Table 1.
Summary of Studies of Physical Activity and Depressive Symptoms in Black Adults.
Authors | n | Subject Selection |
Gender | Age | Design | Physical Activity Measurement |
Psychological Instrument |
Key Findings on PA & depressive symptoms variables |
---|---|---|---|---|---|---|---|---|
Artinian et al. (2006) | 245 | Convenience | female | 61 years (SD, 12.7 years) |
Cross- sectional |
Assessment of PA was determined by two one-item measures |
20 item CESD, scored differently than original |
Non-significant relationship between depressive symptoms and # of days within last 30 of moderate- intensity activity: F1,241=3.13 (p>.05) |
Bopp et al. (2004) | 42 | Convenience | female | 70.59 ±9.21 years |
Cross- sectional |
PA Scale for the Elderly, only asked about strength training participation (yes/no and hours/week) |
5 item version of the Geriatric Depression Scale, with one of the items removed to improve internal consistency |
Non-significant correlation between strength training participation and depression |
Farmer et al. (1988) | 155 | Stratified random sampling |
57% female |
25–77 | Cross- sectional |
Current recreational & nonrecreational PA |
20 item CESD | Adjusted odds ratio for depressive symptoms was 16.5 in men with little or no PA in recreation, and 19.2 in women with little or no activity apart from recreation |
Izquierdo-Porrera et al. (2002) | 46 out of 48 (96%) |
Convenience | 83% female |
29–83 | Experimental | Attendance in PA church program |
20 item CESD | Attendance in PA intervention was not correlated with depressive symptoms (r=.16, p>.05) |
Knox et al. (2006) | 2,637 | Random & convenience |
56% female |
33–45 | Prospective observational |
METS from strenuous PA to daily activities such as cleaning & gardening over previous year |
20 item CESD | The adjusted predictor of # of depressive episodes was B=− 28.40, SE=7.61, p=.0002 for PA. |
Malebo, et al. (2007) | 293 | Convenience | 52% male | 20–35 | Cross- sectional |
PA Index measured 5 categories of activity: intensity, duration, frequency, summer participation, and winter participation |
General Health Questionnaire depression subscale |
Fewer depressive symptoms in sports participants compared to non- sport participants (t=−1.84, p=.07, small effect size) |
Nelson et al. (2008) | 186 | Random | female | 35–47 at baseline, followed for 8 years |
Prospective observational |
Kilocalories of leisure-time PA per week were calculated from the Paffenbarger PA Questionnaire and categorized into the top third (≥ 1450 kcal/wk), middle third (< 1450 to 644 kcal/wk), and bottom third (< 644 kcal/wk) of reported current activity |
20 item CESD | PA at any level was not related to depressive symptoms among African American women (top third OR = 0.04, CI = − 1.87, 1.94; middle- third OR = 0.05, CI = −1.53, 1.63. The lowest PA tertile was used as the reference group.) |
Orr et al. (2006) | 922 | Convenience | pregnant women |
18–20+ | Cross- sectional |
PA for fun & fitness before and during pregnancy |
20 item CESD | Proportionately more women with lower levels of depressive symptoms engaged in PA during pregnancy (65.9%) than those with higher levels of depressive symptoms (51.8%) |
Patil et al. (2008) | 74 | Convenience | 81.1% female |
60–95 | Cross- sectional |
Estimated number of times weekly of PA (intentional cardiovascular workout) for at least 20 consecutive minutes |
15 item Geriatric Depression Scale |
Correlation between PA and depressive symptoms was −.29, p<01 (two-tailed) |
Siegel et al. (2000) | 378 | Convenience | female | adults | Cross- sectional |
Leisure-time PA operationalized as “no PA”, “only light PA/weekly,” “vigorous PA at least 20 min once or twice weekly,” and “vigorous PA at least 20 min three or more times weekly” |
20 item CESD | PA predicted depressive symptoms (B = − 0.15, p<.01), holding education, income, marital status, and pounds overweight constant |
Walker et al. (2004) | 100 | Convenience | post- partum |
22.40 ±3.75 |
Prospective observational |
7-day PA recall, kcal/kg/d |
20 item CESD |
Non-significant correlation between depressive symptoms and PA (r = −.078) |
Wilbur et al. (2009) | 278 | Convenience | female | 48.5 (SD 6.0) |
Quasi- experimental |
Adherence to walking frequency calculated as the percentage of the prescribed minimum of 68 walks completed during the adoption phase of the intervention |
20 item CESD | Higher walking adherence was predictive of lower depressive symptoms at 24 weeks (B = −.023, p = .036) |
Wise et al. (2006) | 35,224 | Convenience | female | 21–69 | Cross- sectional and prospective observational |
Vigorous PA during high school; average # of hours spent each week during the past year in walking for PA & vigorous PA |
20 item CESD | Compared with women who were never active, the adjusted OR of depressive symptoms for women who were active in high school but inactive in adulthood, inactive in high school but active and adulthood, and always active was 0.90, 0.83, and 0.76 respectively. Compared with women who reported no vigorous PA, the adjusted OR of depressive symptoms for women reporting <1, 1, 2, 3–4, and 7 hr or more/week was .89, .85, .74, .72, and .75 respectively (p<.001). |
PA=physical activity