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
AimTo 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.MethodsThis longitudinal study conducted secondary analysis...
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Frontiers Media S.A.
2024-11-01
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| author | Delia Ibáñez Delia Ibáñez Elena Condominas Elena Condominas Josep Maria Haro Josep Maria Haro Iago Giné Vázquez Iago Giné Vázquez RADAR-MDD-Spain Raquel Bailón Raquel Bailón Esther Garcia Esther Garcia Spyridon Kontaxis Spyridon Kontaxis Maria Teresa Peñarrubia-Maria Maria Teresa Peñarrubia-Maria Maria Teresa Peñarrubia-Maria Belen Arranz Belen Arranz Raúl Llaosa-Scholten Lluisa Gardeñes Matthew Hotopf Matthew Hotopf Faith Matcham Faith Matcham Femke Lamers Femke Lamers Brenda W. J. H. Penninx Brenda W. J. H. Penninx Peter Annas Amos Folarin Vaibhav Narayan Rodrigo Antunes Lima Rodrigo Antunes Lima Sara Siddi Sara Siddi the RADAR CNS consortium |
| author_facet | Delia Ibáñez Delia Ibáñez Elena Condominas Elena Condominas Josep Maria Haro Josep Maria Haro Iago Giné Vázquez Iago Giné Vázquez RADAR-MDD-Spain Raquel Bailón Raquel Bailón Esther Garcia Esther Garcia Spyridon Kontaxis Spyridon Kontaxis Maria Teresa Peñarrubia-Maria Maria Teresa Peñarrubia-Maria Maria Teresa Peñarrubia-Maria Belen Arranz Belen Arranz Raúl Llaosa-Scholten Lluisa Gardeñes Matthew Hotopf Matthew Hotopf Faith Matcham Faith Matcham Femke Lamers Femke Lamers Brenda W. J. H. Penninx Brenda W. J. H. Penninx Peter Annas Amos Folarin Vaibhav Narayan Rodrigo Antunes Lima Rodrigo Antunes Lima Sara Siddi Sara Siddi the RADAR CNS consortium |
| author_sort | Delia Ibáñez |
| collection | DOAJ |
| description | AimTo 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.MethodsThis 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.ResultsIn 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.ConclusionSedentary 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. |
| format | Article |
| id | doaj-art-6e30c1fc233c481299c70f58a5db4a28 |
| institution | OA Journals |
| issn | 1664-1078 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj-art-6e30c1fc233c481299c70f58a5db4a282025-08-20T02:14:37ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-11-011510.3389/fpsyg.2024.14366111436611Pre- 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 studyDelia Ibáñez0Delia Ibáñez1Elena Condominas2Elena Condominas3Josep Maria Haro4Josep Maria Haro5Iago Giné Vázquez6Iago Giné Vázquez7 RADAR-MDD-SpainRaquel Bailón8Raquel Bailón9Esther Garcia10Esther Garcia11Spyridon Kontaxis12Spyridon Kontaxis13Maria Teresa Peñarrubia-Maria14Maria Teresa Peñarrubia-Maria15Maria Teresa Peñarrubia-Maria16Belen Arranz17Belen Arranz18Raúl Llaosa-Scholten19Lluisa Gardeñes20Matthew Hotopf21Matthew Hotopf22Faith Matcham23Faith Matcham24Femke Lamers25Femke Lamers26Brenda W. J. H. Penninx27Brenda W. J. H. Penninx28Peter Annas29Amos Folarin30Vaibhav Narayan31Rodrigo Antunes Lima32Rodrigo Antunes Lima33Sara Siddi34Sara Siddi35the RADAR CNS consortiumDepartment of Psychiatry and Psychology, Hospital Clinic of Barcelona, Barcelona, SpainFaculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainUniversitat Politécnica de Catalunya, Barcelona, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainResearch, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainResearch, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainResearch, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainAragón Institute of Engineering Research (I3A), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), University of Zaragoza, Zaragoza, SpainCentros de Investigación Biomédica en Red en el Área de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Madrid, SpainMicroelectrónica y Sistemas Electrónicos, Universidad Autónoma de Barcelona, Bellaterra, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainAragón Institute of Engineering Research (I3A), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), University of Zaragoza, Zaragoza, SpainConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain0Unitat de Suport a la Recerca Regió Metropolitana Sud, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain1Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainResearch, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain2FEA Psicología Clínica, HU Institut Pere Mata, Vendrell, SpainConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain3Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom4South London and Maudsley NHS Foundation Trust, London, United Kingdom3Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom5School of Psychology, University of Sussex, East Sussex, United Kingdom6Department of Psychiatry, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, Netherlands7Amsterdam Public Health, Mental Health Program, Amsterdam, Netherlands6Department of Psychiatry, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, Netherlands7Amsterdam Public Health, Mental Health Program, Amsterdam, Netherlands8H. Lundbeck A/S, Valby, Denmark3Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom9Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, United KingdomCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainResearch, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainResearch, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, SpainAimTo 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.MethodsThis 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.ResultsIn 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.ConclusionSedentary 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.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1436611/fullCOVID-19major depressive disorderdepressiondepressive symptomsphysical activity |
| spellingShingle | Delia Ibáñez Delia Ibáñez Elena Condominas Elena Condominas Josep Maria Haro Josep Maria Haro Iago Giné Vázquez Iago Giné Vázquez RADAR-MDD-Spain Raquel Bailón Raquel Bailón Esther Garcia Esther Garcia Spyridon Kontaxis Spyridon Kontaxis Maria Teresa Peñarrubia-Maria Maria Teresa Peñarrubia-Maria Maria Teresa Peñarrubia-Maria Belen Arranz Belen Arranz Raúl Llaosa-Scholten Lluisa Gardeñes Matthew Hotopf Matthew Hotopf Faith Matcham Faith Matcham Femke Lamers Femke Lamers Brenda W. J. H. Penninx Brenda W. J. H. Penninx Peter Annas Amos Folarin Vaibhav Narayan Rodrigo Antunes Lima Rodrigo Antunes Lima Sara Siddi Sara Siddi 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 Frontiers in Psychology COVID-19 major depressive disorder depression depressive symptoms physical activity |
| 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 |
| topic | COVID-19 major depressive disorder depression depressive symptoms physical activity |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1436611/full |
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