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https://www.arca.fiocruz.br/handle/icict/59138
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2030-12-31
Sustainable Development Goals
03 Saúde e Bem-EstarCollections
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THE ROLE OF PHYSICAL ACTIVITY IN THE ASSOCIATION BETWEEN MULTIMORBIDITY AND DEPRESSIVE SYMPTOMS: DATA FROM 60,202 ADULTS FROM THE BRAZILIAN NATIONAL HEALTH SURVEY
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Affilliation
Universidade Federal de Sergipe. Departamento de Educação Física. Aracaju, SE, Brasil.
Universidade Estadual Paulista. Departamento de Educação Física. Laboratório de Investigação em Exercício. Grupo de Pesquisas Científicas Relacionadas à Atividade Física. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Santa Maria. Departamento de Métodos e Técnicas Esportivas. Santa Maria, RS, Brasil
King's College London. Institute of Psychiatry. Department of Psychological Medicine, Psychology and Neuroscience. London, United Kingdom / South London and Maudsley NHS Foundation Trust. London, United Kingdom.
Universidade Federal de Sergipe. Departamento de Educação Física. Aracaju, SE, Brasil.
Universidade Estadual Paulista. Departamento de Educação Física. Laboratório de Investigação em Exercício. Grupo de Pesquisas Científicas Relacionadas à Atividade Física. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Santa Maria. Departamento de Métodos e Técnicas Esportivas. Santa Maria, RS, Brasil
King's College London. Institute of Psychiatry. Department of Psychological Medicine, Psychology and Neuroscience. London, United Kingdom / South London and Maudsley NHS Foundation Trust. London, United Kingdom.
Universidade Federal de Sergipe. Departamento de Educação Física. Aracaju, SE, Brasil.
Abstract
Depression is commonly associated to physical multimorbidity and there is an urgent need to identify modifiable risk factors. Physical activity (PA) is good for health, but the association between PA and multimorbidity with depressive symptoms is unclear. Thus, we investigated whether meeting weekly recommended PA guidelines influences the association between multimorbidity and depressive symptoms. Data were used from a national survey conducted in Brazil in 2013 with 60,202 adults (≥ 18 years). Information regarding depressive symptoms (PHQ-9), PA, and chronic disease was collected via interview-administered questionnaires. Data on covariates (age, educational status, employment status, tobacco smoking, alcohol consumption, and TV-viewing) were also assessed. Adjusted logistic regression models were used. Overall, men and women with one or more chronic conditions who were inactive (engaging in < 150
min PA per week) had higher odds of elevated depressive symptoms than active individuals with no chronic
condition. However, only in men, physical inactivity interacts with heart disease (OR: 2.59; 95%CI: 1.10 to 6.09), cancer (OR: 21.54; 95%CI: 2.67 to 173.94) and chronic obstructive pulmonary disease (COPD) (OR: 8.26; 95%CI: 2.20 to 31.01) regarding elevated depressive symptoms. Our data suggest that engaging in weekly recommended PA targets may attenuate association of heart disease, cancer and COPD with depressive symptoms among men.
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