Dietary diversity, physical activity and depressive symptoms among middle-aged women: A cross-sectional study of 48,637 women in China

Luo, Yating; Yang, Peng; Wan, Ziyu; Kang, Yue; Xia, Dong; Liu, Ying; Wang, Yaqin; Xie, Jianfei; Duan, Yinglong

doi:10.1016/j.jad.2022.10.038

Cited by 6 publications

(5 citation statements)

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“…Meng et al 's study of 1,892 elderly women (aged 55-70) found that moderate leisure-time physical activity (LTPA) was associated with reduced depression, whereas vigorous LTPA could increase the risk (28). Similarly, Luo et al 's study on middle-aged women (aged 42-52) found that adequate PA (at least 150-300 min of moderate-intensity aerobic activity per week) was a protective factor against depressive symptoms (17). The protective effect of PA on women in our study was not significant, probably due to the type of PA performed.…”

Section: Discussionmentioning

confidence: 98%

“…Previous research that examined the link between PA and depression has mostly focused on special subpopulations, such as older adults, teenagers, women, or college students (10, [13][14][15][16][17]. However, there is limited evidence from epidemiological studies conducted on large sample populations, particularly among the general adult population in Chinese communities.…”

Section: Introductionmentioning

confidence: 99%

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The relationship between physical activity and depression among community-dwelling adults in Wuhan, China

Chen

et al. 2023

Front. Psychiatry

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BackgroundWhile the association between physical activity (PA) and depression has been established, there is limited research on the effect of PA on the risk of depression among Chinese individuals. Thus, this study aimed to investigate the relationship between PA and depression among Chinese individuals.MethodsWe used a stratified random sampling approach to recruit participants from five urban districts in Wuhan, China. A total of 5,583 permanent residents aged 18 years or older completed questionnaires, which included the International Physical Activity Questionnaire Short Form (IPAQ-SF) to measure PA, and the 9-item Patient Health Questionnaire (PHQ-9) to evaluate depressive symptoms. To control for potential confounders, multiple logistic regression was employed to assess the association of PA with depression.ResultsThe depression group had significantly lower weekly PA levels, measured in metabolic equivalent of task-minutes per week (MET-min/w), compared to the non-depression group [1,770 (693–4,200) MET-min/w vs. 2,772 (1,324–4,893) MET-min/w, p < 0.001]. In the fully adjusted model, the moderate and high PA level groups had lower odds ratios (ORs) for depressive symptoms compared to the low PA level group [OR (95% confidence interval (CI)) = 0.670 (0.523–0.858), 0.618 (0.484–0.790), respectively]. Among males, moderate and high levels of PA were associated with lower risk of depression compared to low PA levels [OR (95% CI) = 0.417 (0.268–0.649), 0.381 (0.244–0.593), respectively]. However, this association was not observed in females [OR (95% CI) = 0.827 (0.610–1.121), 0.782 (0.579–1.056), respectively]. The study found a significant interaction between PA levels and gender in relation to depression (P for interaction = 0.019).ConclusionThe findings suggest a negative association between PA and risk of depressive symptoms, indicating that moderate to high levels of PA may serve as a protective factor against depressive symptoms.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

The relationship between physical activity and depression among community-dwelling adults in Wuhan, China

Chen

et al. 2023

Front. Psychiatry

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“…Lifestyle factors include dietary habits and exercise behaviors. All dietary habits evaluations were completed by a self-reported questionnaire, which could be found in previous literature published by our team [29][30][31][32], including eating three meals on time, eating a midnight snack, over-eating, social engagement, eating spicy food, diet, drinking milk, eating eggs, protein, eating fruit, eating a fatty meat, animal offal, sh, coffee, sugar-sweetened beverage intake, daily vegetable and meat intake, and so on. In addition, smoking, alcohol consumption, and exercise were evaluated via a questionnaire.…”

Section: Lifestyle Factorsmentioning

confidence: 99%

The prevalence and modifiable lifestyle factors of central obesity among white-collar workers of different genders: A cross-sectional study

Xiaoqian,

Li,

et al. 2023

Preprint

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Background: Central obesity is strongly associated with obesity-related and metabolic diseases, which is a common health problem in sedentary adults, particularly in women, but the mechanisms remain unclear. This study aimed to investigate the prevalence and factors associated with central obesity in white-collar workers Chinese population, and explore potential sex differences. Methods: A cross-sectional study was conducted between 2017 and 2019 at two large general hospitals in northern and southern China. Totally 6,081 white-collar workers underwent a physical examination and completed an online health self-report questionnaire, which included demographic variables, lifestyle factors and blood lipid test. Multilevel logistic regression analysis was performed to assess the prevalence and factors of central obesity. Results: A total of 4,973 male and 1,108 female white-collar workers were included in this study, and the incidence of central obesity was 67.5% and 30.1%, respectively. In male white-collar workers, increasing age, chronic disease, higher levels of total cholesterol, salt intake and BEE, social engagement, eating spicy food and animal offal were risk factors for central obesity, while a higher HDL-C level, eating fish, and high vegetable intake were protective factors. In female white-collar workers, increasing age, higher total cholesterol level, higher BEE, and overeating were risk factors for central obesity, while a higher HDL-C level, and drinking milk were protective factors. Conclusions: Central obesity was a significant public health concern and the prevalence was high in Chinese adults. Healthy lifestyles and dietary measures to control the rates of central obesity should be undertaken to circumvent the growing disease burden in Chinese people..

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“…Studies have shown that age at rst birth (AFB) is associated with many disorders [9][10][11][12][13], and that women who give birth earlier are more likely to be at risk of poor mental health and those who give birth later are more psychologically advantaged, but there are only a few studies that support the link between early and late childbearing and depression and there are contradictions [14,15]. Previous studies by Mirowsky J et al showed that the association between AFB and depression presented a U-shaped parabolic relationship in women, with a minimum around the age of 30 years [16].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies by Mirowsky J et al showed that the association between AFB and depression presented a U-shaped parabolic relationship in women, with a minimum around the age of 30 years [16]. Recent studies have shown AFB < 20 or > 30 years to be a risk factor for depression, while in a study by McMahon et al investigating the relationship between older mothers and depression in Australia, it was found that AFB of 30 years or more was associated with fewer depressive symptoms during pregnancy and not a greater risk of developing them in the following two years [14,17]. Furthermore, no research examining the connection between the AFB and depression among American women have been conducted to date using nationally representative samples.…”

Section: Introductionmentioning

confidence: 99%

Association between age at first birth and depression: National Health and Nutrition Examination Survey (NHANES) 2005-2018

Hong,

Yang,

et al. 2024

Preprint

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Background: Over 5% of the world's population suffers from depression, and women are nearly twice as likely to experience it as men. However, the relationship between depressed symptoms and age at first birth (AFB) in women hasn't been thoroughly investigated. This study aimed to evaluate the relationship between AFB and depression in US women. Methods: We used data from the 2005-2018 National Health and Nutrition Examination Survey (NHANES). A total of 9,515 women aged ≥ 20 who have completed Patient Health Questionnaire-9 (PHQ-9) and Reproductive Questionnaire data were selected for the study. PHQ-9 was used to assess depressive symptoms, and total scores ≥ 10 were identified as having depression. Multivariate regression models were performed to estimate the odds ratios (ORs) and 95% confidence intervals (CI), controlling for reproductive factors and other covariates, to analyze the association between age at first birth and the risk of depression in women. Results:In the weighted sample, the prevalence of depressive symptoms was 11.5% among women. Compared to participants with AFB of 27-29 years old (reference group), fully adjusted models showed that the ORs and 95% CI for women with AFB < 18, 18-21, and 21-23 years old were 4.55 (95% CI 1.99, 10.41), 2.10 (95% CI 1.12, 3.96), and 2.53 (95% CI 1.22, 5.23). Yet there was no significant difference between AFB of 24–26, or > 29 years compared to the reference group. Conclusion:Women with younger AFB are at higher risk for depression. Further research is needed to determine causal relationships and mechanisms between AFB and increased risk of depression.

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Dietary diversity, physical activity and depressive symptoms among middle-aged women: A cross-sectional study of 48,637 women in China

Cited by 6 publications

References 41 publications

The relationship between physical activity and depression among community-dwelling adults in Wuhan, China

The relationship between physical activity and depression among community-dwelling adults in Wuhan, China

The prevalence and modifiable lifestyle factors of central obesity among white-collar workers of different genders: A cross-sectional study

Association between age at first birth and depression: National Health and Nutrition Examination Survey (NHANES) 2005-2018

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