Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Associations Between Physical Activity and Mental Health Problems in Middle-aged Indonesians

  • Sri Handayani (Research Center of Public Health and Nutrition, National Research and Innovation Agency) ;
  • Siti Isfandari (Research Center of Public Health and Nutrition, National Research and Innovation Agency) ;
  • Diyan Ermawan Effendi (Research Center of Public Health and Nutrition, National Research and Innovation Agency) ;
  • Rozana Ika Agustiya (Research Center of Public Health and Nutrition, National Research and Innovation Agency) ;
  • Irfan Ardani (Research Center of Public Health and Nutrition, National Research and Innovation Agency) ;
  • Arief Priyo Nugroho (Research Center of Public Health and Nutrition, National Research and Innovation Agency) ;
  • Yunita Fitrianti (Research Center of Public Health and Nutrition, National Research and Innovation Agency)
  • Received : 2024.01.01
  • Accepted : 2024.05.11
  • Published : 2024.07.31
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Abstract

Objectives: Mental health issues have become a growing concern worldwide. Research has shown that regular physical activity (PA) can positively affect mental health. This study investigated the associations between PA and mental health problems (MHPs) in middle-aged Indonesians. Methods: The study utilized data from the 2018 Indonesian Basic Health Research Survey and used a cross-sectional approach. The participants included individuals aged 40-60 years who completed the 20-question Self-Reporting Questionnaire. A logistic regression was performed to analyze a sample of 263 930 data points. Results: Nearly 10.4% of the participants suffered from mental health issues. Notably, among those who did not engage in moderate and vigorous PA, a sign of MHPs was found in 12.5% of participants. Those who met World Health Organization standards for PA were less likely to experience MHPs (10.1%). This study found a significant association between PA and mental health. After adjusting for smoking, alcohol consumption, non-communicable diseases, and socio-demographic variables like age, sex, education, occupation, marital status, and residence, the connection between PA and mental health became even stronger (adjusted odds ratio, 0.81; 95% confidence interval, 0.78 to 0.85; p<0.001). Conclusions: Regular PA has been shown to affect mental health positively. Therefore, it is important to improve health education and efforts to raise awareness among middle-aged Indonesians about the importance of PA in maintaining good mental health.

Keywords

References

  1. GBD 2019 Mental Disorders Collaborators. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry 2022;9(2):137-150. https://doi.org/10.1016/S2215-0366(21)00395-3 
  2. National Institute of Health Research and Development. National Basic Health Survey 2018 [cited 2023 Nov 5]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514 (Indonesian). 
  3. Pengpid S, Peltzer K. Prevalence and associated factors of incident and persistent loneliness among middle-aged and older adults in Thailand. BMC Psychol 2023;11(1):70. https://doi.org/10.1186/s40359-023-01115-4 
  4. Dabrowska-Galas M, Dabrowska J. Physical activity level and self-esteem in middle-aged women. Int J Environ Res Public Health 2021;18(14):7293. https://doi.org/10.3390/ijerph18147293 
  5. Hopper S, Best JR, Wister AV, Cosco TD. Contributors to mental health resilience in middle-aged and older adults: an analysis of the Canadian Longitudinal Study on Aging. Int Psychogeriatr 2023:1-10. https://doi.org/10.1017/S1041610223000224 
  6. Liew HP. Health and well-being of middle age Indonesians: an application of seemingly unrelated regression (SUR) models. Health Policy Technol 2017;6(3):322-327. https://doi.org/10.1016/j.hlpt.2017.07.002 
  7. Maksum A, Indahwati N. Patterns of physical activity and its impact on health risk and life satisfaction: an evidence from adults in Indonesia. Int J Hum Mov Sports Sci 2021;9(6):1087-1096. https://doi.org/10.13189/saj.2021.090602 
  8. Statistics Indonesia. Indonesia population projection 2015-2045: result of SUPAS 2015 [cited 2023 Nov 11]. Available from: https://www.bps.go.id/id/publication/2018/10/19/78d24d9020026ad95c6b5965/proyeksi-penduduk-indonesia-2015-2045-hasil-supas-2015.html (Indonesian). 
  9. Colaruso CA. Child and adult development: a psychoanalytic introduction for clinicians. New York: Springer; 1992. https://doi.org/10.1007/978-1-4757-9673-5 
  10. National Institute of Health Research and Development. Guidelines for completing the RISKESDAS questionnaire 2018 [cited 2023 Nov 8]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/4606/1/Pedoman_Kues_Rkd_2018_1.pdf (Indonesian). 
  11. Beusenberg M, Orley JH; World Health Organization. A user's guide to the self reporting questionnaire (SRQ); 1994 [cited 2023 Oct 12]. Available from: https://iris.who.int/handle/10665/61113 
  12. Ganihartono I. Psychiatric morbidity among patients attending the Bangetayu community health centre in Indonesia. Bul Penelit Kesehat 1996;24(4):42-51. 
  13. World Health Organization. WHO guidelines on physical activity and sedentary behaviour; 2020 [cited 2023 Oct 12]. Available from: https://www.who.int/publications/i/item/9789240015128 
  14. Wu KG, Chen SJ, Hu YN, Mei SF, Chen WC, Huang XE, et al. The relationship between physical activity and depression among community-dwelling adults in Wuhan, China. Front Psychiatry 2023;14:1179417. https://doi.org/10.3389/fpsyt.2023.1179417 
  15. Mahindru A, Patil P, Agrawal V. Role of physical activity on mental health and well-being: a review. Cureus 2023;15(1):e33475. https://doi.org/10.7759/cureus.33475 
  16. Bishwajit G, O'Leary DP, Ghosh S, Yaya S, Shangfeng T, Feng Z. Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: world health survey. BMC Geriatr 2017;17(1):100. https://doi.org/10.1186/s12877-017-0489-1 
  17. Gu Z. Analysis of the relationship between physical exercise and mental health. Lect Notes Educ Psychol Public Media 2023;6(1):534-538. https://doi.org/10.54254/2753-7048/6/20220472 
  18. Vella SA, Aidman E, Teychenne M, Smith JJ, Swann C, Rosenbaum S, et al. Optimising the effects of physical activity on mental health and wellbeing: a joint consensus statement from Sports Medicine Australia and the Australian Psychological Society. J Sci Med Sport 2023;26(2):132-139. https://doi.org/10.1016/j.jsams.2023.01.001 
  19. Mansouri A, Kavi E, Ahmadpoori SF, Amin E, Bazrafshan M, Piroozi A, et al. Cigarette smoking and coping strategies with stress in young adults of Larestan. Jundishapur J Health Sci 2019;11(1):e83121. https://doi.org/10.5812/jjhs.83121 
  20. Zvolska K, Tichopad A, Stepankova L, Pankova A, Adamcekova Z, Donin G, et al. Increasing prevalence of mental disorders in smokers seeking treatment of tobacco dependence: a retrospective observational study. BMC Psychiatry 2023;23(1):621. https://doi.org/10.1186/s12888-023-05115-x 
  21. Abdu Z, Hajure M. Correlation of alcohol use disorders with common mental disorders and its association with socio-demographic characteristics among community in Ethiopia: a cross-sectional study. Risk Manag Healthc Policy 2020;13:2909-2917. https://doi.org/10.2147/RMHP.S279590 
  22. Le TM, Wang W, Zhornitsky S, Dhingra I, Chen Y, Zhang S, et al. The neural processes interlinking social isolation, social support, and problem alcohol use. Int J Neuropsychopharmacol 2021;24(4):333-343. https://doi.org/10.1093/ijnp/pyaa086 
  23. Verma M, Grover S, Tripathy JP, Singh T, Nagaraja SB, Kathirvel S, et al. Co-existing non-communicable diseases and mental illnesses amongst the elderly in Punjab, India. Eur Endocrinol 2019;15(2):106-112. https://doi.org/10.17925/EE.2019.15.2.106 
  24. Zhang Z, Sum G, Qin VM, Zhao Y, Haregu TN, Oldenburg B, et al. Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis. Sci Rep 2021;11(1):5731. https://doi.org/10.1038/s41598-021-85126-4 
  25. Gray N, Klein JD. Mental health and non-communicable diseases: a narrative review. Pediatr Med 2022;5:6. https://doi.org/10.21037/pm-20-84 
  26. Naghavi FS, Koffman EE, Lin B, Du J. Post-stroke neuronal circuits and mental illnesses. Int J Physiol Pathophysiol Pharmacol 2019;11(1):1-11. 
  27. Burghardt J, Tibubos AN, Otten D, Brahler E, Binder H, Grabe H, et al. A multi-cohort consortium for GEnder-Sensitive Analyses of mental health trajectories and implications for prevention (GESA) in the general population in Germany. BMJ Open 2020;10(2):e034220. https://doi.org/10.1136/bmjopen-2019-034220 
  28. Otten D, Tibubos AN, Schomerus G, Brahler E, Binder H, Kruse J, et al. Similarities and differences of mental health in women and men: a systematic review of findings in three large German cohorts. Front Public Health 2021;9:553071. https://doi.org/10.3389/fpubh.2021.553071 
  29. Jiang W, Lu Y, Xie H. Education and mental health: evidence and mechanisms. J Econ Behav Organ 2020;180:407-437. https://doi.org/10.1016/j.jebo.2020.09.032 
  30. Belo P, Navarro-Pardo E, Pocinho R, Carrana P, Margarido C. Relationship between mental health and the education level in elderly people: mediation of leisure attitude. Front Psychol 2020;11:573. https://doi.org/10.3389/fpsyg.2020.00573 
  31. Niemeyer H, Bieda A, Michalak J, Schneider S, Margraf J. Education and mental health: do psychosocial resources matter? SSM Popul Health 2019;7:100392. https://doi.org/10.1016/j.ssmph.2019.100392 
  32. Batic-Mujanovic O, Poric S, Pranjic N, Ramic E, Alibasic E, Karic E. Influence of unemployment on mental health of the working age population. Mater Sociomed 2017;29(2):92-96. https://doi.org/10.5455/msm.2017.29.92-96 
  33. Alvaro JL, Garrido A, Pereira CR, Torres AR, Barros SC. Unemployment, self-esteem, and depression: differences between men and women. Span J Psychol 2019;22:E1. https://doi.org/10.1017/sjp.2018.68 
  34. Ryu S, Fan L. The relationship between financial worries and psychological distress among U.S. adults. J Fam Econ Issues 2023;44(1):16-33. https://doi.org/10.1007/s10834-022-09820-9 
  35. Kim A, Lee JA, Park HS. Health behaviors and illness according to marital status in middle-aged Koreans. J Public Health (Oxf) 2018;40(2):e99-e106. https://doi.org/10.1093/pubmed/fdx071 
  36. Harandi TF, Taghinasab MM, Nayeri TD. The correlation of social support with mental health: a meta-analysis. Electron Physician 2017;9(9):5212-5222. https://doi.org/10.19082/5212 
  37. Parker L, Creese H. The stigmatisation of widows and divorcees (janda) in Indonesian society. Indones Malay World 2016;44 (128):1-6. https://doi.org/10.1080/13639811.2015.1111647 
  38. Lee EE, Depp C, Palmer BW, Glorioso D, Daly R, Liu J, et al. High prevalence and adverse health effects of loneliness in community-dwelling adults across the lifespan: role of wisdom as a protective factor. Int Psychogeriatr 2019;31(10):1447-1462. https://doi.org/10.1017/S1041610218002120 
  39. Talebi M, Taghipour A, Raouf-Rahmati A, Farokhani EM, Ghaffariyan-Jam S, Samarghandi A, et al. Prevalence of mental disorders among middle-aged population of primary healthcare centers in Northeastern Iran. BMC Public Health 2024;24(1):80. https://doi.org/10.1186/s12889-023-17598-0 
  40. Effendi DE, Handayani Deceased L, Nugroho AP, Hariastuti I. Adolescent pregnancy prevention in rural Indonesia: a participatory action research. Rural Remote Health 2021;21(3):6639. https://doi.org/10.22605/RRH6639