potential confounders including ZBI score indicated that the depressive symptoms of caregivers were associated with those whose care recipients were in the groups with moderate and high GDS-15 scores (OR: 1.97, 95% CI: 1.39–2.81, OR: 3.13, 95% CI: 1.87–5.24, respectively).Conclusion: Caregivers’ depressive symptoms are associated with the depressive mood of the care recipients even after adjusting for confounders including caregiver burden.

scholarly journals Interactions of Lifestyle Factors on the Risk of Anemia Among Taiwanese Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1004-1004
Author(s):  
Rathi Paramastri ◽  
Chien-Yeh Hsu ◽  
Hsiu-An Lee ◽  
Jane Chao
Keyword(s):  
Physical Activity ◽  
Sleep Duration ◽  
Dietary Pattern ◽  
Lifestyle Factors ◽  
Dietary Habit ◽  
Health Examination ◽  
Reduced Rank Regression ◽  
Cross Sectional ◽  
Increased Risk ◽  
High Adherence

Abstract Objectives The aim of this study was to investigate the association of lifestyle factors with the risk of anemia among adults in Taiwan. Methods This cross sectional study included 118,924 (43,055 men and 75,869 women) participants aged 20–45 years, who had health examination including blood tests, anthropometric measurements, and questionnaires to collect demographic, lifestyle, and dietary data at Mei Jau (MJ) Health Screening Center between 2000 to 2015. We evaluated the interactive associations of smoking, alcohol drinking, sleeping habit, physical activity, and dietary habit on the risk of anemia among study participants. The multivariable regression analysis was performed to examine the interactive correlations of lifestyle factors on the risk of anemia. Relative excess risk due to interaction (RERI) and attributable proportion (AP) were used for the estimation of additive interactions. The dietary pattern was derived by reduced rank regression. Results The anemia-inflammatory dietary pattern was heavily loaded on eggs, meat, organ meats, rice and flour products, fried rice or flour, sugary beverages, fried foods, and processed foods. Participants who actively smoked and had less sleep duration (&lt; 6 hours/day) significantly increased the risk of anemia (OR = 1.03, 95% CI: 1.01, 1.30, RERI = 0.13, 95% CI: 0.01, 0.24, AP = 0.31, 95% CI: 0.19, 0.35, all Pinteraction &lt; 0.05) compared to those who were non-smokers and had longer sleep duration (³ 7 hours/day). In addition, the interaction of less physically active (≤2 hours/week) and high adherence to anemia-inflammatory dietary pattern was positively correlate with the risk of anemia (OR = 1.10, 95% CI: 1.03, 1.18, RERI = 0.18, 95% CI: 0.02, 0.34, AP = 0.15, 95% CI: 0.08, 0.23, all Pinteraction &lt; 0.05). Conclusions Smoking, less sleep duration (&lt;6 hours/day), less physical activity (≤2 hours/week), and high adherence to anemia-inflammatory dietary pattern are associated with an increased risk of anemia. Funding Sources This study had no funding source.

Relationship Between Physical Activity, Depressive Symptoms and Low Back Pain Related Disability in Older Adults With Low Back Pain: A Cross-Sectional Mediation Analysis

2020 ◽  
Vol 28 (5) ◽  
pp. 686-691
Author(s):  
Fabianna R. de Jesus-Moraleida ◽  
Paulo H. Ferreira ◽  
Juscelio P. Silva ◽  
André G.P. Andrade ◽  
Rosangela C. Dias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Short Version ◽  
Low Back ◽  
Cross Sectional

Low back pain (LBP) can be less disabling in those who are physically active. This study analyzed the association between physical activity (PA)- and LBP-related disability in older people with LBP, exploring if this association was mediated by depressive symptoms. The authors analyzed the relationship between PA levels and disability using the short version of the International Physical Activity Questionnaire and the Roland–Morris Disability Questionnaire, respectively, collected at baseline from the Brazilian Back Complaints in the Elders study. The authors investigated depressive symptoms as a mediator of this association using the Center of Epidemiologic Studies Depression scale. PA was inversely associated with disability. This association was smaller when considering the indirect effect through depressive symptoms. Thus, depressive symptoms partially mediated the association between PA and disability in older adults with LBP, and higher levels of PA were associated with less depressive symptoms and disability.

scholarly journals Social and behavioural factors associated with depressive symptoms among university students in Cambodia: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e019918 ◽  
Author(s):  
Chanrith Ngin ◽  
Khuondyla Pal ◽  
Sovannary Tuot ◽  
Pheak Chhoun ◽  
Rosa Yi ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
University Students ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Capital City ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Behavioural Factors

ObjectiveTo explore social and behavioural factors associated with depressive symptoms among university students in Cambodia.DesignCross-sectional study.SettingsTwo public universities—one in the capital city of Phnom Penh and another in Battambang provincial town.ParticipantsThis study included 1359 students randomly selected from all departments in the two universities using a multistage cluster sampling method for a self-administered questionnaire survey in 2015.Primary outcome measureDepressive symptoms measured by using the Center for Epidemiologic Studies Depression scale. All measures in the study were self-reported.ResultsThe proportion of students with depressive symptoms and severe depressive symptoms were 50.6% and 19.6%, respectively. After adjustment in multivariate logistic regression analysis, depressive symptoms remained significantly associated with poor academic performance (adjusted OR (AOR)=7.31, 95% CI 2.24 to 23.86), higher consumption of unhealthy food (AOR=1.72, 95% CI 1.08 to 2.76), a negative self-perception about body shape (AOR=0.54, 95% CI 0.29 to 0.99) and general health status (AOR=2.99, 95% CI 1.28 to 7.00), and limited physical activeness (AOR=0.30, 95% CI 0.16 to 0.58). Depressive symptoms also remained significantly associated with adverse childhood experiences including physical violence (AOR=1.39, 95% CI 1.04 to 1.86), psychological abuse (AOR=1.82, 95% CI 1.37 to 2.42) and lack of general and medical care (AOR=0.51, 95% CI 0.30 to 0.86) by family during childhood.ConclusionsThe key factors associated with depressive symptoms were family related and individual behaviours and attitudes. Thus, efforts should be invested in comprehensive screening and intervention programmes to diagnose those vulnerable students early, offer immediate treatment and cater appropriate support.

Sign in / Sign up

Export Citation Format

Share Document