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BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Associations of sedentary behavior and physical activity with psychological distress: a cross-sectional study from Singapore

Authors: Robert A Sloan, Susumu S Sawada, Daniel Girdano, Yi Tong Liu, Stuart JH Biddle, Steven N Blair

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Emerging evidence suggests the adverse association between sedentary behaviour (SB) with physical and mental health, but few studies have investigated the relationship between volume of physical activity and psychological distress. The present study examined the independent and interactive associations of daily SB and weekly level of moderate to vigorous physical activity (MVPA) with psychological distress in a multi-ethnic Asian population.

Methods

De-identified data of 4,337 adults (18–79 years old) on sedentary behaviors, physical activity patterns, psychological distresses, and other relevant variables were obtained from the Singapore Ministry of Health’s 2010 National Health Survey. Psychological distress was assessed using General Health Questionnaire-12 (GHQ-12), whereas total daily SB and total weekly volume (MET/minutes) of MVPA were estimated using the Global Physical Activity Questionnaire version 2 (GPAQ v2). Multivariate logistic regression analyses were carried out to estimate the odds ratios (95% confidence intervals) of the independent and interactive relationships of SB and MVPA with prevalence of psychological distress.

Results

The category of high SB was positively associated with increased odds (OR = 1.29, 1.04-1.59) for psychological distress, whereas the category of active was inversely associated with lower odds (OR = 0.73, 0.62-0.86) for psychological distress. Multivariate analyses for psychological distress by combined daily SB and weekly MVPA levels showed inverse associations between middle SB and active categories (OR = 0.58, 0.45 - 0.74) along with low SB and active categories (OR = 0.61, 0.47-0.80).

Conclusions

The present population-based cross-sectional study indicated that in the multi-ethnic Asian society of Singapore, a high level of SB was independently associated with psychological distress and meeting the recommended guidelines for physical activity along with ≤ 5 h/day of SB was associated with the lowest odds of psychological distress.
Literature
1.
2.
Chong SA, Abdin E, Vaingankar JA, Heng D, Sherbourne C, Yap M, Lim YW, Wong HB, Ghosh-Dastidar B, Kwok KW, et al: A population-based survey of mental disorders in Singapore. Ann Acad Med Singapore. 2012, 41 (2): 49-66.PubMed
3.
4.
5.
Wheaton B: The twain meet: distress, disorder and the continuing conundrum of categories (comment on Horwitz). Health (London). 2007, 11 (3): 303-319. 10.1177/1363459307077545. discussion 321–306CrossRef
6.
Horwitz AV: Distinguishing distress from disorder as psychological outcomes of stressful social arrangments. Health (London). 2007, 11: 273-289. 10.1177/1363459307077541.CrossRef
7.
Fones CS, Kua EH, Ng TP, Ko SM: Studying the mental health of a nation: a preliminary report on a population survey in Singapore. Singapore Med J. 1998, 39 (6): 251-255.PubMed
8.
Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C: The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997, 27 (1): 191-197. 10.1017/S0033291796004242.CrossRefPubMed
9.
Russ TC, Stamatakis E, Hamer M, Starr JM, Kivimaki M, Batty GD: Association between psychological distress and mortality: individual participant pooled analysis of 10 prospective cohort studies. BMJ. 2012, 345: e4933-10.1136/bmj.e4933.CrossRefPubMedPubMedCentral
10.
Mommersteeg PM, Herr R, Zijlstra WP, Schneider S, Pouwer F: Higher levels of psychological distress are associated with a higher risk of incident diabetes during 18 year follow-up: results from the British household panel survey. BMC pub health. 2012, 12: 1109-10.1186/1471-2458-12-1109.CrossRef
11.
Sedentary Behaviour Research Network: Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab. 2012, 37 (3): 540-542. 10.1139/h2012-024.CrossRefPubMed
12.
13.
Bull FC, Maslin TS, Armstrong T: Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Activ Health. 2009, 6 (6): 790-804.
14.
Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012, 380 (9838): 219-229. 10.1016/S0140-6736(12)61031-9.CrossRefPubMedPubMedCentral
15.
Grontved A, Hu FB: Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA : J Am Med Assoc. 2011, 305 (23): 2448-2455. 10.1001/jama.2011.812.CrossRef
16.
Proper KI, Singh AS, van Mechelen W, Chinapaw MJ: Sedentary behaviors and health outcomes among adults: a systematic review of prospective studies. Am J Prev Med. 2011, 40 (2): 174-182. 10.1016/j.amepre.2010.10.015.CrossRefPubMed
17.
Henson J, Yates T, Biddle SJ, Edwardson CL, Khunti K, Wilmot EG, Gray LJ, Gorely T, Nimmo MA, Davies MJ: Associations of objectively measured sedentary behaviour and physical activity with markers of cardiometabolic health. Diabetologia. 2013, 56 (5): 1012-1020. 10.1007/s00125-013-2845-9.CrossRefPubMed
18.
Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, Khunti K, Yates T, Biddle SJ: Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012, 55 (11): 2895-2905. 10.1007/s00125-012-2677-z.CrossRefPubMed
19.
20.
Teychenne M, Ball K, Salmon J: Sedentary behavior and depression among adults: a review. Int J Behav Med. 2010, 17 (4): 246-254. 10.1007/s12529-010-9075-z.CrossRefPubMed
21.
Powell KE, Paluch AE, Blair SN: Physical activity for health: what kind? How much? How intense? On top of what?. Annu Rev Publ Health. 2011, 32: 349-365. 10.1146/annurev-publhealth-031210-101151.CrossRef
22.
Owen N, Healy GN, Matthews CE, Dunstan DW: Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010, 38 (3): 105-113. 10.1097/JES.0b013e3181e373a2.CrossRefPubMedPubMedCentral
23.
Hamer M, Stamatakis E, Mishra GD: Television- and screen-based activity and mental well-being in adults. Am J Prev Med. 2010, 38 (4): 375-380. 10.1016/j.amepre.2009.12.030.CrossRefPubMed
24.
Atkin AJ, Adams E, Bull FC, Biddle SJ: Non-occupational sitting and mental well-being in employed adults. Ann Behav Med : a publication of the Society of Behavioral Medicine. 2012, 43 (2): 181-188. 10.1007/s12160-011-9320-y.CrossRef
25.
Kilpatrick M, Sanderson K, Blizzard L, Teale B, Venn A: Cross-sectional associations between sitting at work and psychological distress: reducing sitting time may benefit mental health. Ment Health Physic Activ. 2013, 6: 103-109. 10.1016/j.mhpa.2013.06.004.CrossRef
26.
Goldberg DP, Williams P: A user's guide to the general health questionnaire. 1988, Berkshire, England: NFER-Nelson
27.
Faulkner G: Standing on top of the world: is sedentary behaviour associated with mental health?. Ment Health Physic Activ. 2013, 6: 1-2. 10.1016/j.mhpa.2013.02.003.CrossRef
28.
Singapore Ministry of Trade and Industry: Census of Population 2010 Administration Report. 2010, Republic of Singapore: Department of Statistics, Ministry of Trade and Industry
29.
Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, Bowles HR, Hagstromer M, Sjostrom M, Pratt M: The international prevalence study on physical activity: results from 20 countries. Int J Behav nutr physic activ. 2009, 6: 21-10.1186/1479-5868-6-21.CrossRef
30.
Bauman A, Ainsworth BE, Sallis JF, Hagstromer M, Craig CL, Bull FC, Pratt M, Venugopal K, Chau J, Sjostrom M: The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire (IPAQ). Am J Prev Med. 2011, 41 (2): 228-235. 10.1016/j.amepre.2011.05.003.CrossRefPubMed
31.
Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U: Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012, 380 (9838): 247-257. 10.1016/S0140-6736(12)60646-1.CrossRefPubMed
32.
33.
Lim WY, Ma S, Heng D, Bhalla V, Chew SK: Gender, ethnicity, health behaviour & self-rated health in Singapore. BMC pub health. 2007, 7: 184-10.1186/1471-2458-7-184.CrossRef
34.
Payton AR: Mental health, mental illness, and psychological distress: same continuum or distinct phenomena?. J Health Soc Behav. 2009, 50 (2): 213-227. 10.1177/002214650905000207.CrossRefPubMed
35.
Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Rock C, Patrick K: Patterns and correlates of multiple risk behaviors in overweight women. Prev Med. 2008, 46 (3): 196-202. 10.1016/j.ypmed.2007.10.005.CrossRefPubMed
36.
Vallance JK, Winkler EA, Gardiner PA, Healy GN, Lynch BM, Owen N: Associations of objectively-assessed physical activity and sedentary time with depression: NHANES (2005–2006). Prev Med. 2011, 53 (4–5): 284-288.CrossRefPubMed
37.
Proper KI, Picavet HS, Bemelmans WJ, Verschuren WM, Wendel-Vos GC: Sitting behaviors and mental health among workers and nonworkers: the role of weight status. J Obes. 2012, 2012: 607908-CrossRefPubMed
38.
Connor Gorber S, Tremblay M, Moher D, Gorber B: A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes rev: an official journal of the International Association for the Study of Obesity. 2007, 8 (4): 307-326. 10.1111/j.1467-789X.2007.00347.x.CrossRef
39.
WHO Expert Consultation: Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004, 363 (9403): 157-163.CrossRef
40.
Ghouri N, Purves D, McConnachie A, Wilson J, Gill JM, Sattar N: Lower cardiorespiratory fitness contributes to increased insulin resistance and fasting glycaemia in middle-aged South Asian compared with European men living in the UK. Diabetologia. 2013, 56 (10): 2238-2249. 10.1007/s00125-013-2969-y.CrossRefPubMedPubMedCentral
41.
Arredondo EM, Lemus H, Elder JP, Molina M, Martinez S, Sumek C, Ayala GX: The relationship between sedentary behavior and depression among Latinos. Ment Health Physic Activ. 2013, 6: 3-9. 10.1016/j.mhpa.2012.10.005.CrossRef
42.
Friis RH, Sellers TA: Epidemiology for public health practice. 2004, Sudbury, MA: Jones & Bartlett 3rd edn
Metadata
Title
Associations of sedentary behavior and physical activity with psychological distress: a cross-sectional study from Singapore
Authors
Robert A Sloan
Susumu S Sawada
Daniel Girdano
Yi Tong Liu
Stuart JH Biddle
Steven N Blair
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-885

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