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Factors associated with adherence to sports and exercise among outpatients with major depressive disorder.

Authors
  • Monteiro, Fernanda Castro1
  • Schuch, Felipe Barreto2
  • Deslandes, Andrea Camaz1
  • Mosqueiro, Bruno Paz3
  • Caldieraro, Marco Antonio4
  • Fleck, Marcelo Pio de Almeida4
  • 1 Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. Laboratório de Neurociência do Exercício (LaNEx), UFRJ, Rio de Janeiro, RJ, Brazil. , (Brazil)
  • 2 Departamento de Métodos e Técnicas Esportivas, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil. , (Brazil)
  • 3 Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. , (Brazil)
  • 4 Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. Departamento de Psiquiatria, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. , (Brazil)
Type
Published Article
Journal
Trends in psychiatry and psychotherapy
Publication Date
Jun 15, 2021
Identifiers
DOI: 10.47626/2237-6089-2019-0109
PMID: 34139115
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Individuals with major depressive disorder (MDD) face more barriers to engagement in sports and exercise interventions. Evaluating clinical and demographic factors associated with adherence to sports and exercise among MDD outpatients could support development of new options and strategies to increase their participation. In a cross-sectional study, 268 depressed outpatients were evaluated (83.51% females; mean age = 50.74 [standard deviation {SD} = 10.39]). Sports and exercise participation were assessed using a question about participation frequency during the previous month. Clinical and demographic factors were evaluated. Linear regression was used to identify predictors of participation in sports and exercise. MDD patients with mild symptoms of depression (odds ratio [OR] = 2.42; 95% confidence interval [95%CI] 1.00, 5.88; p = 0.04) and patients with mild to moderate symptoms (OR = 3.96; 95%CI 1.41, 11.15; p = 0.009) were more likely to engage regularly in sports and exercise than patients with more severe depression. Moreover, smoking (OR = 0.23; 95%CI 0.67, 0.80; p = 0.007) and being divorced (OR = 0.22; 95%CI 0.57, 0.86; p = 0.03) were associated with lower rates of engagement in sports and exercise. Our findings indicate a significant association between clinical and demographic factors and participation in sports and exercise among MDD outpatients.

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