Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study
Aim: To evaluate the longitudinal association of sedentary behavior, light and moderate-to-vigorous physical activity (MVPA) participation with depressive symptoms and whether their possible association changed depending on the pandemic phase. Methods: This longitudinal study conducted secondary ana...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
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Frontiers Media
2024
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| _version_ | 1824458646561488896 |
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| author | Ibáñez, D Condominas, E Haro, JM Vázquez, IG RADAR-MDD-Spain Bailón, R Garcia, E Kontaxis, S Peñarrubia-Maria, MT Arranz, B Llaosa-Scholten, R Gardeñes, L Hotopf, M Matcham, F Lamers, F Penninx, BWJH Annas, P Folarin, A Narayan, V Lima, RA Siddi, S the RADAR CNS consortium |
| author_facet | Ibáñez, D Condominas, E Haro, JM Vázquez, IG RADAR-MDD-Spain Bailón, R Garcia, E Kontaxis, S Peñarrubia-Maria, MT Arranz, B Llaosa-Scholten, R Gardeñes, L Hotopf, M Matcham, F Lamers, F Penninx, BWJH Annas, P Folarin, A Narayan, V Lima, RA Siddi, S the RADAR CNS consortium |
| author_sort | Ibáñez, D |
| collection | OXFORD |
| description | Aim: To evaluate the longitudinal association of sedentary behavior, light and moderate-to-vigorous physical activity (MVPA) participation with depressive symptoms and whether their possible association changed depending on the pandemic phase. Methods: This longitudinal study conducted secondary analysis from the Spanish cohort of the Remote Assessment of Disease and Relapse – Major Depressive Disorder (RADAR-MDD) study. Depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-8). Sedentary behavior and physical activity were estimated via wrist-worn devices. Linear mixed models evaluated the longitudinal associations of sedentary behavior and physical activity (light and moderate-to-vigorous intensities) with depressive symptoms. Results: In total, 95 participants (67.5% women, 53.0 [±10.5] years of age on average) were monitored pre-COVID-19 and included in the analyses. Pre-COVID-19, 73.7% of participants presented depression, and, on average, participated in 13.2 (±1.08) hours/day of sedentary behavior, 2.42 (±0.90) hours/day of light physical activity and 23.6 (±19.80) minutes/day of MVPA. Considering all the observations (from November 2019 to October 2020), an additional hour/day of sedentary behavior was longitudinally associated with higher depressive symptoms [βstd = 0.06, 95% confidence interval (CI) 0.10 to 0.47], whereas an additional hour/day in light physical activity was associated with lower depressive symptoms (βstd = −0.06, 95% CI −0.59 to −0.15). Time in MVPA was not associated with depressive symptomatology. The association of sedentary behavior and light physical activity with depressive symptoms was significant only during pre-COVID-19 and COVID-19 relaxation periods, whereas during the strictest periods of the pandemic with regards to the restrictions (lockdown and de-escalation), the association was not observed. Conclusion: Sedentary behavior and light physical activity were longitudinally associated with depressive symptoms in participants with a history of MDD. The incorporation of light physical activity should be stimulated in adults with a history of MDD. Neither sedentary behavior nor light physical activity were associated with depressive symptoms during the most restrictive COVID-19 phases, whereas sedentary behavior (positively) and light physical activity (negatively) were associated with depressive symptoms in persons with MDD before and after the COVID-19 pandemic. |
| first_indexed | 2024-12-09T03:24:59Z |
| format | Journal article |
| id | oxford-uuid:eea0356a-bc53-4858-aa56-64110e28ef13 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2025-02-19T04:29:12Z |
| publishDate | 2024 |
| publisher | Frontiers Media |
| record_format | dspace |
| spelling | oxford-uuid:eea0356a-bc53-4858-aa56-64110e28ef132024-12-11T20:04:13ZPre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:eea0356a-bc53-4858-aa56-64110e28ef13EnglishJisc Publications RouterFrontiers Media2024Ibáñez, DCondominas, EHaro, JMVázquez, IGRADAR-MDD-SpainBailón, RGarcia, EKontaxis, SPeñarrubia-Maria, MTArranz, BLlaosa-Scholten, RGardeñes, LHotopf, MMatcham, FLamers, FPenninx, BWJHAnnas, PFolarin, ANarayan, VLima, RASiddi, Sthe RADAR CNS consortiumAim: To evaluate the longitudinal association of sedentary behavior, light and moderate-to-vigorous physical activity (MVPA) participation with depressive symptoms and whether their possible association changed depending on the pandemic phase. Methods: This longitudinal study conducted secondary analysis from the Spanish cohort of the Remote Assessment of Disease and Relapse – Major Depressive Disorder (RADAR-MDD) study. Depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-8). Sedentary behavior and physical activity were estimated via wrist-worn devices. Linear mixed models evaluated the longitudinal associations of sedentary behavior and physical activity (light and moderate-to-vigorous intensities) with depressive symptoms. Results: In total, 95 participants (67.5% women, 53.0 [±10.5] years of age on average) were monitored pre-COVID-19 and included in the analyses. Pre-COVID-19, 73.7% of participants presented depression, and, on average, participated in 13.2 (±1.08) hours/day of sedentary behavior, 2.42 (±0.90) hours/day of light physical activity and 23.6 (±19.80) minutes/day of MVPA. Considering all the observations (from November 2019 to October 2020), an additional hour/day of sedentary behavior was longitudinally associated with higher depressive symptoms [βstd = 0.06, 95% confidence interval (CI) 0.10 to 0.47], whereas an additional hour/day in light physical activity was associated with lower depressive symptoms (βstd = −0.06, 95% CI −0.59 to −0.15). Time in MVPA was not associated with depressive symptomatology. The association of sedentary behavior and light physical activity with depressive symptoms was significant only during pre-COVID-19 and COVID-19 relaxation periods, whereas during the strictest periods of the pandemic with regards to the restrictions (lockdown and de-escalation), the association was not observed. Conclusion: Sedentary behavior and light physical activity were longitudinally associated with depressive symptoms in participants with a history of MDD. The incorporation of light physical activity should be stimulated in adults with a history of MDD. Neither sedentary behavior nor light physical activity were associated with depressive symptoms during the most restrictive COVID-19 phases, whereas sedentary behavior (positively) and light physical activity (negatively) were associated with depressive symptoms in persons with MDD before and after the COVID-19 pandemic. |
| spellingShingle | Ibáñez, D Condominas, E Haro, JM Vázquez, IG RADAR-MDD-Spain Bailón, R Garcia, E Kontaxis, S Peñarrubia-Maria, MT Arranz, B Llaosa-Scholten, R Gardeñes, L Hotopf, M Matcham, F Lamers, F Penninx, BWJH Annas, P Folarin, A Narayan, V Lima, RA Siddi, S the RADAR CNS consortium Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study |
| title | Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study |
| title_full | Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study |
| title_fullStr | Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study |
| title_full_unstemmed | Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study |
| title_short | Pre- and post-COVID 19 outbreak relationship between physical activity and depressive symptoms in Spanish adults with major depressive disorder: a secondary analysis of the RADAR-MDD cohort study |
| title_sort | pre and post covid 19 outbreak relationship between physical activity and depressive symptoms in spanish adults with major depressive disorder a secondary analysis of the radar mdd cohort study |
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