Sedentary Behavior and the Risk of Depression in Patients With Acute Coronary Syndromes.
Journal Article (Journal Article)
Although there is good evidence that sedentary behavior is associated with poor health outcomes in healthy persons and patients with cardiovascular disease, the mental health consequences of sedentary behavior have not been widely studied. In this report, we conducted a cross-sectional analysis to examine the relation of self-reported sedentary behavior and depression in a sample of 4,043 hospitalized men and women with acute coronary syndrome enrolled in a randomized clinical trial in rural China. Sedentary behavior was assessed by self-report, and depression was assessed with the Patient Health Questionnaire-9 (PHQ-9); a subset of 1,209 patients also completed the Beck Depression Inventory-II. Results revealed that greater sedentary behavior was associated with higher levels of depressive symptoms measured by both the PHQ-9 (p <0.001) and the Beck Depression Inventory-II (p <0.001). Compared with patients who reported that they were seldom sedentary, patients reporting that they were frequently sedentary were 4.7 times (odds ratio 4.73, 95% confidence interval 2.71 to 8.24) more likely to be clinically depressed defined as PHQ-9 scores ≥10 after adjusting for demographic factors, lifestyle behaviors, clinical characteristics, and in-hospital treatments. In conclusion, greater sedentary behavior is significantly related to greater depression in Chinese patients with acute coronary syndrome, independent of physical activity. These findings suggest that strategies to reduce sedentary behavior may improve medical outcomes and reduce risk for depression.
Full Text
Duke Authors
Cited Authors
- Zhu, Y; Blumenthal, JA; Shi, C; Jiang, R; Patel, A; Zhang, A; Yu, X; Gao, R; Wu, Y
Published Date
- June 15, 2018
Published In
Volume / Issue
- 121 / 12
Start / End Page
- 1456 - 1460
PubMed ID
- 29709263
Pubmed Central ID
- PMC5975108
Electronic International Standard Serial Number (EISSN)
- 1879-1913
Digital Object Identifier (DOI)
- 10.1016/j.amjcard.2018.02.031
Language
- eng
Conference Location
- United States