Symptoms of depression are associated with reduced leisure-time physical activity in adult individuals with type 1 diabetes

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FinnDiane Study Grp , Ahola , A J , Tikkanen-Dolenc , H , Forsblom , C , Harjutsalo , V & Groop , P-H 2021 , ' Symptoms of depression are associated with reduced leisure-time physical activity in adult individuals with type 1 diabetes ' , Acta Diabetologica , vol. 58 , no. 10 , pp. 1373-1380 . https://doi.org/10.1007/s00592-021-01718-6

Title: Symptoms of depression are associated with reduced leisure-time physical activity in adult individuals with type 1 diabetes
Author: FinnDiane Study Grp; Ahola, Aila J.; Tikkanen-Dolenc, Heidi; Forsblom, Carol; Harjutsalo, Valma; Groop, Per-Henrik
Contributor organization: CAMM - Research Program for Clinical and Molecular Metabolism
Clinicum
HUS Internal Medicine and Rehabilitation
HUS Abdominal Center
Nefrologian yksikkö
Faculty of Medicine
University of Helsinki
UniSport, City Centre
Research Programs Unit
Helsinki University Hospital Area
Department of Medicine
Per Henrik Groop / Principal Investigator
Date: 2021-10
Language: eng
Number of pages: 8
Belongs to series: Acta Diabetologica
ISSN: 0940-5429
DOI: https://doi.org/10.1007/s00592-021-01718-6
URI: http://hdl.handle.net/10138/340439
Abstract: Aims Here, we investigated the association between depressive symptoms and leisure-time physical activity (LTPA) in type 1 diabetes. Methods Data from adult individuals with type 1 diabetes without evidence of diabetic kidney disease or macrovascular complications, participating in the Finnish Diabetic Nephropathy Study, were included. Based on a questionnaire, weekly LTPA as metabolic equivalent of task hour was calculated. Activity levels (inactive, moderately active, active), weekly frequencies (< 1, 1-2, > 2), intensities (low, moderate, high), and single session durations (< 30, 31-60, > 60 min) were assessed. Depressive symptomatology was evaluated using the Beck Depression Inventory (BDI). We calculated a continuous BDI score and divided participants into those with (BDI score >= 16) and without (BDI score < 16) symptoms of depression. For sensitivity analyses, we additionally defined symptoms of depression with antidepressant agent purchases within a year from the study visit. Results Of the 1339 participants (41.7% men, median age 41 years), 150 (11.2%) reported symptoms of depression. After adjustments, both higher BDI scores and depressive symptomatology were associated with more inactive lifestyle, and lower frequency and intensity of the LTPA. The BDI score was additionally associated with shorter single session duration. For antidepressant purchases, lower odds were observed in those with higher intensity and longer single session duration of LTPA. Conclusions Depressive mood is harmfully related to LTPA in type 1 diabetes. In order to improve the long-term health of individuals with type 1 diabetes, efforts to increase both mental well-being and physical activity should be taken.
Subject: Beck Depression Inventory
Leisure-time physical activity
Symptoms of depression
Type 1 diabetes
QUALITY-OF-LIFE
ENDOTHELIAL GROWTH-FACTOR
EXERCISE
RISK
NEUROGENESIS
NEPHROPATHY
EFFICACY
INCREASE
ESTEEM
HEALTH
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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