Associations between physical activity and depressive symptoms by weight status among adults with type 2 diabetes: results from diabetes MILES–Australia
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Background: To examine associations between physical activity (PA) and depressive symptoms among adults with type 2 diabetes mellitus (Type 2 DM), and whether associations varied according to weight status. Methods: Diabetes MILES–Australia is a national survey of adults with diabetes, focused on behavioral and psychosocial issues. Data from 705 respondents with Type 2 DM were analyzed, including: demographic and clinical characteristics, PA (IPAQ-SF), depressive symptoms (PHQ-9), and BMI (self-reported height and weight). Data analysis was performed using ANCOVA. Results: Respondents were aged 59 ± 8 years; 50% women. PA was negatively associated with depressive symptoms for the overall sample (η p2= 0.04,P < .001) and all weight categories separately: healthy (η p2 0.11 P = .041,), overweight (η p2= 0.04, P = .025) and obese (η p2 = 0.03, P = .007). For people who were healthy (BMI 18.5 to 24.9) or overweight (BMI 25 to 29.9), high amounts of PA were significantly associated with fewer depressive symptoms; for adults who were obese (BMI ≥ 30) however, both moderate and high amounts were associated with fewer depressive symptoms. Conclusions: PA is associated with fewer depressive symptoms among adults with Type 2DM, however the amount of PA associated with fewer depressive symptoms varies according to weight status. Lower amounts of PA might be required for people who are obese to achieve meaningful reductions in depressive symptoms compared with those who are healthy weight or overweight. Further research is needed to establish the direction of the relationship between PA and depressive symptoms.
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In adults, mental health benefits are associated with lower levels of PA than required for physical health benefits.
“In adults, mental health benefits are associated with lower levels of PA than required for physical health benefits,80–82 and it is possible that this relationship also holds for younger people; however, this would require additional rigorous empirical support.”
From Physical activity and exercise in youth mental health promotion: a scoping review (2020) · cites this paper as [80]
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Physical activity and exercise in youth mental health promotion: a scoping review
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Self-citation
- Authors
- Craike, M. J., Mosely, K., Browne, J. L., Pouwer, F., & Speight, J.
- Affiliations
- Victoria University (AU)
- Venue
- Journal of Physical Activity and Health
- Publisher
- Human Kinetics
- Published
- 2017-03
- Volume
- 14
- Issue
- 3
- Pages
- 195-202
- ISSN
- 1543-3080 (ISSN-L)
- 1543-5474
- OpenAlex
- W2560571859
- Cited by
- 12
- References
- 29
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 2
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- green
- vuir.vu.edu.au
- Locations
- Journal of Physical Activity and Health (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- UTS ePRESS (University of Technology Sydney) (submittedVersion)
- Funders
- Diabetes Victoria
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- physical activity, depressive symptoms, type 2 diabetes, body mass index, obesity, overweight, healthy weight, mental health
- MeSH terms
- Adult, Aged, Australia, Body Weight, Depression, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Obesity, Exercise, Body Mass Index, Overweight, Young Adult
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