J Korean Med Sci.  2008 Apr;23(2):218-225. 10.3346/jkms.2008.23.2.218.

A Dose-Response Relationship between Types of Physical Activity and Distress

• Kim K
• Shin YJ
• Nam JH
• Choi BY
• Kim MK

• KMID: 1713452
• DOI: http://doi.org/10.3346/jkms.2008.23.2.218

Abstract

This study aimed to examine whether a dose-response relationship exists between psychological distress and types of physical activity (total, occupational, and leisuretime). The study subjects (233 men and 313 women) were recruited for a study on cardiovascular disease in the Yangpyeong community located in South Korea. The type and characteristics of physical activity were measured with a modified version of the Stanford 5 city project's questionnaire by well-trained interviewers using a standard protocol. The Psychological Well-being Index-Short Form was used to assess psychological distress. Both the intensity and duration of time in either total physical activity or occupational physical activity (OPA) were not related to the distress score. However, a long duration of time (1 hr/day) in severely intensive (> or =6 metabolic equivalent) OPA was related to a high distress score in men (14.1 for none vs. 19.7, pfor- trend=0.005), even after the adjustment for leisure-time physical activity (LTPA). A long duration in time (1 hr/day) in LTPA was related to a lower distress score in men independent of their OPA (16.7 for none vs. 13.1, p-for-trend=0.02). In conclusion, the dose-response relationship of physical activity on psychological distress appeared to differ among the different types of activities. The type of activity may be an important determinant of whether physical activity produces psychological benefits.

Keyword

Motor Activity; Distress; Dose-Response Relationship

MeSH Terms

Adult
Exercise
Female
Health Status
Humans
Korea
Leisure Activities
Male
Middle Aged
*Motor Activity
Physical Fitness
Questionnaires
Stress, Psychological/*etiology
Time Factors

Figure

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  Fig. 1 The effect of LTPA and duration of time in severe OPA on the total PWI-SF score. Adjusted for age, job, disease history, family history of disease, and BMI. Non-exercise: LTPA score <22.5 metabolic equivalent-hour/week, Exercise: LTPA score ≥22.5 metabolic equivalent-hour/week.

Reference

1. Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993. 25:71–80.

2. Dunn AL, Trivedi MH, O'Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sports Exerc. 2001. 33(6 Suppl):S587–S597.

3. Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep. 1985. 100:195–202.

4. Choi HJ, Lee HS, Choi YH, Lee KH, Cho B, Yoo TW. The effect of exercise on daily minor stress. J Korean Acad Fam Med. 2001. 22:1034–1042.

5. Kim NJ, Suh IL. The relationship between exercise and perceived stress in employees. J Korean Soc Health Educ Promot. 2004. 21:101–115.

6. Lee IM, Skerrett PJ. Physical activity and all-cause mortality: what is the dose-response relation? Med Sci Sports Exerc. 2001. 33(6 Suppl):S459–S471.

7. Penninx BW, Rejeski WJ, Pandya J, Miller ME, Di Bari M, Applegate WB, Pahor M. Exercise and depressive symptoms: a comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. J Gerontol B Psychol Sci Soc Sci. 2002. 57:124–132.

8. Stephens T. Physical activity and mental health in the United States and Canada: evidence from four population surveys. Prev Med. 1988. 17:35–47.

9. Tsutsumi T, Don BM, Zaichkowsky LD, Delizonna LL. Physical fitness and psychological benefits of strength training in community dwelling older adults. Appl Human Sci. 1997. 16:257–266.

10. Yoon YS, Ahn CN, Jung AR, Cho JJ. The effect of regular exercise on the somatic symptoms in health adults. J Korean Acad Fam Med. 1996. 17:166–173.

11. Krause N, Goldenhar L, Liang J, Jay G, Maeda D. Stress and exercise among the Japanese elderly. Soc Sci Med. 1993. 36:1429–1441.

12. Rajala U, Uusimaki A, Keinanen-Kiukaanniemi S, Kivela SL. Prevalence of depression in a 55-year-old Finnish population. Soc Psychiatry Psychiatr Epidemiol. 1994. 29:126–130.

13. Bhui K, Fletcher A. Common mood and anxiety states: gender differences in the protective effect of physical activity. Soc Psychiatry Psychiatr Epidemiol. 2000. 35:28–35.

14. Paffenbarger RS Jr, Lee IM, Leung R. Physical activity and personal characteristics associated with depression and suicide in American college men. Acta Psychiatr Scand Suppl. 1994. 377:16–22.

15. Ruuskanen JM, Ruoppila I. Physical activity and psychological wellbeing among people aged 65 to 84 years. Age Ageing. 1995. 24:292–296.

16. Kesaniemi YK, Danforth E Jr, Jensen MD, Kopelman PG, Lefebvre P, Reeder BA. Dose-response issues concerning physical activity and health: an evidence-based symposium. Med Sci Sports Exerc. 2001. 33(6 Suppl):S351–S358.

17. Clays E, De Bacquer D, Delanghe J, Kittel F, Van Renterghem L, De Backer G. Associations between dimensions of job stress and biomarkers of inflammation and infection. J Occup Environ Med. 2005. 47:878–883.

18. Hemingway H, Marmot M. Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ. 1999. 318:1460–1467.

19. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med. 1979. 9:139–145.

20. Jang S. Jang S, editor. Stress. Collection of health statistics and standardization of measurement. 2000. Korea, Seoul: Gaechook Press;92–132.

21. Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, Paffenbarger RS Jr. Physical activity assessment methodology in the Five-City Project. Am J Epidemiol. 1985. 121:91–106.

22. American College of Sports Medicine. Modifiable Activity Questionnaire. Med Sci Sports Exerc. 1997. 29:73–78.

23. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, Kriska A, Leon AS, Marcus BH, Morris J, Paffenberger RS Jr, Patrick K, Pollock ML, Rippe JM, Sallis J, Wilmore JH. Physical activity and public health. A recommendation from the centers for disease control and prevention and the American college of sports medicine. JAMA. 1995. 273:402–407.

24. Brown DW, Brown DR, Heath GW, Balluz L, Giles WH, Ford ES, Mokdad AH. Associations between physical activity dose and healthrelated quality of life. Med Sci Sports Exerc. 2004. 36:890–896.

25. Hu G, Sarti C, Jousilahti P, Silventoinen K, Barengo NC, Tuomilehto J. Leisure time, occupational, and commuting physical activity and the risk of stroke. Stroke. 2005. 36:1994–1999.

26. Hu G, Eriksson J, Barengo NC, Lakka TA, Valle TT, Nissinen A, Jousilahti P, Tuomilehto J. Occupational, commuting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes. Circulation. 2004. 110:666–673.

27. Hu G, Qiao Q, Silventoinen K, Eriksson JG, Jousilahti P, Lindstrom J, Valle TT, Nissinen A, Tuomilehto J. Occupational, commuting, and leisure-time physical activity in relation to risk for Type 2 diabetes in middle-aged Finnish men and women. Diabetologia. 2003. 46:322–329.

28. Kim CH, Kim MH, Cho SI, Nam JH, Choi BY. The association between the psychosocial well-being status and adverse lipid profiles in a rural Korean community. Korean J Prev Med. 2003. 36:24–32.

29. Kim DJ, Jung SH, Huh BY, Yoo TW, Jeon HY, Song HJ. Symptoms related to low systolic blood pressure. J Korean Acad Fam Med. 1997. 18:271–283.

30. Kim JR. Relationship between life style, the level of stress and irritable bowel syndrome. (Dissertation). 1998. Graduate School of Inje University.

31. Haw MA. Women, work and stress: a review and agenda for the future. J Health Soc Behav. 1982. 23:132–144.

32. Loscocco KA, Spitze G. Working conditions, social support, and the well-being of female and male factory workers. J Health Soc Behav. 1990. 31:313–327.

33. Sacker A, Cable N. Do adolescent leisure-time physical activities foster health and well-being in adulthood? Evidence from two British birth cohorts. Eur J Public Health. 2006. 16:332–336.

34. Stansfeld SA, Fuhrer R, Shipley MJ, Marmot MG. Psychological distress as a risk factor for coronary heart disease in the Whitehall II Study. Int J Epidemiol. 2002. 31:248–255.

35. Bertrais S, Beyeme-Ondoua JP, Czernichow S, Galan P, Hercberg S, Oppert JM. Sedentary behaviors, physical activity, and metabolic syndrome in middle-aged French subjects. Obes Res. 2005. 13:936–944.

36. Korea Institute of Health and Social Affair. Report on 2001 national health and nutrition survey. 2002. Korea, Seoul: Ministry of Health & Welfare.

37. World Health Organization. The world health report. 2002. Geneva, Switzerland: World Health Organization;47–97.