Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort

Abstract Background An inverse association between total leisure-time physical activity (LTPA) and depression has been previously documented in the scientific literature. Our objective was to prospectively assess the association of LTPA with the risk of depression, focusing on several dimensions of...

Full description

Bibliographic Details
Main Authors: Alejandro Fernandez-Montero, Laura Moreno-Galarraga, Almudena Sánchez-Villegas, Francisca Lahortiga-Ramos, Miguel Ruiz-Canela, Miguel Ángel Martínez-González, Patricio Molero
Format: Article
Language:English
Published: BMC 2020-03-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-020-02502-6
_version_ 1818132428657524736
author Alejandro Fernandez-Montero
Laura Moreno-Galarraga
Almudena Sánchez-Villegas
Francisca Lahortiga-Ramos
Miguel Ruiz-Canela
Miguel Ángel Martínez-González
Patricio Molero
author_facet Alejandro Fernandez-Montero
Laura Moreno-Galarraga
Almudena Sánchez-Villegas
Francisca Lahortiga-Ramos
Miguel Ruiz-Canela
Miguel Ángel Martínez-González
Patricio Molero
author_sort Alejandro Fernandez-Montero
collection DOAJ
description Abstract Background An inverse association between total leisure-time physical activity (LTPA) and depression has been previously documented in the scientific literature. Our objective was to prospectively assess the association of LTPA with the risk of depression, focusing on several dimensions of LTPA (intensity, duration and type). Methods The SUN (Seguimiento Universidad de Navarra) project is a prospective cohort study formed by Spanish university graduates. A total of 15,488 adults (40.2% men, mean age 37 ± 12 years) initially free of depression were assessed. A report of a validated medical diagnosis of depression or the habitual use of antidepressants (any of both) were considered as incident cases of depression. LTPA was estimated through previously validated self-reported questionnaires. Participants were classified following Physical Activity recommendations from the World Health Organization, and according to the intensity, duration and type of LTPA. Cox proportional hazards regression models were run, adjusted for demographic, lifestyle, and dietary factors, to estimate adjusted hazard ratios (HR) of depression and 95% confidence intervals (CI). Results During 163,059 person-years of follow-up we registered 870 incident cases of depression. Participants with higher total LTPA (METs-h/wk) and higher duration of LTPA (hours/wk) exhibited a lower risk of depression HR = 0.84 (95% CI: 0.72–0.99) and HR = 0.83 (0.70–0.99) respectively, whereas intensity of LTPA (MET) did not show any association with depression. Conclusion Participants with higher LTPA had a lower risk of depression. The inverse association was stronger for total LPTA time than for its intensity. Higher duration of LTPA should be encouraged to prevent depression.
first_indexed 2024-12-11T08:36:41Z
format Article
id doaj.art-801e323b959a47eebd0ed257914fe92a
institution Directory Open Access Journal
issn 1471-244X
language English
last_indexed 2024-12-11T08:36:41Z
publishDate 2020-03-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj.art-801e323b959a47eebd0ed257914fe92a2022-12-22T01:14:20ZengBMCBMC Psychiatry1471-244X2020-03-012011910.1186/s12888-020-02502-6Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohortAlejandro Fernandez-Montero0Laura Moreno-Galarraga1Almudena Sánchez-Villegas2Francisca Lahortiga-Ramos3Miguel Ruiz-Canela4Miguel Ángel Martínez-González5Patricio Molero6Department of Occupational Medicine, University of Navarra ClinicDepartment of Preventive Medicine and Public Health, University of NavarraNutrition Research Group, Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran CanariaIdiSNA (Instituto de Investigación Sanitaria de Navarra)Department of Preventive Medicine and Public Health, University of NavarraDepartment of Preventive Medicine and Public Health, University of NavarraIdiSNA (Instituto de Investigación Sanitaria de Navarra)Abstract Background An inverse association between total leisure-time physical activity (LTPA) and depression has been previously documented in the scientific literature. Our objective was to prospectively assess the association of LTPA with the risk of depression, focusing on several dimensions of LTPA (intensity, duration and type). Methods The SUN (Seguimiento Universidad de Navarra) project is a prospective cohort study formed by Spanish university graduates. A total of 15,488 adults (40.2% men, mean age 37 ± 12 years) initially free of depression were assessed. A report of a validated medical diagnosis of depression or the habitual use of antidepressants (any of both) were considered as incident cases of depression. LTPA was estimated through previously validated self-reported questionnaires. Participants were classified following Physical Activity recommendations from the World Health Organization, and according to the intensity, duration and type of LTPA. Cox proportional hazards regression models were run, adjusted for demographic, lifestyle, and dietary factors, to estimate adjusted hazard ratios (HR) of depression and 95% confidence intervals (CI). Results During 163,059 person-years of follow-up we registered 870 incident cases of depression. Participants with higher total LTPA (METs-h/wk) and higher duration of LTPA (hours/wk) exhibited a lower risk of depression HR = 0.84 (95% CI: 0.72–0.99) and HR = 0.83 (0.70–0.99) respectively, whereas intensity of LTPA (MET) did not show any association with depression. Conclusion Participants with higher LTPA had a lower risk of depression. The inverse association was stronger for total LPTA time than for its intensity. Higher duration of LTPA should be encouraged to prevent depression.http://link.springer.com/article/10.1186/s12888-020-02502-6Physical activityLifestyleDepressionHealth promotionSUN
spellingShingle Alejandro Fernandez-Montero
Laura Moreno-Galarraga
Almudena Sánchez-Villegas
Francisca Lahortiga-Ramos
Miguel Ruiz-Canela
Miguel Ángel Martínez-González
Patricio Molero
Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort
BMC Psychiatry
Physical activity
Lifestyle
Depression
Health promotion
SUN
title Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort
title_full Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort
title_fullStr Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort
title_full_unstemmed Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort
title_short Dimensions of leisure-time physical activity and risk of depression in the “Seguimiento Universidad de Navarra” (SUN) prospective cohort
title_sort dimensions of leisure time physical activity and risk of depression in the seguimiento universidad de navarra sun prospective cohort
topic Physical activity
Lifestyle
Depression
Health promotion
SUN
url http://link.springer.com/article/10.1186/s12888-020-02502-6
work_keys_str_mv AT alejandrofernandezmontero dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort
AT lauramorenogalarraga dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort
AT almudenasanchezvillegas dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort
AT franciscalahortigaramos dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort
AT miguelruizcanela dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort
AT miguelangelmartinezgonzalez dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort
AT patriciomolero dimensionsofleisuretimephysicalactivityandriskofdepressionintheseguimientouniversidaddenavarrasunprospectivecohort