Evidence map›Paper›PMID 39972295›Full record

ArticleBMC psychiatry2025

Association between recreational physical activity and depressive symptoms in adults with diagnosed sleep disorders: an analysis of NHANES 2007-2018 data.

Zheng Zhang, Zheng Tang, Zhong-Xin Zhang

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Zheng ZhangCollege of Sports Science, Kyonggi University, Suwon, Gyeonggi Province, South Korea.
Zheng TangCollege of Sports Science, Dongshin University, Naju, Jeollanam Province, South Korea.
Zhong-Xin ZhangCollege of Martial Arts, Hebei Sports University, Shijiazhuang, China. zhangzx7772024@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to examine the relationship between recreational physical activity and depressive symptoms in adults diagnosed with sleep disorders, and to explore the potential of recreational physical activity as a practical intervention to alleviate depressive symptoms.

methodsData were drawn from the National Health and Nutrition Examination Survey (NHANES) between 2007 and 2018, including a cohort of 3,164 adults with diagnosed sleep disorders. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9), while recreational physical activity was assessed via metabolic equivalents (METs). The association between physical activity and depressive symptoms was evaluated using multiple linear regression and breakpoint regression models, adjusting for covariates such as sex, age, ethnicity, smoking status, and alcohol consumption.

resultsIn the fully adjusted model, participants in the highest quartile of recreational physical activity (Q4) exhibited significantly lower depressive symptom scores (Q4: β = -1.01, 95% CI: -1.58 to -0.44, p = 0.0005), indicating that greater physical activity was linked to fewer depressive symptoms. Additional analyses revealed that this inverse relationship was most pronounced for activity levels below 840 MET, which corresponds to approximately 105 min of vigorous recreational physical activity per day or 210 min of moderate-intensity activity per day. The association weakened for activity levels exceeding 840 MET. Subgroup analyses further indicated that the benefits of recreational physical activity were more pronounced in men, individuals aged 40-60 years, and former smokers.

conclusionHigher levels of recreational physical activity were associated with significantly reduced depressive symptoms in adults with sleep disorders. The greatest reductions in depressive symptoms were observed at activity levels below 840 MET, which corresponds to approximately 105 min of vigorous recreational physical activity per day or 210 min of moderate-intensity activity per day. Men, individuals aged 40-60 years, and former smokers derived the most benefit from these activity levels.

Indexed as

DepressionExerciseRecreationSleep Wake DisordersAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysUnited StatesYoung AdultDepressive symptomsNHANESRecreational physical activitiesSleep disorder

Identifiers

PMID39972295
PMCPMC11841265

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.