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Change in device-measured physical activity assessed in childhood and adolescence in relation to depressive symptoms: a general population-based cohort study.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Patalay, Praveetha 
Bell, Steven 

Abstract

AIM: Evidence for a link between physical activity and mental health in young people is hampered by methodological shortcomings. Using repeat assessments of device-measured physical activity, we examined the association of within-individual variation in free-living activity over 7 years with depressive symptoms. METHODS: This was a prospective cohort study of a nationally representative sample of children born in the UK (n=4898). Physical activity was quantified using accelerometry at ages 7 and 14. The main outcome was depressive symptoms, based on the Short Mood and Feelings Questionnaire, assessed at age 14. RESULTS: After adjustment for socioeconomic status, body mass index and psychological problems at baseline, a higher level of light-intensity activity at age 7 in girls was associated with a lower likelihood of having depressive symptoms at follow-up (OR, 0.79; 95% CI 0.61 to 1.00), although no associations were observed for moderate to vigorous activity or sedentary behaviour. Girls who transitioned from low baseline activity to higher levels at follow-up experienced a lower risk of depressive symptoms (OR, 0.60; 95% CI 0.39 to 0.92) compared with the inactive reference category. Null associations were observed in boys. Participants who consistently met the current recommendation of 60 min/day of moderate to vigorous activity both at 7 and 14 years of age experienced the lowest risk of depressive symptoms (OR, 0.55; 95% CI 0.34 to 0.88). CONCLUSION: To prevent depressive symptoms in adolescence, policies to increase physical activity from mid-childhood may have utility.

Description

Keywords

child health, cohort studies, depression, physical activity, Accelerometry, Adolescent, Child, Cohort Studies, Depression, Exercise, Female, Humans, Male, Motor Activity, Population Surveillance, Prospective Studies, Psychiatric Status Rating Scales, Sedentary Behavior, Social Class, Surveys and Questionnaires

Journal Title

J Epidemiol Community Health

Conference Name

Journal ISSN

0143-005X
1470-2738

Volume Title

74

Publisher

BMJ

Rights

All rights reserved
Sponsorship
British Heart Foundation (None)
British Heart Foundation (RG/18/13/33946)
Funding: This research was conducted under the auspices of the Cross-Cohort Research Programme and was funded by the Economic and Social Research Council (grant number ES/M008584/1). GDB is supported by the UK Medical Research Council (MR/P023444/1) and the US National Institute on Aging (1R56AG052519-01; 1R01AG052519-01A1). The funders had no role in the study design; in the collection, analysis and interpretation of data; in writing of the report; or in the decision to submit the paper for publication.