Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data

Abstract Background Physical activity is associated with depression. However, benefits of physical activity on depression may differ for specific domains of physical activity (i.e., leisure-time, work, and travel). Moreover, the relationship between physical activity and depression could also differ...

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Main Authors: Emily R. Rutherford, Corneel Vandelanotte, Janine Chapman, Quyen G. To
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14037-4
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author Emily R. Rutherford
Corneel Vandelanotte
Janine Chapman
Quyen G. To
author_facet Emily R. Rutherford
Corneel Vandelanotte
Janine Chapman
Quyen G. To
author_sort Emily R. Rutherford
collection DOAJ
description Abstract Background Physical activity is associated with depression. However, benefits of physical activity on depression may differ for specific domains of physical activity (i.e., leisure-time, work, and travel). Moreover, the relationship between physical activity and depression could also differ for people in different Body Mass Index (BMI) categories. This study investigated the relationship between domain-specific physical activity and BMI with depression, and the moderation effects of BMI on the relationship between domain physical activity and depression. Methods Complex survey data from the NHANES 2011-2014 was used (N=10,047). Depression was measured using the Patient Health Questionnaire (PHQ-9). Participants reported physical activity minutes in each domain using the Global Physical Activity Questionnaire. Demographic characteristics were self-reported. Weight and height were objectively measured and used for calculating BMI. Survey procedures were used to account for complex survey design. As two survey cycles were used, sampling weights were re-calculated and used for analyses. Taylor series linearisation was chosen as a variance estimation method. Results Participants who engaged in ≥150 minutes/week of total moderate-vigorous physical activity (MVPA) (adjusted B = 0.83, 95% CI [0.50, 1.16]) and leisure-time MVPA (adjusted B = 0.84, 95% CI [0.57, 1.11]) experienced lower levels of depression compared to those engaging in <150 MVPA minutes/week. Work and travel-related physical activity were not associated with depression. Overweight (adjusted B = -0.40, 95% CI [-0.76, -0.04]) and underweight/normal weight participants (adjusted B = -0.60, 95%CI [-0.96, -0.25]) experienced less depressive symptoms compared to obese participants. BMI did not moderate the relationship between domain-specific physical activity and depression. Conclusions Interventions that focus on leisure-time physical activity appear to be best suited to improve depression, however, this needs to be confirmed in purposefully designed intervention studies. Future studies may also examine ways to improve the effectiveness of work and travel physical activity for reducing depression.
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spelling doaj.art-489aee2dd4e14b0c98d11a299195b9672022-12-22T03:08:08ZengBMCBMC Public Health1471-24582022-08-012211910.1186/s12889-022-14037-4Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional dataEmily R. Rutherford0Corneel Vandelanotte1Janine Chapman2Quyen G. To3Central Queensland University, School of Health, Medical and Applied Sciences, Appleton InstituteCentral Queensland University, School of Health, Medical and Applied Sciences, Appleton InstituteCentral Queensland University, School of Health, Medical and Applied Sciences, Appleton InstituteCentral Queensland University, School of Health, Medical and Applied Sciences, Appleton InstituteAbstract Background Physical activity is associated with depression. However, benefits of physical activity on depression may differ for specific domains of physical activity (i.e., leisure-time, work, and travel). Moreover, the relationship between physical activity and depression could also differ for people in different Body Mass Index (BMI) categories. This study investigated the relationship between domain-specific physical activity and BMI with depression, and the moderation effects of BMI on the relationship between domain physical activity and depression. Methods Complex survey data from the NHANES 2011-2014 was used (N=10,047). Depression was measured using the Patient Health Questionnaire (PHQ-9). Participants reported physical activity minutes in each domain using the Global Physical Activity Questionnaire. Demographic characteristics were self-reported. Weight and height were objectively measured and used for calculating BMI. Survey procedures were used to account for complex survey design. As two survey cycles were used, sampling weights were re-calculated and used for analyses. Taylor series linearisation was chosen as a variance estimation method. Results Participants who engaged in ≥150 minutes/week of total moderate-vigorous physical activity (MVPA) (adjusted B = 0.83, 95% CI [0.50, 1.16]) and leisure-time MVPA (adjusted B = 0.84, 95% CI [0.57, 1.11]) experienced lower levels of depression compared to those engaging in <150 MVPA minutes/week. Work and travel-related physical activity were not associated with depression. Overweight (adjusted B = -0.40, 95% CI [-0.76, -0.04]) and underweight/normal weight participants (adjusted B = -0.60, 95%CI [-0.96, -0.25]) experienced less depressive symptoms compared to obese participants. BMI did not moderate the relationship between domain-specific physical activity and depression. Conclusions Interventions that focus on leisure-time physical activity appear to be best suited to improve depression, however, this needs to be confirmed in purposefully designed intervention studies. Future studies may also examine ways to improve the effectiveness of work and travel physical activity for reducing depression.https://doi.org/10.1186/s12889-022-14037-4Body mass indexModeratorMental HealthExerciseLeisureOccupational
spellingShingle Emily R. Rutherford
Corneel Vandelanotte
Janine Chapman
Quyen G. To
Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data
BMC Public Health
Body mass index
Moderator
Mental Health
Exercise
Leisure
Occupational
title Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data
title_full Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data
title_fullStr Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data
title_full_unstemmed Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data
title_short Associations between depression, domain-specific physical activity, and BMI among US adults: NHANES 2011-2014 cross-sectional data
title_sort associations between depression domain specific physical activity and bmi among us adults nhanes 2011 2014 cross sectional data
topic Body mass index
Moderator
Mental Health
Exercise
Leisure
Occupational
url https://doi.org/10.1186/s12889-022-14037-4
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