Relationship between physical activity and depressive symptoms in stroke survivors: a cross-sectional study of 1,140 individuals

Bibliographic Details
Title: Relationship between physical activity and depressive symptoms in stroke survivors: a cross-sectional study of 1,140 individuals
Authors: Yihao Wang, Jiali Chen, Yanwei Zou, Mengshu Yang, Xiaoyun Kong, Ling Wang, Jingyuan Xue, Ci Dong
Source: Journal of Rehabilitation Medicine, Vol 57 (2025)
Publisher Information: Medical Journals Sweden, 2025.
Publication Year: 2025
Collection: LCC:Therapeutics. Pharmacology
Subject Terms: stroke, depression, physical activity, NHANES data, propensity score matching, Therapeutics. Pharmacology, RM1-950
More Details: Objectives: To investigate the relationship between physical activity and depressive symptoms in stroke survivors. Design: A cross-sectional study utilizing National Health and Nutrition Examination Survey (NHANES) 2007–2018 data, employing propensity score matching to control for confounders. Patients: 1,140 stroke survivors from NHANES, assessing depressive symptoms through the Patient Health Questionnaire-9 (PHQ-9) conducted via family interview or a mobile examination centre examination. Methods: PA was surveyed concurrently with the PHQ-9, categorized into vigorous, moderate, and moderate-to-vigorous intensities. Propensity score matching was used to match participants based on their activity levels, and the relationship between physical activity and depressive symptoms was analysed by logistic regression. Results: Among all the subjects, 225 individuals had significant depressive symptoms. If vigorous-intensity PA duration is longer than 75 min (odds ratio [OR] = 0.41, 95% CI 0.21–0.75) or longer than 150 min (OR = 0.42, 95% CI 0.19–0.85), and moderate-intensity physical activity duration is longer than 150 min (OR = 0.59, 95% CI 0.38–0.90) or between 150 and 300 min (OR = 0.36, 95% CI 0.15–0.77), and moderate-to-vigorous PA duration is greater than 150 min (OR = 0.61, 95% CI 0.40–0.91) or exceeding 300 min (OR = 0.50, 95% CI 0.31–0.78), this might be associated with lower depressive symptoms. Conclusion: Regular physical activity, particularly of moderate or higher intensity, is associated with milder depressive symptoms in stroke survivors, suggesting the potential for non-pharmacological intervention.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1651-2081
Relation: https://medicaljournalssweden.se/jrm/article/view/41272; https://doaj.org/toc/1651-2081
DOI: 10.2340/jrm.v57.41272
Access URL: https://doaj.org/article/b83059a6c58244eeb31ffa9c24749172
Accession Number: edsdoj.b83059a6c58244eeb31ffa9c24749172
Database: Directory of Open Access Journals
More Details
ISSN:16512081
DOI:10.2340/jrm.v57.41272
Published in:Journal of Rehabilitation Medicine
Language:English