Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study

Background: Physical activity, sleep, and sedentary behaviors compose 24-h movement behaviors and have been independently associated with depressive symptoms. However, it is not clear whether it is the movement behavior itself or other contextual factors that are related to depressive symptoms. The...

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Main Authors: Bruno Gonçalves Galdino da Costa, Jean-Philippe Chaput, Marcus Vinicius Veber Lopes, Luis Eduardo Argenta Malheiros, Kelly Samara Silva
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Journal of Sport and Health Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095254620301010
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author Bruno Gonçalves Galdino da Costa
Jean-Philippe Chaput
Marcus Vinicius Veber Lopes
Luis Eduardo Argenta Malheiros
Kelly Samara Silva
author_facet Bruno Gonçalves Galdino da Costa
Jean-Philippe Chaput
Marcus Vinicius Veber Lopes
Luis Eduardo Argenta Malheiros
Kelly Samara Silva
author_sort Bruno Gonçalves Galdino da Costa
collection DOAJ
description Background: Physical activity, sleep, and sedentary behaviors compose 24-h movement behaviors and have been independently associated with depressive symptoms. However, it is not clear whether it is the movement behavior itself or other contextual factors that are related to depressive symptoms. The objective of the present study was to examine the associations between self-reported and accelerometer-measured movement behaviors and depressive symptoms in adolescents. Methods: Cross-sectional data from 610 adolescents (14–18 years old) were used. Adolescents answered questions from the Center for Epidemiological Studies Depression scale and reported time spent watching videos, playing videogames, using social media, time spent in various physical activities, and daytime sleepiness. Wrist-worn accelerometers were used to measure sleep duration, sleep efficiency, sedentary time, and physical activity. Mixed-effects logistic regressions were used. Results: Almost half of the adolescents (48%) were classified as being at high risk for depression (score ≥20). No significant associations were found between depressive symptoms and accelerometer-measured movement behaviors, self-reported non-sport physical activity, watching videos, and playing videogames. However, higher levels of self-reported total physical activity (odd ratio (OR) = 0.92, 95% confidence interval (95%CI): 0.86–0.98) and volume of sports (OR = 0.88, 95%CI: 0.79–0.97), in minutes, were associated with a lower risk of depression, while using social media for either 2.0–3.9 h/day (OR = 1.77, 95%CI: 1.58–2.70) or >3.9 h/day (OR = 1.67, 95%CI: 1.10–2.54), as well as higher levels of daytime sleepiness (OR = 1.17, 95%CI: 1.12–1.22), were associated with a higher risk of depression. Conclusion: What adolescents do when they are active or sedentary may be more important than the time spent in the movement behaviors because it relates to depressive symptoms. Targeting daytime sleepiness, promoting sports, and limiting social media use may benefit adolescents.
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spelling doaj.art-001272b9b65643499eee2dc29fc79cb72022-12-22T02:59:04ZengElsevierJournal of Sport and Health Science2095-25462022-03-01112252259Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional studyBruno Gonçalves Galdino da Costa0Jean-Philippe Chaput1Marcus Vinicius Veber Lopes2Luis Eduardo Argenta Malheiros3Kelly Samara Silva4Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil; Corresponding author.Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, CanadaResearch Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, 88040-900, BrazilResearch Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, 88040-900, BrazilResearch Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, 88040-900, BrazilBackground: Physical activity, sleep, and sedentary behaviors compose 24-h movement behaviors and have been independently associated with depressive symptoms. However, it is not clear whether it is the movement behavior itself or other contextual factors that are related to depressive symptoms. The objective of the present study was to examine the associations between self-reported and accelerometer-measured movement behaviors and depressive symptoms in adolescents. Methods: Cross-sectional data from 610 adolescents (14–18 years old) were used. Adolescents answered questions from the Center for Epidemiological Studies Depression scale and reported time spent watching videos, playing videogames, using social media, time spent in various physical activities, and daytime sleepiness. Wrist-worn accelerometers were used to measure sleep duration, sleep efficiency, sedentary time, and physical activity. Mixed-effects logistic regressions were used. Results: Almost half of the adolescents (48%) were classified as being at high risk for depression (score ≥20). No significant associations were found between depressive symptoms and accelerometer-measured movement behaviors, self-reported non-sport physical activity, watching videos, and playing videogames. However, higher levels of self-reported total physical activity (odd ratio (OR) = 0.92, 95% confidence interval (95%CI): 0.86–0.98) and volume of sports (OR = 0.88, 95%CI: 0.79–0.97), in minutes, were associated with a lower risk of depression, while using social media for either 2.0–3.9 h/day (OR = 1.77, 95%CI: 1.58–2.70) or >3.9 h/day (OR = 1.67, 95%CI: 1.10–2.54), as well as higher levels of daytime sleepiness (OR = 1.17, 95%CI: 1.12–1.22), were associated with a higher risk of depression. Conclusion: What adolescents do when they are active or sedentary may be more important than the time spent in the movement behaviors because it relates to depressive symptoms. Targeting daytime sleepiness, promoting sports, and limiting social media use may benefit adolescents.http://www.sciencedirect.com/science/article/pii/S2095254620301010AccelerometryDepressionPhysical activitySedentary behaviorSleep
spellingShingle Bruno Gonçalves Galdino da Costa
Jean-Philippe Chaput
Marcus Vinicius Veber Lopes
Luis Eduardo Argenta Malheiros
Kelly Samara Silva
Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study
Journal of Sport and Health Science
Accelerometry
Depression
Physical activity
Sedentary behavior
Sleep
title Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study
title_full Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study
title_fullStr Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study
title_full_unstemmed Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study
title_short Movement behaviors and their association with depressive symptoms in Brazilian adolescents: A cross-sectional study
title_sort movement behaviors and their association with depressive symptoms in brazilian adolescents a cross sectional study
topic Accelerometry
Depression
Physical activity
Sedentary behavior
Sleep
url http://www.sciencedirect.com/science/article/pii/S2095254620301010
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