Abstract
Objective
To examine the effects of a free-living, sedentary behavior–inducing randomized controlled
intervention on depression and mood profile.
Patients and Methods
Participants who were confirmed to be active via self-report and accelerometry were
randomly assigned to either a sedentary behavior intervention group (n=26) or a control
group (n=13) by using a 2:1 sample size ratio for intervention and control groups.
The intervention group was asked to eliminate all exercise and minimize steps to 5000
or less steps/d for 1 week, whereas the control group was asked to continue normal
physical activity levels for 1 week. Both groups completed a depression (Patient Health
Questionnaire-9) and mood (Profile of Moods States) survey preintervention and immediately
postintervention. The intervention group was asked to resume normal physical activity
levels for 1 week postintervention and then completed the assessments for a third
time. All data collection occurred between September 1, 2015, and December 1, 2015.
Results
Patient Health Questionnaire-9 group × time interaction analysis revealed that depression
scores significantly increased from visit 1 to visit 2 (F=11.85; P=.001). Paired t tests comparing depression scores from visit 2 to visit 3 exhibited a significant
decrease from visit 2 to visit 3 (P<.001). Profile of Moods States group × time interaction analysis paralleled depression
results; mood scores significantly increased from visit 1 to visit 2 (F=10.03; P=.003) and significantly decreased from visit 2 to visit 3 (P<.001).
Conclusion
A 1-week sedentary behavior–inducing intervention has deleterious effects on depression
and mood. To prevent mental health decline in active individuals, consistent regular
physical activity may be necessary.
Abbreviations and Acronyms:
ANOVA (analysis of variance), IPAQ-SF (International Physical Activity Questionnaire–Short Form), MVPA (moderate to vigorous physical activity), PHQ-9 (Patient Health Questionnaire-9), POMS (Profile of Moods States)To read this article in full you will need to make a payment
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Footnotes
For editorial comment, see page 981; for a related article, see page 999
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