Association between 24-hour movement behaviors and depressive symptoms in university students during the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2025.220060

Keywords:

Sedentary behavior, Sleep, Physical activity, Pandemic, Mental health

Abstract

Introduction: Movement behaviors, such as physical activity, sedentary behavior, and sleep, are modifiable, and their concurrent consideration may constitute protective measures against depressive symptoms. Objective: This study aimed to evaluate the association between 24-hour movement behaviors and depressive symptoms in university students during the COVID-19 pandemic. Methods: The sample consisted of 88 university students from a public university in the southern region of Bahia, Brazil. Physical activity, sedentary behavior, and sleep were assessed using the ActiGraph wGT3XBT accelerometer for seven consecutive days, as well as the Sedentary Behavior Questionnaire for Adults (SBQ) and the Pittsburgh Sleep Quality Index (PSQI). The Patient Health Questionnaire (PHQ-9) was used to assess the risk for depression. Analyses were performed using the IBM SPSS statistical package version 25.0 (IBM Corporation, Armonk, NY, USA), with a statistical significance level of p<0.05 and a 95% confidence interval. Results: 79.5% (n = 70) of the sample presented depressive symptoms, while 51.1% (n = 45) presented risk for depression. In the accelerometer-based cluster analysis, a higher risk of depression was found when meeting only one (PR: 1.45; p = 0.006) or none (PR: 1.44; p = 0.003) of the 24H movement behavior recommendation when compared to two or more. Conclusion: It is concluded that movement behaviors, either combined or in isolation, were partially associated with an increased risk of depression when assessed using an accelerometer. In addition, meeting one or no recommendations increases the risk for depressive symptoms when compared to those who meet two or all recommendations.

Downloads

Download data is not yet available.

Author Biographies

  • Sátila Conceição Prata, Universidade Estadual de Santa Cruz

    Master in Health Sciences 

  • Liena Kalline Vitor Camboim, Universidade Estadual de Santa Cruz

    Master in Health Sciences 

  • William Rodrigues Tebar, Universidade de São Paulo. Hospital Universitário

    PhD in Motricity Sciences 

  • Danilo Rodrigues Pereira da Silva, Universidade Federal de Sergipe

    PhD in Physical Education

  • Diego Giulliano Destro Christofaro, Universidade Estadual Paulista. Departamento de Educação Física. Presidente Prudente

    Doctor in Public Health

  • Vanessa Thamyris Carvalho dos Santos, Universidade Estadual do Sudoeste da Bahia

    PhD in Health Sciences

  • David Ohara, Universidade Estadual de Santa Cruz

    PhD in Physical Education

References

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.

Downloads

Published

2025-10-01

Issue

Section

Original Articles

How to Cite

1.
Prata SC, Camboim LKV, Tebar WR, Silva DRP da, Christofaro DGD, Santos VTC dos, et al. Association between 24-hour movement behaviors and depressive symptoms in university students during the COVID-19 pandemic. Medicina (Ribeirão Preto) [Internet]. 2025 Oct. 1 [cited 2026 Jan. 9];58(1):e-220060. Available from: https://revistas.usp.br/rmrp/article/view/220060