Associations of occupational physical activity and active transport with depressive symptoms in a middle-income country.

OBJECTIVE: This study investigated the associations of occupational physical activity and active transport with depressive symptoms, stratified by income range, among Brazilian working adults. STUDY DESIGN: This cross-sectional study drew on data from the 2019 Brazilian National Health Survey. METHODS: We used the Patient Health Questionnaire (PHQ-9) to assess depressive symptoms in working adults aged 18-65 years, with physical activities (occupational physical activity and active transport) self-reported through a specially developed questionnaire. Crude and adjusted logistic regression models were fitted. RESULTS: Individuals at the highest level of occupational physical activity (odds ratio [OR] 1.35; 95% confidence interval [95% CI] 1.19-1.53) and at the moderate level of active transport to work (OR 1.66; 95% CI 1.24-2.22) returned increased odds of depressive symptoms as compared with those who were inactive in these domains. Stratified by income group, light active transport to work (OR 0.57; 95% CI 0.34-0.95) in the lower income group (Range 1) was associated with lower odds of depressive symptoms. On the other hand, individuals at the highest level of active transport to work returned higher odds of depressive symptoms in the low- and intermediate-income groups, Ranges 3 and 4 (OR 1.92; 95% CI 1.22-3.00 and OR 2.91; 95% CI 1.71-4.95, respectively). CONCLUSION: Our results suggest that occupational physical activity and active transport may be a risk factor for depressive symptoms. They also point to differences in this relationship by income range. Further studies are needed to pursue the analysis of how specific domains of physical activity contribute to depressive symptoms.

Frequency of leisure-time physical activity and pulse pressure in the Brazilian population: a population-based study.

OBJECTIVE: The purpose of this study was to investigate the association between the frequency of leisure-time physical activity and brachial pulse pressure (PP), according to physical activity intensity and type, sex, and age, in the general Brazilian population. STUDY DESIGN: This was a cross-sectional study based on data from the Brazilian 2013 National Health Survey. METHODS: The sample consisted of 20,058 men and 20,600 women aged between 18 and 65 years. The frequency of leisure-time physical activity was obtained through a questionnaire and classified according to intensity (vigorous or moderate) and type (cyclic or acyclic). We calculated PP as the difference between systolic and diastolic blood pressures based on the measure of a digital pressure device. Multiple linear regression analysis was applied to analyze the association of different sexes, frequency, type, and intensity of leisure-time physical activity and PP. RESULTS: Adjusted results showed that one session of moderate physical activity per week could benefit men's PP: ß = -1.87 mmHg; SE = 0.83. For women, the adjusted model reveals that physical activity undertaken twice a week is sufficient to benefit PP: ß = -1.77 mmHg; SE = 0.72. However, according to type, two times a week of acyclic activities increased PP in men: ß = 2.62 mmHg; SE = 0.62 and decreased in women: ß = -2.67 mmHg; SE = 0.72. CONCLUSIONS: Our results suggest that low frequencies of leisure-time physical activity are sufficient to induce beneficial effects on the cardiovascular system for both sexes. Also, there are some differences between sexes in cardiac adaptations according to type, frequency, and intensity of physical activity.