Physical Activity, Sleep, and Symptoms of Depression in Adults - Testing for Mediation

Kaisa Kaseva, Henrik Dobewall, Xiaolin Yang, Laura Pulkki-Råback, Jari Lipsanen, Taina Hintsa, Mirka Hintsanen, Sampsa Puttonen, Mirja Hirvensalo, Marko Elovainio, Olli Raitakari, Tuija Tammelin

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

Sammanfattning

Purpose: Physical activity, sleep problems, and symptoms of depression contribute to overall well-being. The factors are reciprocally associated, but the nature of these associations remains unclear. The present study examined whether sleep problems mediated the association between physical activity and depressive symptoms. Methods: The eligible population (n = 3596) consisted of adults from the ongoing, population-based Cardiovascular Risk in Young Finns Study started in 1980. Participants' leisure-time physical activity was assessed with physical activity index (2007) and sleep problems with Jenkins' Sleep Questionnaire in 2007 and 2011. Depressive symptoms were measured using modified Beck Depression Inventory in 2007 and 2012, from which the items reflecting sleep problems were excluded. Mediation analyses, through which the associations between the variables were examined, were adjusted for sex and a set of health-related covariates assessed in 2007 and 2011. Results: Physical activity was associated with decreased levels of sleep problems and depressive symptoms (P <0.05). The association between physical activity and depressive symptoms (b = -0.10, P <0.01) was partly mediated by sleep problems (proportion mediated = 0.36, P <0.01). The adjustment for depressive symptoms at baseline attenuated the mediation effect (proportion mediated = 0.30, P > 0.05). Conclusions: Physical activity's favorable contribution to depressive symptoms was mediated partly by sleep, but the mediation effect disappeared after adjusting for the previous depressive symptoms in adulthood.

Originalspråkengelska
TidskriftMedicine and Science in Sports and Exercise
Volym51
Utgåva6
Sidor (från-till)1162-1168
Antal sidor7
ISSN0195-9131
DOI
StatusPublicerad - jun 2019
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 515 Psykologi

Citera det här

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title = "Physical Activity, Sleep, and Symptoms of Depression in Adults - Testing for Mediation",
abstract = "Purpose: Physical activity, sleep problems, and symptoms of depression contribute to overall well-being. The factors are reciprocally associated, but the nature of these associations remains unclear. The present study examined whether sleep problems mediated the association between physical activity and depressive symptoms. Methods: The eligible population (n = 3596) consisted of adults from the ongoing, population-based Cardiovascular Risk in Young Finns Study started in 1980. Participants' leisure-time physical activity was assessed with physical activity index (2007) and sleep problems with Jenkins' Sleep Questionnaire in 2007 and 2011. Depressive symptoms were measured using modified Beck Depression Inventory in 2007 and 2012, from which the items reflecting sleep problems were excluded. Mediation analyses, through which the associations between the variables were examined, were adjusted for sex and a set of health-related covariates assessed in 2007 and 2011. Results: Physical activity was associated with decreased levels of sleep problems and depressive symptoms (P <0.05). The association between physical activity and depressive symptoms (b = -0.10, P <0.01) was partly mediated by sleep problems (proportion mediated = 0.36, P <0.01). The adjustment for depressive symptoms at baseline attenuated the mediation effect (proportion mediated = 0.30, P > 0.05). Conclusions: Physical activity's favorable contribution to depressive symptoms was mediated partly by sleep, but the mediation effect disappeared after adjusting for the previous depressive symptoms in adulthood.",
keywords = "515 Psychology, DEPRESSION, SLEEP PROBLEMS, LEISURE-TIME PHYSICAL ACTIVITY, CAUSALITY, CARDIOVASCULAR RISK, PREDICTORS, CHILDHOOD, EXERCISE, INSOMNIA",
author = "Kaisa Kaseva and Henrik Dobewall and Xiaolin Yang and Laura Pulkki-R{\aa}back and Jari Lipsanen and Taina Hintsa and Mirka Hintsanen and Sampsa Puttonen and Mirja Hirvensalo and Marko Elovainio and Olli Raitakari and Tuija Tammelin",
year = "2019",
month = "6",
doi = "10.1249/MSS.0000000000001896",
language = "English",
volume = "51",
pages = "1162--1168",
journal = "Medicine and Science in Sports and Exercise",
issn = "0195-9131",
publisher = "LIPPINCOTT WILLIAMS & WILKINS",
number = "6",

}

Physical Activity, Sleep, and Symptoms of Depression in Adults - Testing for Mediation. / Kaseva, Kaisa; Dobewall, Henrik; Yang, Xiaolin; Pulkki-Råback, Laura; Lipsanen, Jari; Hintsa, Taina; Hintsanen, Mirka; Puttonen, Sampsa; Hirvensalo, Mirja; Elovainio, Marko; Raitakari, Olli; Tammelin, Tuija.

I: Medicine and Science in Sports and Exercise, Vol. 51, Nr. 6, 06.2019, s. 1162-1168.

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

TY - JOUR

T1 - Physical Activity, Sleep, and Symptoms of Depression in Adults - Testing for Mediation

AU - Kaseva, Kaisa

AU - Dobewall, Henrik

AU - Yang, Xiaolin

AU - Pulkki-Råback, Laura

AU - Lipsanen, Jari

AU - Hintsa, Taina

AU - Hintsanen, Mirka

AU - Puttonen, Sampsa

AU - Hirvensalo, Mirja

AU - Elovainio, Marko

AU - Raitakari, Olli

AU - Tammelin, Tuija

PY - 2019/6

Y1 - 2019/6

N2 - Purpose: Physical activity, sleep problems, and symptoms of depression contribute to overall well-being. The factors are reciprocally associated, but the nature of these associations remains unclear. The present study examined whether sleep problems mediated the association between physical activity and depressive symptoms. Methods: The eligible population (n = 3596) consisted of adults from the ongoing, population-based Cardiovascular Risk in Young Finns Study started in 1980. Participants' leisure-time physical activity was assessed with physical activity index (2007) and sleep problems with Jenkins' Sleep Questionnaire in 2007 and 2011. Depressive symptoms were measured using modified Beck Depression Inventory in 2007 and 2012, from which the items reflecting sleep problems were excluded. Mediation analyses, through which the associations between the variables were examined, were adjusted for sex and a set of health-related covariates assessed in 2007 and 2011. Results: Physical activity was associated with decreased levels of sleep problems and depressive symptoms (P <0.05). The association between physical activity and depressive symptoms (b = -0.10, P <0.01) was partly mediated by sleep problems (proportion mediated = 0.36, P <0.01). The adjustment for depressive symptoms at baseline attenuated the mediation effect (proportion mediated = 0.30, P > 0.05). Conclusions: Physical activity's favorable contribution to depressive symptoms was mediated partly by sleep, but the mediation effect disappeared after adjusting for the previous depressive symptoms in adulthood.

AB - Purpose: Physical activity, sleep problems, and symptoms of depression contribute to overall well-being. The factors are reciprocally associated, but the nature of these associations remains unclear. The present study examined whether sleep problems mediated the association between physical activity and depressive symptoms. Methods: The eligible population (n = 3596) consisted of adults from the ongoing, population-based Cardiovascular Risk in Young Finns Study started in 1980. Participants' leisure-time physical activity was assessed with physical activity index (2007) and sleep problems with Jenkins' Sleep Questionnaire in 2007 and 2011. Depressive symptoms were measured using modified Beck Depression Inventory in 2007 and 2012, from which the items reflecting sleep problems were excluded. Mediation analyses, through which the associations between the variables were examined, were adjusted for sex and a set of health-related covariates assessed in 2007 and 2011. Results: Physical activity was associated with decreased levels of sleep problems and depressive symptoms (P <0.05). The association between physical activity and depressive symptoms (b = -0.10, P <0.01) was partly mediated by sleep problems (proportion mediated = 0.36, P <0.01). The adjustment for depressive symptoms at baseline attenuated the mediation effect (proportion mediated = 0.30, P > 0.05). Conclusions: Physical activity's favorable contribution to depressive symptoms was mediated partly by sleep, but the mediation effect disappeared after adjusting for the previous depressive symptoms in adulthood.

KW - 515 Psychology

KW - DEPRESSION

KW - SLEEP PROBLEMS

KW - LEISURE-TIME PHYSICAL ACTIVITY

KW - CAUSALITY

KW - CARDIOVASCULAR RISK

KW - PREDICTORS

KW - CHILDHOOD

KW - EXERCISE

KW - INSOMNIA

U2 - 10.1249/MSS.0000000000001896

DO - 10.1249/MSS.0000000000001896

M3 - Article

VL - 51

SP - 1162

EP - 1168

JO - Medicine and Science in Sports and Exercise

JF - Medicine and Science in Sports and Exercise

SN - 0195-9131

IS - 6

ER -