The association between physical activity and anxiety symptoms for general adult populations: An analysis of the dose-response relationship

Sun Young Kim, Sang Won Jeon, Mi Yeon Lee, Dong Won Shin, Weon Jeong Lim, Young Chul Shin, Kang Seob Oh

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Objective The aim of this study is to determine the dose-response relationship between physical activity and anxiety symptoms. Methods We included data of 124,434 participants who had comprehensive health-screening examinations from January 1st, 2012, to December 31st, 2016, in Kangbuk Samsung Hospital, Seoul and Suwon, South Korea. We measured the level of physical activity using the International Physical Activity Questionnaire-short form (IPAQ-SF) and estimated anxiety symptoms using the Beck Anxiety Inventory (BAI). BAI scores of 19 and above were defined as cases. Logistic regression was used to analyze the association between physical activity and BAI-defined anxiety. Furthermore, we assessed whether sex differences might affect the relationship between physical activity and BAI-defined anxiety by stratifying our data. Results Compared with the sedentary group (0–600 METs-min/week), individuals achieving 600–6,000 METs-min/wk had a significantly lower risk of BAI-defined anxiety with a U-shaped relationship in general adults. After stratifying our data by sex, we found that optimal ranges of physical activity were 600–9,000 METs-min/wk for men, but 1,200–3,000 METs-min/wk for women. Conclusion We identified a U-or J-shaped association between physical activity and anxiety symptoms, suggesting an optimal dose and upper limit of physical activity for decreasing anxiety symptoms. Optimal levels and upper limits of physical activity for reducing anxiety symptoms were higher for men than for women.

Original languageEnglish
Pages (from-to)29-36
Number of pages8
JournalPsychiatry Investigation
Volume17
Issue number1
DOIs
StatePublished - Jan 2020

Keywords

  • Anxiety
  • Dose-response relationship
  • Physical activity
  • Sex

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