Korean J Fam Pract. 2017; 7(4): 610-613  https://doi.org/10.21215/kjfp.2017.7.4.610
Associations between Physical Activity and Depression: Korean National Health and Nutrition Examination Survey 2014
So-Hee Kim*, Mu-Kyung Jeon, Byeong-Du Kang
Department of Family Medicine, Bupyeong Serim Hospital, Incheon, Korea
So-Hee Kim
Tel: +82-32-509-5555, Fax: +82-32-517-4814
E-mail: mythopoeicsh@naver.com
Received: May 2, 2016; Revised: October 25, 2016; Accepted: October 25, 2016; Published online: August 20, 2017.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: In modern societies, depression is a significant public disease, and the importance of physical activity to prevent and recover from depression has been widely known. The aim of this study was to investigate the association between physical activity categories and depression.
Methods: We analyzed data of 3,739 participants aged 19 to 65 years from the Korean National Health and Nutrition Examination Survey 2014. We divided the participants into depression and non-depression groups according to 9-item Patient Health Questionnaire score and analyzed these scores using t-test and chi-square test. The odds ratio of depression in each physical activity group was calculated using a multivariable logistic regression analysis. Results were controlled for age, sex, income, occupation, sleep hours, stress, body mass index, and self-body cognition.
Results: After adjusting for the risk factors, the odds ratio of depression across the physical activity categories were 2.192 for the high-intensity workrelated group (P<0.001), 1.464 for the moderate-intensity work-related group (P=0.001), and 0.812 for the moderate-intensity exercise-related group (P=0.044).
Conclusion: The prevalence of depression increased in the work-related physical activity group and decreased in the exercise-related physical activity group. The findings of this study suggest that exercise-related physical activity has a protective effect against depression.
Keywords: Physical Activity; Patient Health Questionnarie-9; Depression
References
  1. Uher R, Payne JL, Pavlova B, Perlis RH. Major depressive disorder in DSM5: implications for clinical practice and research of changes from DSM-IV. Depress Anxiety 2014; 31: 459-71.
    Pubmed CrossRef
  2. Seoul National University College of Medicine. The epidemiological survey of mental disorders in Korea 2011. Sejong: Ministry of Health and Welfare;2012.
  3. Franz SL, Hamilton GV. Effect of exercise upon the retardation in condition of depression. Am J Insanity 1905; 62: 239-56.
    CrossRef
  4. Deslandes A, Moraes H, Ferreira C, Veiga H, Silveira H, Mouta R, et al. Exercise and mental health: many reasons to move. Neuropsychobiology 2009;59: 191-8.
    Pubmed CrossRef
  5. Dunn AL, Trivedi MH, O’Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sports Exerc 2001; 33:S587-97; discussion 609-10.
  6. Lawlor DA, Hopker SW. The effectiveness of exercise as an intervention in the management of depression: systematic review and meta-regression analysis of randomised controlled trials. BMJ 2001; 322: 763-7.
    CrossRef
  7. Craft LL, Landers DM. The effect of exercise on clinical depression and depression resulting from mental illness: a meta-analysis. J Sport Exerc Psychol 1998; 20: 339-57.
    CrossRef
  8. Stathopoulou G, Powers MB, Berry AC, Smits JAJ, Otto MW. Exercise interventions for mental health: a quantitative and qualitative review. Clin Psychol Sci Pract 2006; 13; 179-93.
    CrossRef
  9. Pinquart M, Duberstein PR, Lyness JM. Effects of psychotherapy and other behavioral interventions on clinically depressed older adults: a meta-analysis. Aging Ment Health 2007; 11: 645-57.
    Pubmed CrossRef
  10. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry 2008; 62 Suppl 47: 25-9.
    Pubmed CrossRef
  11. aan het Rot M, Collins KA, Fitterling HL. Physical exercise and depression. Mt Sinai J Med 2009; 76: 204-14.
    Pubmed CrossRef
  12. Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29: 167-80.
    CrossRef
  13. Spitzer RL, Williams JBW, Kroenke K, and colleagues (with an education grant from Pfizer Inc.). Patient Health Questionnaire-9 (PHQ-9) [Internet]. 2014 [cited 2016 Apr 27].
  14. Raichlen DA, Foster AD, Seillier A, Giuffrida A, Gerdeman GL. Exercise-induced endocannabinoid signaling is modulated by intensity. Eur J Appl Physiol 2013; 113: 869-75.
    Pubmed CrossRef
  15. Zschucke E, Renneberg B, Dimeo F, Wüstenberg T, Ströhle A. The stressbuffering effect of acute exercise: evidence for HPA axis negative feedback. Psychoneuroendocrinology 2015; 51: 414-25.
    Pubmed CrossRef
  16. Lotrich FE. Inflammatory cytokine-associated depression. Brain Res 2015;1617: 113-25.
    Pubmed KoreaMed CrossRef
  17. Peake JM, Della Gatta P, Suzuki K, Nieman DC. Cytokine expression and secretion by skeletal muscle cells: regulatory mechanisms and exercise effects. Exerc Immunol Rev 2015; 21: 8-25.
    Pubmed
  18. Daley A. Exercise and depression: a review of reviews. J Clin Psychol Med Settings 2008; 15: 140-7.
    Pubmed CrossRef
  19. Moriarty AS, Gilbody S, McMillan D, Manea L. Screening and case finding for major depressive disorder using the Patient Health Questionnaire (PHQ-9): a meta-analysis. Gen Hosp Psychiatry. 2015; 37: 567-76.
    Pubmed CrossRef


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