Sleep Health Mediates the Relationship Between Physical Activity and Depression Symptoms

Overview

Journal Sleep Breath

Publisher Springer

Date 2021 Sep 25

PMID 34561758

Citations 9

Authors

William T Barham

Daniel J Buysse

Christopher E Kline

Andrew G Kubala

Ryan C Brindle

Affiliations

Soon will be listed here.

Abstract

Purpose: This study aimed to investigate cross-sectional associations between physical activity, sleep health, and depression symptoms using mediation models.

Methods: Participants (N = 1576, M = 39.3 years, 40% female) were recruited online from Amazon's Mechanical Turk crowd-sourcing service. Physical activity was measured using a single-item self-report measure and depression symptoms were reported using the Hospital Anxiety and Depression Scale. Sleep health was measured using the 6-question RUSATED Sleep Health survey V2.0.

Results: Good sleep health (direct effect: β = - .273, t = - 13.87, p < .0001) and high levels of physical activity (direct effect: β = - .092, t = - 4.73, p < .0001) were both individually associated with fewer depression symptoms. Sleep health significantly mediated 19% of the association between physical activity and depression symptoms (indirect effect: β = - .022, 95% CI [- .036 to - .008]), while physical activity significantly mediated 3% of the relationship between sleep health and depression symptoms (indirect effect: β = - .008, 95% CI [- .014 to - .003]).

Conclusion: Physical activity and sleep health act as predictors and mediators of depression symptoms.

Citing Articles

The mediating role of physical activity, morning wake-up time, and sleep-inducing medication use in the relationship between age and depression: a path analysis of a large kurdish cohort study in Iran.

Hosseini F, Bagherian S, Canete-Masse C, Moradinazar M, Najafi F BMC Public Health. 2025; 25(1):58.

PMID: 39773630 PMC: 11706201. DOI: 10.1186/s12889-024-21262-6.

Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies.

White R, Vella S, Biddle S, Sutcliffe J, Guagliano J, Uddin R Int J Behav Nutr Phys Act. 2024; 21(1):134.

PMID: 39609855 PMC: 11603721. DOI: 10.1186/s12966-024-01676-6.

The relationship between internet gaming disorder, sleeping quality, self-compassion, physical activity participation and psychological distress: A path analysis.

Wong M, Yuan G, Liu C, Lam S, Fung H Glob Ment Health (Camb). 2024; 11:e67.

PMID: 39220110 PMC: 11363002. DOI: 10.1017/gmh.2024.36.

Influence of Regular Physical Activity on Sleep.

McGranahan M, OConnor P Curr Top Behav Neurosci. 2024; 67:309-328.

PMID: 39080238 DOI: 10.1007/7854_2024_503.

Commentary: Mastery is central: an examination of complex interrelationships between physical health, stress and adaptive cognition, and social connection with depression and anxiety symptoms.

Zhou Y, Xi C Front Psychiatry. 2024; 15:1437227.

PMID: 38979504 PMC: 11228289. DOI: 10.3389/fpsyt.2024.1437227.

References

Prince S, Adamo K, Hamel M, Hardt J, Connor Gorber S, Tremblay M . A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008; 5:56. PMC: 2588639. DOI: 10.1186/1479-5868-5-56. View

Furihata R, Hall M, Stone K, Ancoli-Israel S, Smagula S, Cauley J . An Aggregate Measure of Sleep Health Is Associated With Prevalent and Incident Clinically Significant Depression Symptoms Among Community-Dwelling Older Women. Sleep. 2017; 40(3). PMC: 6084764. DOI: 10.1093/sleep/zsw075. View

Mortensen K, Hughes T . Comparing Amazon's Mechanical Turk Platform to Conventional Data Collection Methods in the Health and Medical Research Literature. J Gen Intern Med. 2018; 33(4):533-538. PMC: 5880761. DOI: 10.1007/s11606-017-4246-0. View

Dalmases M, Benitez I, Mas A, Garcia-Codina O, Medina-Bustos A, Escarrabill J . Assessing sleep health in a European population: Results of the Catalan Health Survey 2015. PLoS One. 2018; 13(4):e0194495. PMC: 5905963. DOI: 10.1371/journal.pone.0194495. View

Buysse D . Sleep health: can we define it? Does it matter?. Sleep. 2014; 37(1):9-17. PMC: 3902880. DOI: 10.5665/sleep.3298. View

Brindle R, Yu L, Buysse D, Hall M . Empirical derivation of cutoff values for the sleep health metric and its relationship to cardiometabolic morbidity: results from the Midlife in the United States (MIDUS) study. Sleep. 2019; 42(9). PMC: 7458275. DOI: 10.1093/sleep/zsz116. View

Bromley L, Booth 3rd J, Kilkus J, Imperial J, Penev P . Sleep restriction decreases the physical activity of adults at risk for type 2 diabetes. Sleep. 2012; 35(7):977-84. PMC: 3369233. DOI: 10.5665/sleep.1964. View

Jackson A, Blair S, Mahar M, Wier L, Ross R, Stuteville J . Prediction of functional aerobic capacity without exercise testing. Med Sci Sports Exerc. 1990; 22(6):863-70. DOI: 10.1249/00005768-199012000-00021. View

Teychenne M, Ball K, Salmon J . Physical activity and likelihood of depression in adults: a review. Prev Med. 2008; 46(5):397-411. DOI: 10.1016/j.ypmed.2008.01.009. View

10.

Rethorst C, Wipfli B, Landers D . The antidepressive effects of exercise: a meta-analysis of randomized trials. Sports Med. 2009; 39(6):491-511. DOI: 10.2165/00007256-200939060-00004. View

11.

Fritz M, MacKinnon D . Required sample size to detect the mediated effect. Psychol Sci. 2007; 18(3):233-9. PMC: 2843527. DOI: 10.1111/j.1467-9280.2007.01882.x. View

12.

Brandolim Becker N, Martins R, Jesus S, Chiodelli R, Stephen Rieber M . Sleep health assessment: A scale validation. Psychiatry Res. 2017; 259:51-55. DOI: 10.1016/j.psychres.2017.10.014. View

13.

Strickland J, Stoops W . The use of crowdsourcing in addiction science research: Amazon Mechanical Turk. Exp Clin Psychopharmacol. 2018; 27(1):1-18. DOI: 10.1037/pha0000235. View

14.

Kaseva K, Dobewall H, Yang X, Pulkki-Raback L, Lipsanen J, Hintsa T . Physical Activity, Sleep, and Symptoms of Depression in Adults-Testing for Mediation. Med Sci Sports Exerc. 2019; 51(6):1162-1168. DOI: 10.1249/MSS.0000000000001896. View

15.

Harvey A, Murray G, Chandler R, Soehner A . Sleep disturbance as transdiagnostic: consideration of neurobiological mechanisms. Clin Psychol Rev. 2010; 31(2):225-35. PMC: 2954256. DOI: 10.1016/j.cpr.2010.04.003. View

16.

Jurca R, Jackson A, LaMonte M, Morrow Jr J, Blair S, Wareham N . Assessing cardiorespiratory fitness without performing exercise testing. Am J Prev Med. 2005; 29(3):185-93. DOI: 10.1016/j.amepre.2005.06.004. View

17.

DeSantis A, Dubowitz T, Ghosh-Dastidar B, Hunter G, Buman M, Buysse D . A preliminary study of a composite sleep health score: associations with psychological distress, body mass index, and physical functioning in a low-income African American community. Sleep Health. 2019; 5(5):514-520. PMC: 6801051. DOI: 10.1016/j.sleh.2019.05.001. View

18.

Lemay K, Tulloch H, Pipe A, Reed J . Establishing the Minimal Clinically Important Difference for the Hospital Anxiety and Depression Scale in Patients With Cardiovascular Disease. J Cardiopulm Rehabil Prev. 2018; 39(6):E6-E11. DOI: 10.1097/HCR.0000000000000379. View

19.

Zigmond A, SNAITH R . The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361-70. DOI: 10.1111/j.1600-0447.1983.tb09716.x. View

20.

Horne J, Ostberg O . A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976; 4(2):97-110. View