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Independent relationships between different domains of physical activity and depressive symptoms among 60,202 Brazilian adults

Research output: Contribution to journalArticle

André O Werneck, Brendon Stubbs, Célia L Szwarcwald, Danilo R Silva

Original languageEnglish
Pages (from-to)26-32
Number of pages7
Early online date31 Jan 2020
Publication statusPublished - 1 May 2020

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Copyright © 2020 Elsevier Inc. All rights reserved.

King's Authors


OBJECTIVE: To analyze the association between four key different physical activity (PA) domains and depressive symptoms among Brazilian adults.

METHODS: Data from the Brazilian National Health Survey (n = 60,202; ≥18 years) were used. PA across four different domains (leisure, transport, occupational and household) was collected through specific questionnaires. The cutoff point adopted in each domain was 150 min/week. Depression was evaluated through the Patient Health Questionnaire-9. Multivariable adjusted linear and logistic regression models were applied.

RESULTS: Leisure PA was associated with lower depressive symptoms [β: -0.008 (95% CI: -0.010 to -0.005); OR: 0.69 (95% CI: 0.59 to 0.81)]. Transport PA was also associated with lower depressive symptoms among older adults [β -0.008 (-0.012 to -0.003); OR: 0.70 (95% CI: 0.53-0.94)] but not middle-aged adults. On the other hand, occupational PA [β: 0.003 (95% CI: 0.002 to 0.005); OR: 1.62 (95% CI: 1.38 to 1.91)] and household PA [β: 0.009 (95% CI: 0.006 to 0.012); OR: 1.57 (95% CI: 1.37 to 1.79)] were associated with higher depressive symptoms.

CONCLUSION: The association between PA and depression symptoms varies according to the domains of PA and some appear independent from each other. While leisure PA is associated with fewer depressive symptoms; occupational and household PA appear to be associated with an increased depression risk.

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