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The moderating role of different lifestyle domains in the association between physical activity and depressive symptoms in brazilian university students
Indexado
WoS WOS:001484105700001
Scopus SCOPUS_ID:105003385094
DOI 10.1016/J.MHPA.2025.100682
Año 2025
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Purpose: Evidence shows that physical activity (PA) is associated with a lower risk of depression, but the moderating factors of this relationship still need to be better elucidated. This study aimed to investigate the association between PA and depressive symptoms (DS), and whether substance use, diet, sleep, social support, stress management, and screen time can moderate this association. Method: This cross-sectional study was conducted using data from the UNILIFE-M Cohort (pilot phase). The sample consisted of undergraduate and graduate students from 11 Brazilian universities. DS were measured using the Patient Health Questionnaire-2 and PA and lifestyle domains, using the Short Multidimensional Inventory Lifestyle Evaluation. Moderation analyses were conducted by multiple linear regression. In models with significant interactions, the Johnson-Neymann technique estimated points of the moderating variables that demonstrate modification in the association between PA and DS. Results: The final sample included 790 students (23 +/- 6 years; 56.3 % women). PA was associated with DS (beta: 0.014; 95 %CI: -0.018;-0.011), with significant interaction with diet (p = 0.016) and stress management (p = 0.041). A linear reduction in the effect of PA on DS was observed as diet and stress management scores increased.

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Disciplinas de Investigación



WOS
Psychology, Clinical
Psychiatry
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Tornquist, Debora - Univ Fed Santa Maria - Brasil
Universidade Federal de Santa Catarina - Brasil
2 Guimaraes, Maria Eduarda Adornes - UNIV FED RIO DE JANEIRO - Brasil
Universidade Federal do Rio de Janeiro - Brasil
3 dos Santos, Eduarda Bitencourt - Univ Fed Santa Maria - Brasil
Universidade Federal de Santa Catarina - Brasil
4 Teixeira, Julia Amaral - Univ Fed Santa Maria - Brasil
Universidade Federal de Santa Catarina - Brasil
5 de Oliveira, Jenifer - Univ Fed Santa Maria - Brasil
Universidade Federal de Santa Catarina - Brasil
6 Waclawovsky, Aline Josiane - UNIV FED RIO DE JANEIRO - Brasil
Universidade Federal do Rio de Janeiro - Brasil
7 Zanetti, Ana Carolina Guidorizzi - UNIV SAO PAULO - Brasil
Universidade de São Paulo - Brasil
8 Pires, Daniel Alvarez - Univ Fed Para - Brasil
Universidade Federal do Ceará - Brasil
9 Silva, Danilo R. P. Hombre Univ Fed Sergipe - Brasil
Université Fédérale de Sergipe - Brasil
10 de Jesus-Moraleida, Fabianna Resende - Univ Fed Ceara - Brasil
Universidade Federal do Ceará - Brasil
11 Moura, Helena Ferreira - Univ Brasilia - Brasil
Universidade de Brasília - Brasil
12 Wearick-Silva, Luis Eduardo - Pontif Catholic Univ Rio Grande do Sul - Brasil
Pontifícia Universidade Católica do Rio Grande do Sul - Brasil
13 Galvao-Coelho, Nicole Leite - Univ Fed Rio Grande do Norte - Brasil
Universidade Federal do Rio Grande do Norte - Brasil
14 Sobral-Monteiro-Junior, Renato Hombre Univ Estadual Montes Claros - Brasil
Universidade Estadual de Montes Claros - Brasil
15 Matias, Thiago S. - UNIV FED SANTA CATARINA - Brasil
Universidade Federal de Santa Catarina - Brasil
16 Deslandes, Andrea Camaz Mujer UNIV FED RIO DE JANEIRO - Brasil
Universidade Federal do Rio de Janeiro - Brasil
17 Schuch, Felipe Barreto - UNIV FED RIO DE JANEIRO - Brasil
Univ Fed Santa Maria - Brasil
Universidad Autónoma de Chile - Chile
Universidade Federal do Rio de Janeiro - Brasil
Universidade Federal de Santa Catarina - Brasil

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Financiamiento



Fuente
Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul

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Agradecimientos



Agradecimiento
Evidence shows that physical activity (PA) is associated with a lower risk of depression, but the moderating factors of this relationship still need to be better elucidated. This study aimed to investigate the association between PA and depressive symptoms (DS), and whether substance use, diet, sleep, social support, stress management, and screen time can moderate this association.In addition to physical activity and the domains identified as moderating factors in the relationship between physical activity and depressive symptoms\u2014namely diet and stress management\u2014the domains of sleep and social support were also found to be negatively associated with depressive symptoms, albeit without a moderating effect. These findings align with a study conducted among Spanish university students, which observed that maintaining a healthy sleep profile (OR: 0.26; 95 % CI: 0.12\u20130.58) and engaging in physical activity (OR: 0.24; 95 % CI: 0.10\u20130.58) were associated with a protective effect against the onset of depressive disorders (Rold\u00E1n-Esp\u00EDnola et al., 2024). Furthermore, healthy levels of social support (OR: 0.17; 95 % CI: 0.07\u20130.44) demonstrated a protective effect against persistent depressive disorders over 12 months (Rold\u00E1n-Esp\u00EDnola et al., 2024). The protective effect of a healthy sleep profile may be explained by the impact of short sleep duration on increased daytime fatigue, which can, in turn, heighten exposure to negative events and emotions (Zhai et al., 2015). Similarly, the protective role of social support in mitigating depressive symptoms may stem from the emotional support it provides, such as having a people confidant, which helps alleviate negative emotions during stressful situations (Gari\u00E9py et al., 2016).The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Debora Tornquist reports financial support was provided by Foundation for Research Support of Rio Grande do Sul State. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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