Associação entre os comportamentos de movimento de 24 horas e sintomas depressivos em universitários no decurso pandêmico de Covid-19
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.220060Palavras-chave:
Comportamento sedentário, Sono, Atividade física, Pandemia, Saúde mentalResumo
Introdução: Os comportamentos de movimento: atividade física, comportamento sedentário e sono, são modificáveis e a sua consideração concomitante pode consistir em medidas protetoras contra sintomas depressivos. Objetivo: Este estudo teve como objetivo avaliar a associação entre comportamentos de movimento de 24 horas e sintomas depressivos em universitários no decurso da pandemia da COVID-19. Métodos: A amostra foi composta por 88 universitários de uma Universidade Pública do Sul da Bahia. Atividade física, comportamento sedentário e sono foram avaliados pelo acelerômetro ActiGraph wGT3XBT durante sete dias consecutivos além dos questionários Sedentary Behavior Questionnaire for Adults (SBQ) e Pittsburgh Sleep Quality Index (PSQI). O Patient Hellth Questionnaire (PHQ-9) foi utilizado para avaliação do risco para depressão. As análises foram realizadas no pacote estatístico IBM SPSS versão 25.0 (IBM Corporation, Armonk, NY, EUA) com nível de significância estatística estabelecida em p<0.05 e intervalo de confiança de 95%. Resultados: 79,5% (n=70) da amostra apresentou sintomas depressivos enquanto 51.1% (n=45) apresentou risco de depressão. Na análise por cluster com acelerômetro, foi encontrado maior risco de depressão ao atender apenas uma (RP: 1.45; p=0.006) ou nenhuma (RP: 1.44; p=0.003) das recomendações dos comportamentos de movimento de 24 horas quando comparado a duas ou mais. Conclusão: Conclui-se que os comportamentos de movimento, de maneira combinada ou isolada, associaram-se parcialmente com risco aumentado de depressão quando avaliados por acelerômetro. Além disso, atender a uma ou nenhuma recomendação aumenta o risco para sintomas depressivos quando comparados àqueles que atendem a duas ou a todas as recomendações.
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Barkley JE, Lepp A, Glickman E, Farnell G, Beiting J, Wiet R, et al. The Acute Effects of the COVID-19 Pandemic on Physical Activity and Sedentary Behavior in University Students and Employees. Int J Exerc Sci. 2020;13(5):1326-39.
Martínez-de-Quel Ó, Suárez-Iglesias D, López-Flores M, Pérez CA. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study. Appetite. 2021;158:105019.
Rosenberger ME, Fulton JE, Buman MP, Troiano RP, Grandner MA, Buchner DM, et al. The 24-Hour Activity Cycle: A New Paradigm for Physical Activity. Med Sci Sports Exerc. 2019;51(3):454-64.
Ross R, Chaput JP, Giangregorio LM, Janssen I, Saunders TJ, Kho ME, et al. Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2020;45(10 (Suppl. 2)):S57-S102.
Janssen I, Clarke AE, Carson V, Chaput JP, Giangregorio LM, Kho ME, et al. A systematic review of compositional data analysis studies examining associations between sleep, sedentary behaviour, and physical activity with health outcomes in adults. Appl Physiol Nutr Metab. 2020;45(10 (Suppl. 2)):S248-S57.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13.
Santos IS, Tavares BF, Munhoz TN, Almeida LS, Silva NT, Tams BD, et al. [Sensitivity and specificity of the Patient Health Questionnaire-9 (PHQ-9) among adults from the general population]. Cad Saude Publica. 2013;29(8):1533-43.
Rosenberg DE, Norman GJ, Wagner N, Patrick K, Calfas KJ, Sallis JF. Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults. J Phys Act Health. 2010;7(6):697-705.
Carvalho LA. Adaptação e validação do Sedentary Behavior Questionnaire
for Adults para o português brasileiro State University of Ceará; 2017.
Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5.
Troiano RP. Large-scale applications of accelerometers: new frontiers and new questions. Med Sci Sports Exerc. 2007;39(9):1501.
Sadeh A, Sharkey KM, Carskadon MA. Activity-based sleep-wake identification: an empirical test of methodological issues. Sleep. 1994;17(3):201-7.
Liyanage S, Saqib K, Khan AF, Thobani TR, Tang WC, Chiarot CB, et al. Prevalence of Anxiety in University Students during the COVID-19 Pandemic: A Systematic Review. Int J Environ Res Public Health. 2021;19(1).
Souza ASR, Souza GFA, Souza GA, Cordeiro ALN, Praciano GAF, Alves ACS, et al. Factors associated with stress, anxiety, and depression during social distancing in Brazil. Rev Saude Publica. 2021;55:5.
Rogowska AM, Kuśnierz C, Bokszczanin A. Examining Anxiety, Life Satisfaction, General Health, Stress and Coping Styles During COVID-19 Pandemic in Polish Sample of University Students. Psychol Res Behav Manag. 2020;13:797-811.
Cortès-Franch I, Escribà-Agüir V, Benach J, Artazcoz L. Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status. BMC Public Health. 2018;18(1):425.
Javaid S, Tucker J. National
Snapshot: Poverty among Women & Families, 2021. In: Center NWsL, editor. Whashington, DC2021. p. 5.
Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220-9.
Milaneschi Y, Simmons WK, van Rossum EFC, Penninx BW. Depression and obesity: evidence of shared biological mechanisms. Mol Psychiatry. 2019;24(1):18-33.
Ainsworth B, Cahalin L, Buman M, Ross R. The current state of physical activity assessment tools. Prog Cardiovasc Dis. 2015;57(4):387-95.
Colley RC, Butler G, Garriguet D, Prince SA, Roberts KC. Comparison of self-reported and accelerometer-measured physical activity in Canadian adults. Health Rep. 2018;29(12):3-15.
Dyrstad SM, Hansen BH, Holme IM, Anderssen SA. Comparison of self-reported versus accelerometer-measured physical activity. Med Sci Sports Exerc. 2014;46(1):99-106.
Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, et al. Progression of Mental Health Services during the COVID-19 Outbreak in China. Int J Biol Sci. 2020;16(10):1732-8.
Tang W, Hu T, Hu B, Jin C, Wang G, Xie C, et al. Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. J Affect Disord. 2020;274:1-7.
Zhai L, Zhang Y, Zhang D. Sedentary behaviour and the risk of depression: a meta-analysis. Br J Sports Med. 2015;49(11):705-9.
Bao YP, Han Y, Ma J, Wang RJ, Shi L, Wang TY, et al. Cooccurrence and bidirectional prediction of sleep disturbances and depression in older adults: Meta-analysis and systematic review. Neurosci Biobehav Rev. 2017;75:257-73.
Hertenstein E, Feige B, Gmeiner T, Kienzler C, Spiegelhalder K, Johann A, et al. Insomnia as a predictor of mental disorders: A systematic review and meta-analysis. Sleep Med Rev. 2019;43:96-105.
Ghrouz AK, Noohu MM, Dilshad Manzar M, Warren Spence D, BaHammam AS, Pandi-Perumal SR. Physical activity and sleep quality in relation to mental health among college students. Sleep Breath. 2019;23(2):627-34.
Liang K, de Lucena Martins CM, Chen ST, Clark CCT, Duncan MJ, Bu H, et al. Sleep as a Priority: 24-Hour Movement Guidelines and Mental Health of Chinese College Students during the COVID-19 Pandemic. Healthcare (Basel). 2021;9(9).
Kastelic K, Pedišić Ž, Lipovac D, Kastelic N, Chen ST, Šarabon N. Associations of meeting 24-h movement guidelines with stress and self-rated health among adults: is meeting more guidelines associated with greater benefits? BMC Public Health. 2021;21(1):929.
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Copyright (c) 2025 Sátila Conceição Prata, Liena Kalline Vitor Camboim, William Rodrigues Tebar, Danilo Rodrigues Pereira da Silva, Diego Giulliano Destro Christofaro, Vanessa Thamyris Carvalho dos Santos, David Ohara
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
