TY - JOUR
T1 - Independent and combined associations of sugar-sweetened beverage consumption, TV viewing, and physical activity with severe depressive symptoms among 59,402 adults
AU - Werneck, André O
AU - Schuch, Felipe B
AU - Stubbs, Brendon
AU - Oyeyemi, Adewale L
AU - Szwarcwald, Célia L
AU - Vancampfort, Davy
AU - Silva, Danilo R
N1 - Funding Information:
We gratefully acknowledge the contributions of all participants of the present research, as well as the Instituto Brasileiro de Geografia e Estat?stica (IBGE) staff for the data collection. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. AOW is supported by the Fundac??o de Amparo ? Pesquisa do Estado de S?o Paulo (FAPESP) with a PhD scholarship (FAPESP process: 2019/24 124-7). This paper presents independent research. The views expressed in this publication are those of the authors and not necessarily those of the acknowledged institution.
Funding Information:
We gratefully acknowledge the contributions of all participants of the present research, as well as the Instituto Brasileiro de Geografia e Estatística (IBGE) staff for the data collection. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. AOW is supported by the Fundac¸ão de Amparo à Pesquisa do Estado de São Paulo (FAPESP) with a PhD scholarship (FAPESP process: 2019/24 124-7). This paper presents independent research. The views expressed in this publication are those of the authors and not necessarily those of the acknowledged institution.
Publisher Copyright:
© 2021, Associacao Brasileira de Psiquiatria. All rights reserved.
PY - 2021/12
Y1 - 2021/12
N2 - OBJECTIVE: Our aim was to analyze the association between sugar-sweetened beverage consumption and depressive symptoms, as well as the extent to which TV viewing and physical activity moderate this association.METHODS: We used cross-sectional data from the 2013 Brazilian National Survey (Pesquisa Nacional de Saúde) of 59,402 adults (33,482 women, mean age = 42.9 years, 95%CI 42.7-43.2 years). Depressive symptoms (Patient Health Questionnaire-9), physical activity, TV viewing, and sugar-sweetened beverage consumption, as well as potential confounders (chronological age, ethnicity, consumption of candy/sweets and fruit, multimorbidity, education, and employment status) were self-reported. Poisson regression models were used for association analyses.RESULTS: The consumption of 16 or more glasses/week of sugar-sweetened beverages was associated with higher levels of severe depressive symptoms among women compared to no consumption (prevalence ratio [PR] 1.71 [95%CI 1.38-2.11]). Consistent interactions were observed between 1-5 glasses and TV viewing (PR 2.09 [95%CI 1.06-4.12]) and between 11-15 glasses and TV viewing (PR 2.90 [95%CI 1.29-6.50]) among men compared to no consumption, given that the co-occurrence of sugar-sweetened beverage consumption and elevated TV viewing was associated with higher odds of severe depressive symptoms. Sugar-sweetened beverage consumption did not interact with physical activity, only presenting an independent association.CONCLUSION: Sugar-sweetened beverage consumption was independently associated with severe depressive symptoms among women and interacted with TV viewing, but not with physical activity among men.
AB - OBJECTIVE: Our aim was to analyze the association between sugar-sweetened beverage consumption and depressive symptoms, as well as the extent to which TV viewing and physical activity moderate this association.METHODS: We used cross-sectional data from the 2013 Brazilian National Survey (Pesquisa Nacional de Saúde) of 59,402 adults (33,482 women, mean age = 42.9 years, 95%CI 42.7-43.2 years). Depressive symptoms (Patient Health Questionnaire-9), physical activity, TV viewing, and sugar-sweetened beverage consumption, as well as potential confounders (chronological age, ethnicity, consumption of candy/sweets and fruit, multimorbidity, education, and employment status) were self-reported. Poisson regression models were used for association analyses.RESULTS: The consumption of 16 or more glasses/week of sugar-sweetened beverages was associated with higher levels of severe depressive symptoms among women compared to no consumption (prevalence ratio [PR] 1.71 [95%CI 1.38-2.11]). Consistent interactions were observed between 1-5 glasses and TV viewing (PR 2.09 [95%CI 1.06-4.12]) and between 11-15 glasses and TV viewing (PR 2.90 [95%CI 1.29-6.50]) among men compared to no consumption, given that the co-occurrence of sugar-sweetened beverage consumption and elevated TV viewing was associated with higher odds of severe depressive symptoms. Sugar-sweetened beverage consumption did not interact with physical activity, only presenting an independent association.CONCLUSION: Sugar-sweetened beverage consumption was independently associated with severe depressive symptoms among women and interacted with TV viewing, but not with physical activity among men.
UR - http://www.scopus.com/inward/record.url?scp=85104930810&partnerID=8YFLogxK
U2 - 10.1590/1516-4446-2020-1073
DO - 10.1590/1516-4446-2020-1073
M3 - Article
C2 - 33331496
SN - 1516-4446
VL - 43
SP - 574
EP - 583
JO - Revista Brasileira de Psiquiatria
JF - Revista Brasileira de Psiquiatria
IS - 6
ER -