Cited by 128Physical Activity and HealthMental Health Treatment and AccessTreatment of Major Depression

Physical activity and depression: a large cross‐sectional, population‐based study across 36 low‐ and middle‐income countries

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Stubbs, B., Koyanagi, A., Schuch, F. B., Firth, J., Rosenbaum, S., Veronese, N., Solmi, M., Mugisha, J. +1 more·2016·Acta Psychiatrica Scandinavica

Abstract

Objective: Physical activity ( PA ) is good for health, yet several small‐scale studies have suggested that depression is associated with low PA . A paucity of nationally representative studies investigating this relationship exists, particularly in low‐ and middle‐income countries ( LMIC s). This study explored the global association of PA with depression and its mediating factors. Method: Participants from 36 LMIC s from the World Health Survey were included. Multivariable logistic regression analyses were undertaken exploring the relationship between PA and depression. Results: Across 178 867 people (mean ± SD age = 36.2 ± 13.5 years; 49.9% male), the prevalence of depression and the prevalence of low PA were 6.6% and 16.8% respectively. The prevalence of low PA was significantly higher among those with depression vs. no depression (26.0% vs. 15.8%, P < 0.0001). In the adjusted model, depression was associated with higher odds for low PA ( OR = 1.42; 95% CI = 1.24–1.63). Mediation analyses demonstrated that low PA among people with depression was explained by mobility limitations (40.3%), pain and discomfort (35.8%), disruptions in sleep and energy (25.2%), cognition (19.4%) and vision (10.9%). Conclusion: Individuals with depression engage in lower levels of PA in LMIC s. Future longitudinal research is warranted to better understand the relationships observed.

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Crossref · 10.1111/acps.12654

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Authors
Stubbs, B., Koyanagi, A., Schuch, F. B., Firth, J., Rosenbaum, S., Veronese, N., Solmi, M., Mugisha, J., & Vancampfort, D.
Affiliations
  • National Health Service (GB)
  • Instituto de Salud Carlos III (ES)
  • Hospital de Clínicas de Porto Alegre (BR)
  • University of Manchester (GB)
  • UNSW Sydney (AU)
  • University of Padua (IT)
  • Butabika Hospital (UG)
  • KU Leuven (BE)
Corresponding author
Stubbs, B.
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2016-10-05
Volume
134
Issue
6
Pages
546-556
ISSN
  • 0001-690X (ISSN-L)
  • 1600-0447
OpenAlex
W2529769845
Cited by
128
References
61
Citations by year
2026: 11 · 2025: 6 · 2024: 11 · 2023: 23 · 2022: 15 · 2021: 9 · 2020: 12 · 2019: 16 · 2018: 11 · 2017: 13 · 2016: 1
FWCI
10.91
Type
journal article
Language
en
Open access
Locations
  • Acta Psychiatrica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
  • Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
  • Lirias (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • Padua Research Archive (University of Padova) (submittedVersion, cc-by-nc-nd)
Funders
  • National Institute for Health Research
  • Medical Research Council
  • Fonds Wetenschappelijk Onderzoek
  • Instituto de Salud Carlos III
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
physical activity, depression, physical inactivity, low- and middle-income countries, mediation, mobility limitations, pain and discomfort, sleep disruption, energy levels, cognition, visual impairment, World Health Survey
MeSH terms
Adolescent, Adult, Aged, Cross-Sectional Studies, Depression, Developing Countries, Female, Health Surveys, Humans, Income, Male, Middle Aged, Global Health, Exercise, Prevalence, Young Adult

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