Background
Although numerous studies have indicated that lower levels of physical activity correlate with a higher risk of depression, an association between the type of physical activity and depression has not been identified in Korea. This study aimed to examine whether the type and intensity of physical activity are associated with depression in Korean adults.
Methods
This cross-sectional study used data from the Korea National Health and Nutrition Examination Survey (KNHANES). A total of 11,679 individuals were analyzed using multiple logistic regression analyses to identify any association between the type of physical activity and depressive disorders in the sample subjects.
Results
Measured weekly in units of energy expenditure, known as metabolic equivalents (METs), the amount of work-related physical activity was higher in individuals with depression according to the Patient Health Questionnaire- 9 than the participants without depression (386.7 vs. 206.7 MET-min/wk, P=0.01). Those diagnosed with depression tended to engage in less recreational activity per week (143.7 vs. 316.3 MET-min/wk, P<0.001) than those without depression. After controlling for covariates, the risk of depression among all participants was 1.012 times higher with a 100-unit increase in total work-related activity measured in METs (95% confidence interval [CI], 1.006–1.017; P<0.001) and 0.962 times lower with a 100-unit increase in total leisure activity measured in METs (95% CI, 0.937–0.987; P=0.003).
Conclusion
Different types of physical activity were shown to be differently associated with depressive disorders in Korean adults. This study might guide in reducing work-related physical activity and increasing leisure activity to prevent the occurrence of depression.

Citations

• Sex- and Age-Specific Differences in the Joint Effects of Diet Quality and Physical Activity on Depressive Symptoms in Adults: A Cross-Sectional Study
  Soyoung Kim, Minseon Park
  Nutrients.2026; 18(6): 915.     CrossRef
• Comparative Associations of Aerobic Exercise and Resistance Exercise With Depression and Anxiety in Korean Adults: A Nationwide Propensity Score Matching Analysis
  Ye-Jin Yun, Yaeji Lee, Yu-Jin Kwon, Ji-Won Lee
  Journal of Korean Medical Science.2026;[Epub]     CrossRef
• Differential Health Effects of Occupational and Leisure-Time Physical Activity: A Korean Perspective Review
  Bart Cillekens, Pieter Coenen, P. Paul F.M. Kuijer
  Physical Therapy Korea.2026; 33(1): 1.     CrossRef
• Physical activity and depressive among older adults: the mediating role of resilience and the moderating role of trait mindfulness
  Fengbo Liu, Shichang Cai, Jinjin Li, Ming Wu, Feng Tian, Zhihui Liu
  Current Psychology.2026;[Epub]     CrossRef
• Socioeconomic disparities in depression risk: Limitations of the moderate effect of physical activity changes in Korea
  Su Kyoung Lee, Yong Jin Kwon, Zulkarnain Jaafar
  PLOS ONE.2025; 20(2): e0314930.     CrossRef
• Physical activity and its specific domains associated with depressive symptoms: a cross-sectional large population survey
  Abtin Ansari, Keyvan Karimi, Fatima Rashidi, Amirhossein Memari, Sarmad Salehi, Khashayar Danandeh
  International Journal of Surgery: Global Health.2025;[Epub]     CrossRef
• Differing dietary patterns according to body composition
  Yea-Chan Lee, Hyung-Mi Kim, Hye Sun Lee, Soyoung Jeon, Yu-Jin Kwon, Ji-Won Lee
  Frontiers in Nutrition.2025;[Epub]     CrossRef
• Integrating BWM and modified VIKOR for age-friendly community park assessment in the context of mental health
  Zhi-Hao Zhang, Yi-Fan Zhang, Cheng-Cheong Lei
  Frontiers in Medicine.2025;[Epub]     CrossRef
• Guidelines for physical activity counseling in primary healthcare clinics
  Yun Jun Yang
  Journal of the Korean Medical Association.2024; 67(4): 265.     CrossRef
• Association of Physical Activity Against Depression Among Universiti Putra Malaysia Undergraduate Medical Students-A Cross Sectional Study
  Lynncilla Shakira, Eugene Koh Boon Yau, Chong Seng Choi
  Malaysian Journal of Medicine and Health Sciences.2024; 20(5): 226.     CrossRef
• Nutrient Inadequacy in Korean Young Adults with Depression: A Case Control Study
  Su-In Yoon, Hye-Ri Moon, So Rok Lee, Jingnan Zhang, Soojin Lee, Jin Ah Cho
  Nutrients.2023; 15(9): 2195.     CrossRef
• The association of work physical activity and recreational physical activity with periodontitis in the NHANES (2009–2014)
  Rui Pu, Mengdie Fu, Guoli Yang, Zhiwei Jiang
  Journal of Periodontology.2023; 94(10): 1220.     CrossRef
• Personalized training as a promoter for physical activity in people with depressive disorder—a randomized controlled trial in Germany
  Katriona Keller-Varady, Sven Haufe, Elisabeth Schieffer, Arno Kerling, Uwe Tegtbur, Kai G. Kahl
  Frontiers in Psychiatry.2023;[Epub]     CrossRef
• Does Excessive Smartphone Use Reduce Physical Activity in Adolescents?
  Soo Young Kim
  Korean Journal of Family Medicine.2023; 44(5): 247.     CrossRef
• Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome
  Jagoda Rusowicz, Anna Serweta, Karolina Juszko, Wojciech Idzikowski, Robert Gajda, Joanna Szczepańska-Gieracha
  International Journal of Environmental Research and Public Health.2022; 19(23): 15957.     CrossRef