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Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey

BACKGROUND: With the increase in the understanding of the influence of various lifestyle factors such as sedentary behaviour and level of physical activity (PA) on physical and mental health, there has been a growing research interest on how physical inactivity correlates with depressive outcomes ac...

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Autores principales: Bishwajit, Ghose, O’Leary, Daniel Peter, Ghosh, Sharmistha, Yaya, Sanni, Shangfeng, Tang, Feng, Zhanchun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410033/
https://www.ncbi.nlm.nih.gov/pubmed/28454520
http://dx.doi.org/10.1186/s12877-017-0489-1
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author Bishwajit, Ghose
O’Leary, Daniel Peter
Ghosh, Sharmistha
Yaya, Sanni
Shangfeng, Tang
Feng, Zhanchun
author_facet Bishwajit, Ghose
O’Leary, Daniel Peter
Ghosh, Sharmistha
Yaya, Sanni
Shangfeng, Tang
Feng, Zhanchun
author_sort Bishwajit, Ghose
collection PubMed
description BACKGROUND: With the increase in the understanding of the influence of various lifestyle factors such as sedentary behaviour and level of physical activity (PA) on physical and mental health, there has been a growing research interest on how physical inactivity correlates with depressive outcomes across countries. The present study aimed to examine 1) the pattern of engaging in PA among middle- and older-aged population in four South Asian countries, and 2) whether PA is associated with higher prevalence of depression. METHODS: This cross-sectional study is based on country-representative data obtained from WHO’s World Health Survey (WHS). Subjects were 7204 men and women aged above 50 years from Bangladesh, India, Nepal and Sri Lanka, all of which are classified as Low-and-middle-income countries (LMICs) in World Bank reports. Outcome variables were self-ported depression (SRD) and ever being diagnosed with depression. Association between frequency of moderate (MPA) and vigorous physical activity (VPA) and depression was analysed by multivariable regression methods. RESULT: Prevalence of self-reported depression was respectively 47.7%, 40.3%, 40.4% and 11.4% in Bangladesh, India, Nepal and Sri Lanka. Prevalence of being ever diagnosed with depression was highest in Nepal (38.7%), followed by India (17.7%), Bangladesh (2.5%) and Sri Lanka (2%). Multivariable analysis shown statistically significant association between PA and diagnosed depression in Bangladesh and India, but not with SRD. In Bangladesh, compared to those who reported engaging in MPA on daily basis, the odds of reporting diagnosed depression were more than five times higher [AOR = 5.512; 95% CI = 1.159–26.21] for those who never took MPA. In India, those never took VPA had 44% higher [AOR = 1.442; 95% CI = 1.046–1.987] odds of being diagnosed with depression compared those who never engaged in VPA. CONCLUSION: Lower frequency of vigorous physical activity were significantly associated with higher rates of depression diagnosed. Based on the findings, it is recommendable that health programs targeting mental health among middle- and older-aged population take steps to promote the level of PA within a multi-dimensional depression prevention framework. Longitudinal studies are needed to understand the role of vigorous and moderate physical activity on the onset and intervention of depression among elderly population in the region.
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spelling pubmed-54100332017-05-02 Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey Bishwajit, Ghose O’Leary, Daniel Peter Ghosh, Sharmistha Yaya, Sanni Shangfeng, Tang Feng, Zhanchun BMC Geriatr Research Article BACKGROUND: With the increase in the understanding of the influence of various lifestyle factors such as sedentary behaviour and level of physical activity (PA) on physical and mental health, there has been a growing research interest on how physical inactivity correlates with depressive outcomes across countries. The present study aimed to examine 1) the pattern of engaging in PA among middle- and older-aged population in four South Asian countries, and 2) whether PA is associated with higher prevalence of depression. METHODS: This cross-sectional study is based on country-representative data obtained from WHO’s World Health Survey (WHS). Subjects were 7204 men and women aged above 50 years from Bangladesh, India, Nepal and Sri Lanka, all of which are classified as Low-and-middle-income countries (LMICs) in World Bank reports. Outcome variables were self-ported depression (SRD) and ever being diagnosed with depression. Association between frequency of moderate (MPA) and vigorous physical activity (VPA) and depression was analysed by multivariable regression methods. RESULT: Prevalence of self-reported depression was respectively 47.7%, 40.3%, 40.4% and 11.4% in Bangladesh, India, Nepal and Sri Lanka. Prevalence of being ever diagnosed with depression was highest in Nepal (38.7%), followed by India (17.7%), Bangladesh (2.5%) and Sri Lanka (2%). Multivariable analysis shown statistically significant association between PA and diagnosed depression in Bangladesh and India, but not with SRD. In Bangladesh, compared to those who reported engaging in MPA on daily basis, the odds of reporting diagnosed depression were more than five times higher [AOR = 5.512; 95% CI = 1.159–26.21] for those who never took MPA. In India, those never took VPA had 44% higher [AOR = 1.442; 95% CI = 1.046–1.987] odds of being diagnosed with depression compared those who never engaged in VPA. CONCLUSION: Lower frequency of vigorous physical activity were significantly associated with higher rates of depression diagnosed. Based on the findings, it is recommendable that health programs targeting mental health among middle- and older-aged population take steps to promote the level of PA within a multi-dimensional depression prevention framework. Longitudinal studies are needed to understand the role of vigorous and moderate physical activity on the onset and intervention of depression among elderly population in the region. BioMed Central 2017-04-28 /pmc/articles/PMC5410033/ /pubmed/28454520 http://dx.doi.org/10.1186/s12877-017-0489-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Bishwajit, Ghose
O’Leary, Daniel Peter
Ghosh, Sharmistha
Yaya, Sanni
Shangfeng, Tang
Feng, Zhanchun
Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey
title Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey
title_full Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey
title_fullStr Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey
title_full_unstemmed Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey
title_short Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: World health survey
title_sort physical inactivity and self-reported depression among middle- and older-aged population in south asia: world health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410033/
https://www.ncbi.nlm.nih.gov/pubmed/28454520
http://dx.doi.org/10.1186/s12877-017-0489-1
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