Depression, Anxiety
Conditions
Brief summary
Depressive symptoms are commonly observed in the general population. Individuals with subclinical forms of depression (e.g., not meet the criteria to major depression disorder) are at increased risk of mortality than the general population which is partially explained by the higher incidence of cardiovascular diseases. Currently, the effectiveness of the frontline treatment for depression is not consensual. Further, it also may be expensive for individuals with mild to moderate depression. Sedentary behavior is an independent risk factor for cardiometabolic diseases and mental disorders. However, recent evidence suggests that not all types of sedentary behavior are equally detrimental. For instance, mentally passive sedentary behavior (e.g., watching TV) appear to be detrimental for health outcomes whereas mentally active sedentary behavior (e.g., desk-based office work) appear to offer health benefits. However, more studies are required to determine the magnitude of association between distinct types of sedentary behaviors (e.g., watching TV, listening to music, talking while sitting, sitting around and doing nothing special) with depressive symptoms as well as randomized clinical trials investigating potential benefits of interventions to replace mentally-passive sedentary behaviors with mentally active sedentary behaviors, light physical activity or moderate-to-vigorous activity in individuals with mild to moderate depression. Therefore, the aim of this proposal is to investigate the influence of mentally passive sedentary behavior (i.e., watching TV, listening to music, talking while sitting, sitting around, and doing nothing special) on depressive symptoms. This is a randomized clinical trial. Participants with mild to severe depressive symptoms will be randomly assigned (1:1) into either INTERVENTION or CONTROL group, using a computer-generated randomization code. Depressive symptoms, quality of life, physical activity, sedentary behavior, body composition, and functionality will be assessed at baseline (PRE) and 4 (POST) months after the experimental period. The INTERVENTION group will participate in a 4-month goal-setting intervention aimed to replace mentally passive sedentary behaviors with mentally active sedentary behaviors, light physical activity, or moderate-to-vigorous activity while CONTROL group will receive general instructions related to WHO guidelines for physical activity.
Interventions
BEHAVIORALPhysical activity intervention
The INTERVENTION group will participate in a 4-month goal-setting intervention aimed to replace mentally passive sedentary behaviors with mentally active sedentary behaviors, light physical activity, or moderate-to-vigorous activity.
BEHAVIORALStandard of care
The CONTROL group also will participate of 4 face-to-face individual sessions during the experimental period, lasting \ 15-30 minutes, however they will receive general instructions related to WHO guidelines for physical activity
Sponsors
University of Sao Paulo General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* individuals aged over 17 years; * mild to severe depressive symptoms.
Exclusion criteria
* cancer in the past 5 years; * inability to perform the physical tests; * prior diagnosis of muscle degenerative disease (e.g., myopathies, amyotrophic lateral sclerosis);
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depressive Symptoms | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | The depressive symptoms will be assessed by Beck's Depressive Inventory (BDI). Score ranges from 0 to 63 points, being higher scores indicative of higher symptoms of depression. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety Symptoms (primary outcome) | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | The anxiety symptoms will be assessed by Beck's Anxiety Inventory (BAI).Score ranges from 0 to 63 points, being higher scores indicative of higher symptoms of anxiety. |
| Indirect physical activity levels assessment | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | Indirect Physical activity levels will be assessed using the International Physical Activity Questionnaire-Long Form (IPAQ). |
| Indirect sedentary behavior assessment | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | Indirect levels of sedentary behavior will be assessed using the questionnaire LASA-SBQ (i.e., Longitudinal Aging Study Amsterdam - Sedentary Behavior Questionnaire). |
| Objective sedentary behavior assessment | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | The objective measures of sedentary time will be assessed using ActiGraph GT9X® accelerometers. |
| Quality of life assessement | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | The quality of life will be assessed using the WHOQOL-bref. Score ranges from 0 to 100 points, being higher scores indicative of higher quality of life. |
| Objective physical activity levels assessment | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | Objective measures of physical activity levels will be assessed using ActiGraph GT9X® accelerometers |
| Fat mass (kg) | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | Fat mass (kg) will be assessed using 4-point bioelectrical impedance device (hands and feet). |
| Fat-free mass (kg) | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | Fat-free mass (kg) will be assessed using 4-point bioelectrical impedance device (hands and feet). |
| Muscle Function (30-s Sit-to-stand Test) | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | The 30-second sit-to-stand test is a simple measure of lower body strength and functional capacity. Participants are asked to rise from a seated position and sit back down as many times as possible within 30 seconds. The total number of complete sit-to-stand repetitions performed in the given time is recorded. This test is commonly used to assess physical fitness and mobility, particularly in older adults or individuals with health conditions. |
| Muscle Function (Timed-up-and-go) | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | The Timed Up and Go (TUG) test is a simple and widely used assessment of mobility and balance. Participants are asked to stand up from a seated position, walk 3 meters, turn around, walk back to the chair, and sit down again, all as quickly as possible. The total time taken to complete the task is recorded. The TUG test is commonly used to evaluate functional mobility, fall risk, and the ability to perform daily activities, particularly in older adults or individuals with mobility impairments. |
| Body Weight | Baseline (Pre-intervention) and 16 weeks (Post-intervention) | Body weight will be assessed on a calibrated digital scale. |
Countries
Brazil
Outcome results
None listed