Physical activity status in adults with depression in the National Health and Nutrition Examination Survey, 2005-2006.

OBJECTIVE To examine physical activity levels among adults with depression. METHODS Cross-sectional descriptive study with the National Health and Nutritional Examination Survey, 2005-2006. SAMPLE Four thousand and fifty-eight men and women aged 20 years and older. MEASURES Self-reported Patient Health Questionnaire [PHQ-9] for depression, accelerometer for amounts of physical activity, demographic information, and self-reported health status were weighted to represent population estimates. Bivariate analysis and multivariate logistic regression were applied to data. RESULTS Overall prevalence of depression was 13.9% and 5.6% in mild and moderate to severe levels, respectively. Adults in depression groups spent significantly less time in both light and moderate physical activity than nondepression groups. There were no differences in sedentary and vigorous physical activity among groups. After controlling for socio-demographic factors, those at greater risk for depression were middle-aged women with self-reported poor health status with less moderate physical activity. CONCLUSIONS Although depressed adults were less active than nondepressed adults, their physical activity levels were close to the recommended guidelines. Public education regarding efficacy of physical activity and encouragement of appropriate activity levels could contribute to prevention and treatment of depression.

[1]  G. Schuler,et al.  Physical Activity , 2005, International Journal of Obesity.

[2]  A. Rush,et al.  Health-related quality of life in depression: a STAR*D report. , 2010, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[3]  T. Strine,et al.  Depression and anxiety associated with cardiovascular disease among persons aged 45 years and older in 38 states of the United States, 2006. , 2008, Preventive medicine.

[4]  Alex H. S. Harris,et al.  Physical activity, exercise coping, and depression in a 10-year cohort study of depressed patients. , 2006, Journal of affective disorders.

[5]  M. Moeschberger,et al.  Depression as an antecedent to heart disease among women and men in the NHANES I study. National Health and Nutrition Examination Survey. , 2000, Archives of internal medicine.

[6]  P. Schnohr,et al.  A cohort study of leisure time physical activity and depression. , 2010, Preventive medicine.

[7]  W. Flanders,et al.  Physical activity and depressive symptoms among Norwegian adults aged 20-50. , 2008, Public health nursing.

[8]  W. Strawbridge,et al.  Physical activity reduces the risk of subsequent depression for older adults. , 2002, American journal of epidemiology.

[9]  J. Ockene,et al.  Screening for depression in adults: U.S. preventive services task force recommendation statement. , 2009, Annals of internal medicine.

[10]  D. Brody,et al.  Depression in the United States household population, 2005-2006. , 2008, NCHS data brief.

[11]  K. Ball,et al.  Associations between physical activity and depressive symptoms in women , 2008, The international journal of behavioral nutrition and physical activity.

[12]  P. Cuijpers,et al.  Excess mortality in depression: a meta-analysis of community studies. , 2002, Journal of affective disorders.

[13]  Terence Dwyer,et al.  Physical activity and depression in young adults. , 2009, American journal of preventive medicine.

[14]  N. Lautenschlager,et al.  Association Between Lifestyle Factors and Mental Health Measures Among Community-Dwelling Older Women , 2004, The Australian and New Zealand journal of psychiatry.

[15]  Mats Börjesson,et al.  A prospective study of leisure-time physical activity and mental health in Swedish health care workers and social insurance officers. , 2010, Preventive medicine.

[16]  E. Papastavrou,et al.  Caring for a relative with dementia: family caregiver burden. , 2007, Journal of advanced nursing.

[17]  D. Miller,et al.  Health-related quality of life , 2002, Multiple sclerosis.

[18]  E. Martinsen Physical activity in the prevention and treatment of anxiety and depression , 2008, Nordic journal of psychiatry.

[19]  Janet E. Fulton,et al.  2008 physical activity guidelines for Americans; be active, healthy, and happy! , 2008 .

[20]  A. Nierenberg,et al.  Deficits in Psychological Well‐Being and Quality‐of‐Life in Minor Depression: Implications for DSM‐V , 2010, CNS neuroscience & therapeutics.

[21]  Henry Chung,et al.  Using the PHQ-9 for depression screening and treatment monitoring for Chinese Americans in primary care. , 2006, Psychiatric services.

[22]  A. Mauromoustakos,et al.  Variables for the Prediction of Femoral Bone Mineral Status in American Women , 2006, Southern medical journal.

[23]  Gary Rodin,et al.  Depression in medical patients , 2002, BMJ : British Medical Journal.

[24]  Barbara E Ainsworth,et al.  Comparison of pedometer and accelerometer measures of free-living physical activity. , 2002, Medicine and science in sports and exercise.

[25]  Olga V. Demler,et al.  The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). , 2003, JAMA.

[26]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[27]  D. Blazer,et al.  A multivariate analysis of factors associated with depression: evaluating the role of health literacy as a potential contributor. , 2000, Archives of internal medicine.

[28]  L. Mâsse,et al.  Physical activity in the United States measured by accelerometer. , 2008, Medicine and science in sports and exercise.

[29]  D. Makuc,et al.  Health, United States, 2009; with special feature on medical technology , 2010 .

[30]  Suzanne G. Leveille,et al.  Exploring the effect of depression on physical disability: longitudinal evidence from the established populations for epidemiologic studies of the elderly. , 1999, American journal of public health.

[31]  Task Force on Community Preventive Services Recommendations to increase physical activity in communities. , 2002, American journal of preventive medicine.

[32]  Henry Chung,et al.  Using the PHQ-9 for depression screening and treatment monitoring for Chinese Americans in primary care. , 2006, Psychiatric services.

[33]  Klaus P. Ebmeier,et al.  Recent developments and current controversies in depression , 2006, The Lancet.