Physical Activity and Mood in Patients at a Medical Spa in São Paulo, Brazil

Abstract

Introduction. The global increase in negative mood states, reflected in higher rates of anxiety, depression, and other
mental health disorders, constitutes a current public health concern. Scientific evidence has demonstrated that
engagement in physical activity represents one of the most effective, accessible, and cost-effective non-pharmacological
interventions for improving emotional well-being and mental health. The aim of this study was to determine
the influence of physical activity combined with natural therapies on mood states in adult patients attending a
medical spa in São Paulo, Brazil, during 2025.
Methods. A quantitative, quasi-experimental, longitudinal study was conducted using a non-probabilistic convenience
sample of 30 participants aged between 28 and 82 years. The PEVI questionnaire was administered to assess
physical activity levels, and the reduced POMS questionnaire was used to evaluate mood states before and after the
intervention. The intervention consisted of supervised physical activities, hydrotherapy, and educational sessions
over a two-week period. Data were analyzed using descriptive statistics, paired-sample t-tests, and Spearman’s rho
correlation coefficient.
Results. The results demonstrated a significant negative correlation between physical activity level and total mood
disturbance, as well as with the depression dimension. Following the intervention, a statistically significant decrease
was observed in all dimensions except hostility. The dimensions showing the greatest changes after the intervention
were tension (8.13 vs. 6.47; p=0.004), depression (5.13 vs. 2.73; p=0.001), and a significant increase in vigor (11.80
vs. 14.43; p=0.004).
Conclusions. It is concluded that physical activity combined with natural therapies has a positive impact on mood
and emotional well-being in adults, supporting its role as a relevant non-pharmacological strategy within comprehensive
health care programs.