Cargando…

High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020

The COVID-19 pandemic has elicited increased sedentary behaviors, decreased moderate-to-vigorous physical activity (MVPA), and worsened mental health, yet the longitudinal impact of these changes and their inter-relations remains unknown. Our purpose was to examine associations between changes in se...

Descripción completa

Detalles Bibliográficos
Autores principales: Meyer, Jacob D., O'Connor, John, McDowell, Cillian P., Lansing, Jeni E., Brower, Cassandra S., Herring, Matthew P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519400/
https://www.ncbi.nlm.nih.gov/pubmed/34658975
http://dx.doi.org/10.3389/fpsyt.2021.741433
_version_ 1784584441207717888
author Meyer, Jacob D.
O'Connor, John
McDowell, Cillian P.
Lansing, Jeni E.
Brower, Cassandra S.
Herring, Matthew P.
author_facet Meyer, Jacob D.
O'Connor, John
McDowell, Cillian P.
Lansing, Jeni E.
Brower, Cassandra S.
Herring, Matthew P.
author_sort Meyer, Jacob D.
collection PubMed
description The COVID-19 pandemic has elicited increased sedentary behaviors, decreased moderate-to-vigorous physical activity (MVPA), and worsened mental health, yet the longitudinal impact of these changes and their inter-relations remains unknown. Our purpose was to examine associations between changes in self-reported activity behaviors and mental health over an 8-week period following the COVID-19 outbreak. Participants from all 50 states and the District of Colombia were recruited through convenience and snowball sampling at baseline April 3–10, 2020. Prospective data from 2,327 US adults with ≥2 responses (63.8% female; 74.3% response rate) were collected weekly via online survey for eight consecutive weeks (April 3–June 3, 2020). Primary exposures were self-reported time spent sitting, viewing screens and in MVPA, with primary outcomes being depressive symptoms, anxiety symptoms, and positive mental health (PMH). A significant sitting-by-time interaction (p < 0.05) showed slightly higher marginal effects for depressive symptoms for the 90th-percentile of sitting time than the 10th-percentile at baseline (5.8 [95% confidence interval = 5.5–6.2] vs. 5.7 [5.4–6.1]), with the difference magnifying over time (week 8: 3.5 [3.2–3.9] vs. 2.7 [2.4–2.9]). No other interactions over time were significant. Screen time was negatively associated with PMH and positively associated with depressive and anxiety symptoms (p < 0.05). Sitting time was negatively associated with PMH (p < 0.05). Rapid changes in sitting patterns (e.g., due to a pandemic) may have lasting effects on depressive symptoms. Strategies targeting those most affected (i.e., young adults, females) and/or focused on reducing sitting time may be critical for preventing long-term mental health effects resulting from COVID-19 or other large-scale behavior changes in the general population.
format Online
Article
Text
id pubmed-8519400
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-85194002021-10-16 High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020 Meyer, Jacob D. O'Connor, John McDowell, Cillian P. Lansing, Jeni E. Brower, Cassandra S. Herring, Matthew P. Front Psychiatry Psychiatry The COVID-19 pandemic has elicited increased sedentary behaviors, decreased moderate-to-vigorous physical activity (MVPA), and worsened mental health, yet the longitudinal impact of these changes and their inter-relations remains unknown. Our purpose was to examine associations between changes in self-reported activity behaviors and mental health over an 8-week period following the COVID-19 outbreak. Participants from all 50 states and the District of Colombia were recruited through convenience and snowball sampling at baseline April 3–10, 2020. Prospective data from 2,327 US adults with ≥2 responses (63.8% female; 74.3% response rate) were collected weekly via online survey for eight consecutive weeks (April 3–June 3, 2020). Primary exposures were self-reported time spent sitting, viewing screens and in MVPA, with primary outcomes being depressive symptoms, anxiety symptoms, and positive mental health (PMH). A significant sitting-by-time interaction (p < 0.05) showed slightly higher marginal effects for depressive symptoms for the 90th-percentile of sitting time than the 10th-percentile at baseline (5.8 [95% confidence interval = 5.5–6.2] vs. 5.7 [5.4–6.1]), with the difference magnifying over time (week 8: 3.5 [3.2–3.9] vs. 2.7 [2.4–2.9]). No other interactions over time were significant. Screen time was negatively associated with PMH and positively associated with depressive and anxiety symptoms (p < 0.05). Sitting time was negatively associated with PMH (p < 0.05). Rapid changes in sitting patterns (e.g., due to a pandemic) may have lasting effects on depressive symptoms. Strategies targeting those most affected (i.e., young adults, females) and/or focused on reducing sitting time may be critical for preventing long-term mental health effects resulting from COVID-19 or other large-scale behavior changes in the general population. Frontiers Media S.A. 2021-10-01 /pmc/articles/PMC8519400/ /pubmed/34658975 http://dx.doi.org/10.3389/fpsyt.2021.741433 Text en Copyright © 2021 Meyer, O'Connor, McDowell, Lansing, Brower and Herring. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Meyer, Jacob D.
O'Connor, John
McDowell, Cillian P.
Lansing, Jeni E.
Brower, Cassandra S.
Herring, Matthew P.
High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020
title High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020
title_full High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020
title_fullStr High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020
title_full_unstemmed High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020
title_short High Sitting Time Is a Behavioral Risk Factor for Blunted Improvement in Depression Across 8 Weeks of the COVID-19 Pandemic in April–May 2020
title_sort high sitting time is a behavioral risk factor for blunted improvement in depression across 8 weeks of the covid-19 pandemic in april–may 2020
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519400/
https://www.ncbi.nlm.nih.gov/pubmed/34658975
http://dx.doi.org/10.3389/fpsyt.2021.741433
work_keys_str_mv AT meyerjacobd highsittingtimeisabehavioralriskfactorforbluntedimprovementindepressionacross8weeksofthecovid19pandemicinaprilmay2020
AT oconnorjohn highsittingtimeisabehavioralriskfactorforbluntedimprovementindepressionacross8weeksofthecovid19pandemicinaprilmay2020
AT mcdowellcillianp highsittingtimeisabehavioralriskfactorforbluntedimprovementindepressionacross8weeksofthecovid19pandemicinaprilmay2020
AT lansingjenie highsittingtimeisabehavioralriskfactorforbluntedimprovementindepressionacross8weeksofthecovid19pandemicinaprilmay2020
AT browercassandras highsittingtimeisabehavioralriskfactorforbluntedimprovementindepressionacross8weeksofthecovid19pandemicinaprilmay2020
AT herringmatthewp highsittingtimeisabehavioralriskfactorforbluntedimprovementindepressionacross8weeksofthecovid19pandemicinaprilmay2020