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. Author manuscript; available in PMC: 2012 Sep 12.
Published in final edited form as: J Health Dispar Res Pract. 2010;4(2):70–87.

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