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The Association of Outdoor Walking Per Week with Mental Health and Costs of Psychotropic Drugs in Adults

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Abstract

Regular walking confers many physical health benefits, including a reduced risk of disease-specific and all-cause mortality and better physical fitness. However, less is known about its role in mental health. Thus, the aims of this study were to determine the associations of outdoor walking per week with costs of psychotropic drugs used and mental health in adults. 500 adults aged 18 to 64 years in Hangzhou (China) reported sex, age, the name of the psychotropic drugs used and their dosage, and outdoor walking during the past 7 days. The cost that a person spends on buying psychotropic drugs for a month was considered psychotropic drugs costs. Overall mental health was assessed using the Chinese Version of the 12-Item General Health Questionnaire. The levels of walking in participants taking psychotropic were significantly lower than participants who did not taking psychotropic (p = 0.002). There was a significant negative correlation between mental health scores and minutes of walking per week and a significant positive correlation between the number of psychotropic drugs used and walking per week (p < 0.05). However, no particular associations were found between costs of psychotropic drug used and walking per week. Outdoor walking is prospectively associated with better overall mental health in adults. Then, awareness should be raised about the possible positive effects of outdoor walking on the mental health of adults.

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Data Availability

The data used to support the findings of this study are available from the corresponding author upon request.

References

  1. Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., et al. (2007). No health without mental health. The lancet, 370(9590), 859–877.

    Article  Google Scholar 

  2. Vigo, D., Thornicroft, G., & Atun, R. (2016). Estimating the true global burden of mental illness. The Lancet Psychiatry, 3(2), 171–178.

    Article  PubMed  Google Scholar 

  3. Hodgkin, D., Thomas, C. P., O’Brien, P. L., Levit, K., Richardson, J., Mark, T. L., et al. (2016). Projected spending on psychotropic medications 2013–2020. Administration and Policy in Mental Health and Mental Health Services Research, 43(4), 497–505.

    Article  PubMed  Google Scholar 

  4. White, R. L., Babic, M. J., Parker, P. D., Lubans, D. R., Astell-Burt, T., & Lonsdale, C. (2017). Domain-specific physical activity and mental health: A meta-analysis. American Journal of Preventive Medicine, 52(5), 653–666.

    Article  PubMed  Google Scholar 

  5. Herrman H, Saxena S, Moodie R. Promoting mental health: Concepts, emerging evidence, practice: A report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne: World Health Organization; 2005.

  6. Biddle, S. J., & Asare, M. (2011). Physical activity and mental health in children and adolescents: A review of reviews. British Journal of Sports Medicine, 45(11), 886–895.

    Article  PubMed  Google Scholar 

  7. Janssen, I., & LeBlanc, A. G. (2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 1–16.

    Article  Google Scholar 

  8. Amini, H., Habibi, S., Islamoglu, A., Isanejad, E., Uz, C., & Daniyari, H. (2021). COVID-19 pandemic-induced physical inactivity: The necessity of updating the Global Action Plan on Physical Activity 2018–2030. Environmental Health and Preventive Medicine, 26(1), 1–3.

    Article  Google Scholar 

  9. Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., et al. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462.

    Article  PubMed  Google Scholar 

  10. Kandola, A., Ashdown-Franks, G., Hendrikse, J., Sabiston, C. M., & Stubbs, B. (2019). Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neuroscience & Biobehavioral Reviews, 107, 525–539.

    Article  Google Scholar 

  11. Anderson, E., & Shivakumar, G. (2013). Effects of exercise and physical activity on anxiety. Frontiers in Psychiatry, 4, 27.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Norton, K., Norton, L., & Sadgrove, D. (2010). Position statement on physical activity and exercise intensity terminology. Journal of Science and Medicine in Sport, 13(5), 496–502.

    Article  PubMed  Google Scholar 

  13. Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297–322.

    Article  PubMed  Google Scholar 

  14. Pratt, M., Macera, C. A., Sallis, J. F., O’Donnell, M., & Frank, L. D. (2004). Economic interventions to promote physical activity: Application of the SLOTH model. American Journal of Preventive Medicine, 27(3), 136–145.

    Article  PubMed  Google Scholar 

  15. Kelly, P., Murphy, M., & Mutrie, N. (2017). The health benefits of walking. Emerald Publishing Limited.

    Book  Google Scholar 

  16. Kelly, P., Kahlmeier, S., Götschi, T., Orsini, N., Richards, J., Roberts, N., et al. (2014). Systematic review and meta-analysis of reduction in all-cause mortality from walking and cycling and shape of dose response relationship. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 1–15.

    Article  Google Scholar 

  17. Liang, Y., Wang, L., & Yin, X. (2016). The factor structure of the 12-item general health questionnaire (GHQ-12) in young Chinese civil servants. Health and Quality of Life Outcomes, 14(1), 1–9.

    Article  CAS  Google Scholar 

  18. Li, W. H., Chung, J. O., Chui, M. M., & Chan, P. S. (2009). Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. Journal of Clinical Nursing, 18(23), 3253–3261.

    Article  PubMed  Google Scholar 

  19. Heesch, K. C., Burton, N. W., & Brown, W. J. (2011). Concurrent and prospective associations between physical activity, walking and mental health in older women. Journal of Epidemiology & Community Health, 65(9), 807–813.

    Article  Google Scholar 

  20. Kelly, P., Williamson, C., Niven, A. G., Hunter, R., Mutrie, N., & Richards, J. (2018). Walking on sunshine: Scoping review of the evidence for walking and mental health. British Journal of Sports Medicine, 52(12), 800–806.

    Article  PubMed  Google Scholar 

  21. Bergland, A., Thorsen, K., & Loland, N. W. (2010). The relationship between coping, self-esteem and health on outdoor walking ability among older adults in Norway. Ageing & Society, 30(6), 949–963.

    Article  Google Scholar 

  22. Chen, S.-T., Stevinson, C., Yang, C.-H., Sun, W.-J., Chen, L.-J., & Ku, P.-W. (2021). Cross-sectional and longitudinal associations of outdoor walking with overall mental health in later life. Experimental Gerontology, 151, 111428.

    Article  PubMed  Google Scholar 

  23. Raudsepp, L., & Riso, E.-M. (2017). Longitudinal association between objectively measured walking and depressive symptoms among Estonian older adults. Journal of Aging and Physical Activity, 25(4), 639–645.

    Article  PubMed  Google Scholar 

  24. Mau, M., Aaby, A., Klausen, S. H., & Roessler, K. K. (2021). Are long-distance walks therapeutic? A systematic scoping review of the conceptualization of long-distance walking and its relation to mental health. International Journal of Environmental Research and Public Health, 18(15), 7741.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Sugiyama, T., Giles-Corti, B., Summers, J., du Toit, L., Leslie, E., & Owen, N. (2013). Initiating and maintaining recreational walking: A longitudinal study on the influence of neighborhood green space. Preventive medicine, 57(3), 178–182.

    Article  PubMed  Google Scholar 

  26. Schmidt, T., Kerr, J., & Schipperijn, J. (2019). Associations between neighborhood open space features and walking and social interaction in older adults—a mixed methods study. Geriatrics, 4(3), 41.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Tully, M. A., McMullan, I., Blackburn, N. E., Wilson, J. J., Bunting, B., Smith, L., et al. (2020). Sedentary behavior, physical activity, and mental health in older adults: An isotemporal substitution model. Scandinavian Journal of Medicine & Science in Sports, 30(10), 1957–1965.

    Article  Google Scholar 

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Contributions

MW: designed the study, collected and analyzed data, wrote the manuscript. CJ: assisted with data analysis and manuscript preparation. The rest of authors: assisted with data collection and analysis, manuscript review. All authors have read and agreed to the all aspects of the work related to the accuracy or integrity of any part of the work.

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Correspondence to Caixia Jiang.

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The protocol was approved by the Medical Ethics Committee of the Hangzhou Centers for Disease Control (China). Considering that no intervention was given to the participants, written consent was not obtained from them to participate in the research. However, they were assured that the results of their questionnaire will remain confidential and will not be presented to a third person.

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Wang, M., Jiang, C., Huang, Y. et al. The Association of Outdoor Walking Per Week with Mental Health and Costs of Psychotropic Drugs in Adults. J Community Health 48, 136–140 (2023). https://doi.org/10.1007/s10900-022-01157-6

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