Depression and physical activity in a sample of nigerian adolescents: levels, relationships and predictors.
Depression and physical activity in a sample of nigerian adolescents: levels, relationships and predictors.
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DOI：
10.1186/1753-2000-5-16
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发表时间：
2011-05-14
影响因子：
5.6
通讯作者：
Adeniyi CY
中科院分区：
文献类型：
--
作者：
Adeniyi AF;Okafor NC;Adeniyi CY
缺乏身体活动与许多疾病有关，但鉴于现有的相互矛盾的报告，其与青少年抑郁症之间的联系的证据需要进一步调查。这项横断面研究的数据收集自 1,100 名 12-17 岁的尼日利亚青少年。分别使用儿童抑郁量表（CDI）和青少年体力活动问卷（PAQ-A）评估抑郁症状和体力活动。对 p < 0.05 的数据进行了独立 t 检验、皮尔逊矩相关和个人和学校区域影响的多级逻辑回归分析。参与者的平均年龄为 15.20 ± 1.435 岁。轻度至中度抑郁症患病率为23.8%，明确抑郁症患病率为5.7%，体力活动不足率为53.8%。更严重的抑郁症状与较低的体力活动水平相关（r = -0.82，p < 0.001），适度的体力活动与抑郁症状风险降低相关（OR = 0.42，95% CI = 0.29-0.71）。年龄较大的青少年（OR = 2.16，95% CI = 1.81-3.44）和女性（OR = 2.92，95% CI = 1.82-3.54）出现抑郁症状的几率较高。女性青少年体力活动不足的风险高于男性青少年（OR = 2.91，95% CI = 1.51-4.26）。高中三年级是抑郁症状（OR = 3.4，95% CI = 2.55-4.37）和低体力活动的显着预测因素。所研究的青少年存在相当大的抑郁症和低体力活动负担，这些与个人和学校因素有关。未来的研究应该检查体力活动对患有抑郁症的青少年临床样本的影响。
Physical inactivity is related to many morbidities but the evidence of its link with depression in adolescents needs further investigation in view of the existing conflicting reports. The data for this cross-sectional study were collected from 1,100 Nigerian adolescents aged 12-17 years. Depressive symptomatology and physical activity were assessed using the Children's Depression Inventory (CDI) and the Physical Activity Questionnaire-Adolescent version (PAQ-A) respectively. Independent t tests, Pearson's Moment Correlation and Multi-level logistic regression analyses for individual and school area influences were carried out on the data at p < 0.05. The mean age of the participants was 15.20 ± 1.435 years. The prevalence of mild to moderate depression was 23.8%, definite depression was 5.7% and low physical activity was 53.8%. More severe depressive symptoms were linked with lower levels of physical activity (r = -0.82, p < 0.001) and moderate physical activity was linked with reduced risk of depressive symptoms (OR = 0.42, 95% CI = 0.29-0.71). The odds of having depressive symptoms were higher in older adolescents (OR = 2.16, 95% CI = 1.81-3.44) and in females (OR = 2.92, 95% CI = 1.82-3.54). Females had a higher risk of low physical activity than male adolescents (OR = 2.91, 95% CI = 1.51-4.26). Being in Senior Secondary class three was a significant predictor of depressive symptoms (OR = 3.4, 95% CI = 2.55-4.37) and low physical activity. A sizable burden of depression and low physical activity existed among the studied adolescents and these were linked to both individual and school factors. Future studies should examine the effects of physical activity among clinical samples of adolescents with depression.