The role of physical activity in the association between multimorbidity and depressive symptoms: Data from 60,202 adults from the Brazilian National Health Survey

Andrade-Lima, Aluísio; Werneck, André O.; Szwarcwald, Célia Landman; Schuch, Felipe Barreto; Stubbs, Brendon; Bastos, Afrânio Andrade; Silva, Danilo

doi:10.1016/j.jpsychores.2020.110122

Cited by 9 publications

(9 citation statements)

References 47 publications

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“…Our results show an increase in the daily number of cigarettes among smokers, in alcohol consumption, in chocolate and sweets consumption, a reduction in physical activity, and increase in TV-watching and tablet/laptop use. All these unhealthy habits show negative associations with self-rated health status, corroborating results of previous studies 30,31,32 .…”

Section: Discussionsupporting

confidence: 91%

Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic

et al. 2021

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This is a cross-sectional study investigating the factors affecting brazilians’ self-rated health during the COVID-19 pandemic, based on data from the web-based behavior survey. Carried out from April 24 to May 24, 2020, the survey recruited participants by a chain sampling procedure. Its outcome was the worsening of self-rated health during the pandemic. Statistical analysis was based on a hierarchical model of determination. Logistic regression models were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social restraint measures, and biological and psychological issues during the pandemic. From the total sample of 45,161 participants, 29.4% reported worsening of health state during this period. After adjusting for hierarchical distal factors, the health problems mostly associated with worsening health state were: bad self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for mental health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (adjusted OR = 3.60, p < 0.001). People who experienced sleep problems, worsening of back pain, depression and at least one flu symptom during the pandemic were twice as likely to report worsening of health status. Sedentary and eating behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biological, and psychological factors, mediated by lifestyles and variables pertaining to confinement. Altogether, these factors have negatively affected self-rated health during the COVID-19 pandemic in Brazil.

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Section: Discussionsupporting

confidence: 91%

Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic

et al. 2021

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“…The author called for future research to investigate the roles of health behaviors in the association between depression and multimorbidity. Also, a recent study emphasized the role of physical activity (PA) and concluded that people with more than one chronic condition and whose status of PA was inactive had higher odds of elevated depressive symptoms, while only in men, engaging in weekly recommended PA targets may attenuate the association of heart disease with depressive symptoms (Andrade-Lima et al, 2020 ). It can be predicted that increased health behaviors will be considered and taken into a clinical trial to determine their influence on multimorbidity, depression, and CHD, which will further conduce to a better QoL in certain patients as rightful and positive interventions.…”

Section: Resultsmentioning

confidence: 99%

Coronary Heart Disease and Depression or Anxiety: A Bibliometric Analysis

et al. 2021

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This study aimed to conduct a bibliometric analysis of published studies on the association between coronary heart disease (CHD) and depression or anxiety. The study also aimed to identify leading authors, institutions, and countries to determine research hotspots and obtain some hints from the speculated future frontiers. Publications about CHD and depression or anxiety between 2004 and 2020 were collected from the Web of Science Core Collection (WOSCC) database. Bibliographic information, such as authorship, country, citation frequency, and interactive visualization, was generated using VOSviewer1.6.16 and CiteSpace5.6.R5. In total, 8,073 articles were identified in the WOSCC database. The United States (2,953 publications), Duke University and Harvard University (214 publications), Psychosomatic Medicine (297 publications), and Denollet Johan. (99 publications) were the most productive country, institutions, journal, and author, respectively. The three hotspots of the research were “The relationship between depression and CHD,” “depression and myocardial infarction,” and “The characteristic of women suffering depression after MI.” The four future research frontiers are predicted to be “treating depression in CHD patients with multimorbidity,” “psychometric properties of instruments for assessing depression and anxiety in CHD patients,” “depression or anxiety in post-PCI patients,” and “other mental diseases in CHD patients.” Bibliometric analysis of the association between CHD and depressive disorders might identify new directions for future research.

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“…The model includes factors that have traditionally been identified as relevant to the outcome, including sociodemographic variables [38] and lifestyle indicators [39], as well as other problems closely related to the COVID-19 pandemic. The independent variables were organized into three hierarchical blocks (one distal, one intermediary, and one proximal): sociodemographic characteristics; lifestyle indicators; and problems that occurred during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Hierarchically, we considered behavior indicators during the pandemic which may have affected an adolescent's emotional status through intermediate mechanisms [39] (block 2). The following behavior indicators during the COVID-19 pandemic were considered in the analysis: alcohol consumption; intake of at least one unhealthy food (pizza, sausages, frozen hamburger, sweets, and chocolates, soft drinks, snacks) five or more days per week; vegetable and fruit intake five or more days per week; one hour of physical activity at least twice a week; and excessive entertainment screen time (≥6 h/day) (including computer, tablet, cell phone, and television screens).…”

Section: Discussionmentioning

confidence: 99%

Associations of Sociodemographic Factors and Health Behaviors with the Emotional Well-Being of Adolescents during the COVID-19 Pandemic in Brazil

Szwarcwald

Malta

Barros

et al. 2021

IJERPH

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This cross-sectional study utilizes data from a nationwide web-based survey aimed to identify the factors affecting the emotional well-being of Brazilian adolescents aged 12–17 during the period of school closures and confinement. Data collection took place from 27 June to 17 September 2020. We used the “virtual snowball” sampling method, and students from private and public schools were included. A total of 9470 adolescents were analyzed. A hierarchical logistic regression model was used to find the factors associated with reporting at least two of three self-reported problems—sadness, irritability, and sleep problems. The main proximal factor was loneliness (AdjOR = 8.12 p < 0.001). Problems related to school closures also played an important role. Regular intake of fruits and vegetables, as well as physical activity, demonstrated a positive influence on emotional well-being, while excessive screen time (AdjOR = 2.05, p < 0.001) and alcohol consumption negatively affected outcomes (AdjOR = 1.73, p < 0.001). As for distal variables, less affluent adolescents were the most affected, and males reported fewer emotional problems than females. Uncertainty regarding the disease in a context of socioeconomic vulnerability, together with rises in unhealthy behaviors and isolation from their immediate social circles, have negatively affected adolescents’ emotional status throughout the COVID-19 pandemic.

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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

Cited by 9 publications

References 47 publications

Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic

Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic

Coronary Heart Disease and Depression or Anxiety: A Bibliometric Analysis

Associations of Sociodemographic Factors and Health Behaviors with the Emotional Well-Being of Adolescents during the COVID-19 Pandemic in Brazil

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