The effects of physical activity and sedentary behavior in the associations between cardiovascular diseases and depression: A four-way decomposition

Xu, Huafu; Deng, Kaisheng; Lin, Ziqiang; Huang, Zhenhui; Gong, Xiao; Tan, Jianyi; Huang, Baoying; Gao, Yanhui

doi:10.1016/j.jad.2020.07.017

Cited by 18 publications

(12 citation statements)

References 49 publications

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“…The finding implies that psychological well-being is intimately affected by healthy behaviors, rather than being solely dependent on personal control. Beyond extant evidence [ 26 , 27 ], the finding in this study emphasized the importance of promoting healthy behaviors for better health outcomes, by demonstrating its role in mediating the relationship between personal control and psychological well-being.…”

Section: Discussionmentioning

confidence: 52%

Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

Yeom

Lee

2022

IJERPH

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A sense of control and autonomy are key components in guiding health-related behaviors and quality of life in people with chronic diseases. This study investigated whether autonomy support from health professionals moderates the impact of personal control on psychological well-being through healthy behaviors in patients with hypertension and cardiovascular comorbidities. Data from 149 hypertensive patients with comorbid cardiovascular risk factors were collected via self-administered surveys. A moderated mediation effect of a hypothesized model was analyzed using the PROCESS macro bootstrapping method. Autonomy support from health professionals moderated the relationship between personal control and healthy behaviors (B = 0.16, t = 2.48, p < 0.05), showing that the effect of personal control on healthy behaviors differed by the level of autonomy support. Additionally, autonomy support moderated the mediation effect of healthy behaviors in the relationship between personal control and psychological well-being (Index = 0.15; 95% CI = 0.010, 0.335). The mediation effect existed only in patients with higher autonomy support. The findings demonstrate that autonomy support from health professionals plays a crucial role in reinforcing the positive impact of personal control on healthy behaviors and psychological well-being. Enhancing the supportive attitudes of health professionals that facilitate patients’ autonomous self-regulation is necessary for better health outcomes in people with combined cardiovascular diseases.

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Section: Discussionmentioning

confidence: 52%

Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

Yeom

Lee

2022

IJERPH

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“…For elderly population, declines in recreational/leisure activities are associated with frequent falling and physical dysfunction 49,50 . Individuals lacking practice of recreational PA have a higher risk of prediabetes, type 2 diabetes, metabolic syndrome, and depression 51–56 . Recreational activity, but not work‐ and transport‐related activity, shows a significant relationship with risk reduction in patients with axial spondyloarthritis and chronic kidney disease 57,58 .…”

Section: Discussionmentioning

confidence: 99%

“…49,50 Individuals lacking practice of recreational PA have a higher risk of prediabetes, type 2 diabetes, metabolic syndrome, and depression. [51][52][53][54][55][56] Recreational activity, but not work-and transport-related activity, shows a significant relationship with risk reduction in patients with axial spondyloarthritis and chronic kidney disease. 57,58 Contrary to the recreational ones, work activities serve as an aggravating factor in many diseases, including Barrett's esophagus, gastroesophageal reflux, and breast cancer.…”

Section: Discussionmentioning

confidence: 99%

The association of work physical activity and recreational physical activity with periodontitis in the NHANES (2009–2014)

Yang

et al. 2023

Journal of Periodontology

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BackgroundThe aim of this study was to investigate the association between different types and intensity of physical activities (PA) and periodontitis in a nationally representative sample of adults in the United States.MethodsThe data of periodontal condition and PA of 10,714 individuals were obtained from the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2014 and the Global Physical Activity Questionnaire (GPAQ). The association between the prevalence of periodontitis and two PAs (work PA and recreational PA) was respectively analyzed and adjusted by uni‐ and multi‐variable logistic regression models. The odd ratios (ORs), adjusted odd ratios (ORad), and 95% confidence interval (95% CI) were calculated as the main outcome indicators.ResultsAfter adjusted by age, sex, race, poverty‐income ratio (PIR), diabetes, smoking status, alcohol use, and floss frequency, moderate and vigorous work PAs were significantly correlated with higher odds of periodontitis (ORad = 1.22, 95% CI = 1.02–1.46; ORad = 1.40, 95% CI = 1.04–1.89, respectively) while moderate and vigorous recreational PAs were correlated with lower odds of periodontitis (ORad = 0.81, 95% CI = 0.69–0.95; ORad = 0.55, 95% CI = 0.43–0.71, respectively).ConclusionsWork PAs and recreational PAs have opposite associations on the prevalence of developing periodontitis and their aggravating or protective associations enhance with the increase of intensity.

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“…Similarly, light exercise volume was defined as less than 150 min per week of moderate-intensity aerobic exercise or equivalent status. In addition, on the basis of self-reported sedentary behavior, sedentary status was categorized as follows: more than 480 min/day as severe and less than 480 min/day as mild sedentary behavior (36,37).…”

Section: Exposure: Exercise Activity and Sedentary Behaviormentioning

confidence: 99%

The association between sedentary behavior, exercise, and sleep disturbance: A mediation analysis of inflammatory biomarkers

et al. 2023

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BackgroundTwo related lifestyle behaviors associated with sleep disturbance are sedentary behavior and physical exercise participation. We aimed to use a population-based study to disentangle the relationships between sedentary behavior, exercise, and sleep disturbance based on blood-cell-based inflammatory biomarkers.MethodsA total of 22,599 participants from the National Health and Nutrition Examination Survey (NHANES) were included in the analyses. Sleep disturbance was assessed according to the NHANES questionnaire. Exercise participation ansd sedentary behavior were evaluated by the global physical activity questionnaire. The inflammatory biomarkers in the examination were white blood cell (WBC) count, neutrophil count (NEU), neutrophil-to-lymphocyte ratio (NLR), and systemic immune inflammation index (SII). A complex multistage sampling design and weighted multivariable logistic regression were applied for further analysis. Mediation models were constructed to figure out the mediating role of inflammatory biomarkers.ResultsThe weighted prevalence of sleep disturbance was 24.17%. Sedentary behavior and exercise were associated with sleep disturbance after full adjustment [for sedentary behavior, OR (95% CI): 1.261 (1.154, 1.377); for exercise, OR (95% CI): 0.849 (0.757, 0.953)]. In severe sedentary behavior groups, the mitigation effect of exercise on sleep disturbance was observed [OR (95% CI): 0.687 (0.551, 0.857)]. For the mechanism, strong associations were detected between inflammatory biomarkers and sleep disturbance. Mediation analysis showed that WBC, NEU, NLR, and SII mediated the statistical association between sedentary behavior and sleep disturbance with proportions (%) of 2.09, 2.27, 1.76, and 0.82, respectively.ConclusionsOur data suggested that sedentary behavior was a risk factor for sleep disturbance. Blood-cell-based inflammatory biomarkers were an easily accessible and cost-effective strategy for identifying sleep disturbance and also significantly mediated the association between sedentary behavior and sleep disturbance. Exercise was proved to be effective in severe sedentary behavior groups to improve sleep disturbance symptoms, while the internal mechanism needed further exploration.

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The effects of physical activity and sedentary behavior in the associations between cardiovascular diseases and depression: A four-way decomposition

Cited by 18 publications

References 49 publications

Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

The association of work physical activity and recreational physical activity with periodontitis in the NHANES (2009–2014)

The association between sedentary behavior, exercise, and sleep disturbance: A mediation analysis of inflammatory biomarkers

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