Volume 45 Issue 3
Mar.  2024
Turn off MathJax
Article Contents
XU Yongjin, HUANG Cong, XU Yaping, YANG Guang. Relationship between physical activity levels and depressive symptoms in college students: a cohort study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 406-410. doi: 10.16835/j.cnki.1000-9817.2024075
Citation: XU Yongjin, HUANG Cong, XU Yaping, YANG Guang. Relationship between physical activity levels and depressive symptoms in college students: a cohort study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 406-410. doi: 10.16835/j.cnki.1000-9817.2024075

Relationship between physical activity levels and depressive symptoms in college students: a cohort study

doi: 10.16835/j.cnki.1000-9817.2024075
  • Received Date: 2023-11-06
  • Rev Recd Date: 2023-12-18
  • Available Online: 2024-03-29
  • Publish Date: 2024-03-25
  •   Objective  To explore the association between physical activity levels and depressive symptoms among college students, so as to provide evidence for promoting physical and mental health of college students.  Methods  Using a cohort study design, a baseline survey of 1 415 college students in Shenyang Normal University in 2017 followed for three years from 2018 to 2020. The International Physical Activity Questionnaire-Short Form (IPAQ-SF) and Self-rating Depression Scale (SDS) were used to evaluate the physical activity levels and depressive symptoms of college students. According to the level of physical activity at baseline (MET ·h/week), participants were divided into three groups [T1 (≤36.4), T2 (>36.4-89.3) and T3 (>89.3)]. Logistic regression analysis was used to examine the association between baseline physical activity levels and the incidence of depressive symptoms during the school years.  Results  In the 3-year follow-up (2018-2020), 852 (60.2%) participants exhibited depressive symptoms. The numbers of individuals with depressive symptoms in the T1, T2, and T3 groups were 324, 268, and 260, respectively. Logistic regression analysis showed that college students who participated in higher levels of physical activity decreased the risk of depressive symptoms by 34.2% [T2: OR(95%CI) = 0.658 (0.500-0.866)] and 38.9% [T3:OR(95%CI)=0.611(0.465-0.804)] compared with T1 group after adjusting for demographic, lifestyle, health-related factors, and baseline depressive symptoms as covariates. The sex-stratified analysis showed a negative correlation between physical activity levels and the incidence of depressive symptoms in female college students. Compared with T1 group, higher levels of physical activity reduced the incidence of depressive symptoms by 39.6% [T2: OR(95%CI)=0.604(0.445-0.820)] and 37.7% [T3: OR(95%CI)=0.623(0.459-0.846)], respectively (P < 0.01). However, there was no significant correlation between physical activity levels and depressive symptoms in male college students (P>0.05).  Conclusions  There is an inverse relationship between physical activity levels and depressive symptoms. The findings suggest that schools should reduce the risk of depressive symptoms by promoting physical activity levels among college students.
  • loading
  • [1]
    ORTH U, ROBINS R W, MEIER L L. Disentangling the effects of low self-esteem and stressful events on depression: findings from three longitudinal studies[J]. J Pers Soc Psychol, 2009, 97(2): 307. doi: 10.1037/a0015645
    [2]
    LIU Y, ZHANG N, BAO G, et al. Predictors of depressive symptoms in college students: a systematic review and Meta-analysis of cohort studies[J]. J Affect Disord, 2019, 244: 196-208. doi: 10.1016/j.jad.2018.10.084
    [3]
    NOLEN-HOEKSEMA S, LARSON J, GRAYSON C. Explaining the gender difference in depressive symptoms[J]. J Pers Soc Psychol, 1999, 77(5): 1061. doi: 10.1037/0022-3514.77.5.1061
    [4]
    WILSON K T, BOHNERT A E, AMBROSE A, et al. Social, behavioral, and sleep characteristics associated with depression symptoms among undergraduate students at a women's college: a cross-sectional depression survey, 2012[J]. BMC Womens Health, 2014, 14: 8. doi: 10.1186/1472-6874-14-8
    [5]
    QUIRK S E, WILLIAMS L J, O'NEIL A, et al. The association between diet quality, dietary patterns and depression in adults: a systematic review[J]. BMC Psychiatry, 2013, 13: 175. doi: 10.1186/1471-244X-13-175
    [6]
    ELLIOT C A, KENNEDY C, MORGAN G, et al. Undergraduate physical activity and depressive symptoms: a national study[J]. Am J Health Behav, 2012, 36(2): 230-241. doi: 10.5993/AJHB.36.2.8
    [7]
    XIANG M Q, TAN X M, SUN J, et al. Relationship of physical activity with anxiety and depression symptoms in Chinese college students during the COVID-19 outbreak[J]. Front Psychol, 2020, 11: 582436. doi: 10.3389/fpsyg.2020.582436
    [8]
    PEREIRA S M P, GEOFFROY M C, POWER C. Depressive symptoms and physical activity during 3 decades in adult life: bidirectional associations in a prospective cohort study[J]. JAMA Psychiatry, 2014, 71(12): 1373-1380. doi: 10.1001/jamapsychiatry.2014.1240
    [9]
    KANDOLA A, LEWIS G, OSBORN D P, et al. Depressive symptoms and objectively measured physical activity and sedentary behaviour throughout adolescence: a prospective cohort study[J]. Lancet Psychiatry, 2020, 7(3): 262-271. doi: 10.1016/S2215-0366(20)30034-1
    [10]
    ZUNG W W. A Self-rating Depression Scale[J]. Arch Gen Psychiatry, 1965, 12(1): 63-70. doi: 10.1001/archpsyc.1965.01720310065008
    [11]
    金正格, 刘景, 李书琴, 等. 安徽省医学专科生体力活动与抑郁症状的关联[J]. 现代预防医学, 2021, 48(17): 3187-3190, 3264. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202117027.htm

    JIN Z G, LIU J, LI S Q, et al. The relationship between physical activity and depressive symptoms among medical college students in Anhui Province[J]. Mod Prev Med, 2021, 48(17): 3187-3190, 3264. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202117027.htm
    [12]
    王春芳, 蔡则环, 徐清. 抑郁自评量表—SDS对1 340例正常人评定分析[J]. 中国神经精神疾病杂志, 1986, 12(5): 267-268. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ198605005.htm

    WANG C F, CAI Z H, XU Q. Using Self-rating Depression Scale (SDS) in community population (n=1 340)[J]. Chin J Nerv Ment Dis, 1986, 12(5): 267-268. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ198605005.htm
    [13]
    屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 87-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200403030.htm

    QU N N, LI K J. Study on the reliability and validity of International Physical Activity Questionnaire (Chinese Vision, IPAQ)[J]. Chin J Epidemiol, 2004, 25(3): 87-90. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200403030.htm
    [14]
    AINSWORTH B E, HASKELL W L, HERRMANN S D, et al. 2011 compendium of physical activities: a second update of codes and MET values[J]. Med Sci Sport Exer, 2011, 43(8): 1575-1581. doi: 10.1249/MSS.0b013e31821ece12
    [15]
    MOMMA H, SAWADA S S, SLOAN R A, et al. Importance of achieving a "fit" cardiorespiratory fitness level for several years on the incidence of type 2 diabetes mellitus: a Japanese cohort study[J]. J Epidemiol, 2018, 28(5): 230-236. doi: 10.2188/jea.JE20160199
    [16]
    ALBERTI K G M M, ECKEL R H, GRUNDY S M, et al. Harmonizing the metabolic syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; national heart, lung, and blood institute; American heart association; world heart federation; international atherosclerosis society; and international association for the study of obesity[J]. Circulation, 2009, 120(16): 1640-1645. doi: 10.1161/CIRCULATIONAHA.109.192644
    [17]
    GUO F, TIAN Y, ZHONG F, et al. Intensity of physical activity and depressive symptoms in college students: fitness improvement tactics in youth (fityou) project[J]. Psychol Resb Behav Manage, 2020, 13: 787-796. doi: 10.2147/PRBM.S267066
    [18]
    EL ANSARI W, STOCK C, PHILLIPS C, et al. Does the association between depressive symptomatology and physical activity depend on body image perception? A survey of students from seven universities in the UK[J]. Int J Environ Res Public Health, 2011, 8(2): 281-299. doi: 10.3390/ijerph8020281
    [19]
    TALIAFERRO L A, RIENZO B A, PIGG R M, et al. Associations between physical activity and reduced rates of hopelessness, depression, and suicidal behavior among college students[J]. J Am Coll Health, 2009, 57(4): 427-436. doi: 10.3200/JACH.57.4.427-436
    [20]
    XIE H, TAO S, ZHANG Y, et al. Impact of problematic mobile phone use and insufficient physical activity on depression symptoms: a college-based follow-up study[J]. BMC Public Health, 2019, 19(1): 1-7. doi: 10.1186/s12889-018-6343-3
    [21]
    法洁锦. 体力活动、屏幕时间和睡眠时长与大学生抑郁症的相关性研究[J]. 南京师大学报(自然科学版), 2021, 44(4): 135-139, 148. doi: 10.3969/j.issn.1001-4616.2021.04.018

    FA J J. Physical activity, screen time and sleep duration: combined associations with depression in college students[J]. J Nanjing Norm Univ (Nat Sci Edit), 2021, 44(4): 135-139, 148. (in Chinese) doi: 10.3969/j.issn.1001-4616.2021.04.018
    [22]
    LIU W, GE T, LENG Y, et al. The role of neural plasticity in depression: from hippocampus to prefrontal cortex[J]. Neural Plasticity, 2017, 2017: 1-11.
    [23]
    KUHN M, HÖGER N, FEIGE B, et al. Fear extinction as a model for synaptic plasticity in major depressive disorder[J]. PLoS One, 2014, 9(12): e115280. doi: 10.1371/journal.pone.0115280
    [24]
    MACQUEEN G M, CAMPBELL S, MCEWEN B S, et al. Course of illness, hippocampal function, and hippocampal volume in major depression[J]. Proc Natl Acad Sci, 2003, 100(3): 1387-1392. doi: 10.1073/pnas.0337481100
    [25]
    HENDRIKSE J, CHYE Y, THOMPSON S, et al. Regular aerobic exercise is positively associated with hippocampal structure and function in young and middle-aged adults[J]. Hippocampus, 2022, 32(3): 137-152. doi: 10.1002/hipo.23397
    [26]
    YANG T, NIE Z, SHU H, et al. The role of BDNF on neural plasticity in depression[J]. Front Cell Neurosci, 2020, 14: 82.
    [27]
    MOLENDIJK M, SPINHOVEN P, POLAK M, et al. Serum BDNF concentrations as peripheral manifestations of depression: evidence from a systematic review and Meta-analyses on 179 associations (n=9 484)[J]. Mol Psychiatry, 2014, 19(7): 791-800. doi: 10.1038/mp.2013.105
    [28]
    MEYER J D, KOLTYN K F, STEGNER A J, et al. Relationships between serum BDNF and the antidepressant effect of acute exercise in depressed women[J]. Psychoneuroendocrinology, 2016, 74: 286-294. doi: 10.1016/j.psyneuen.2016.09.022
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article Metrics

    Article views (132) PDF downloads(33) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return