Physical activity and depression: a large cross-sectional, population-based study across 36 low- and middle-income countries

Nicola Veronese, Felipe B. Schuch, Davy Vancampfort, Nicola Veronese, James Mugisha, Simon Rosenbaum, Joseph Firth, Ai Koyanagi, Brendon Stubbs, Solmi

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50 Citazioni (Scopus)


Objective: Physical activity (PA) is good for health, yet several small-scale studies have suggested that depression is associated with low PA. A paucity of nationally representative studies investigating this relationship exists, particularly in low- and middle-income countries (LMICs). This study explored the global association of PA with depression and its mediating factors. Method: Participants from 36 LMICs from the World Health Survey were included. Multivariable logistic regression analyses were undertaken exploring the relationship between PA and depression. Results: Across 178 867 people (mean ± SD age = 36.2 ± 13.5 years; 49.9% male), the prevalence of depression and the prevalence of low PA were 6.6% and 16.8% respectively. The prevalence of low PA was significantly higher among those with depression vs. no depression (26.0% vs. 15.8%, P < 0.0001). In the adjusted model, depression was associated with higher odds for low PA (OR = 1.42; 95% CI = 1.24–1.63). Mediation analyses demonstrated that low PA among people with depression was explained by mobility limitations (40.3%), pain and discomfort (35.8%), disruptions in sleep and energy (25.2%), cognition (19.4%) and vision (10.9%). Conclusion: Individuals with depression engage in lower levels of PA in LMICs. Future longitudinal research is warranted to better understand the relationships observed. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Lingua originaleEnglish
pagine (da-a)546-556
Numero di pagine11
RivistaActa Psychiatrica Scandinavica
Stato di pubblicazionePublished - 2016

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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