慢性病患者中抑郁症的体力活动:爱尔兰老龄化纵向研究中老年糖尿病患者的结果
Eamon Laird1, Matthew P Herring1, Brian P Carson2
1Physical Activity for Health Research Centre, Health Research Institute, and Department of Physical Education and Sport Sciences, University of Limerick, Ireland; The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland.
Psychiatry research
|June 4, 2023
概括
定期进行中度至强度的体力活动 (MVPA) 可以降低患有2型糖尿病的慢性疾病的老年人患抑郁症的风险. 坚持世界卫生组织对MVPA的指导方针可以显著降低严重抑郁症和抑郁症状的几率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 伴随性抑郁症状和严重抑郁症在慢性疾病的老年人中很常见.
- 不同剂量的中度至强度体力活动 (MVPA) 对这种人群中抑郁症的保护作用还未得到充分研究.
- 2型糖尿病 (T2DM) 是一种普遍的慢性疾病,与抑郁症风险增加有关.
研究的目的:
- 调查不同剂量的MVPA与抑郁症状和严重抑郁症之间的纵向关联.
- 专门研究患有T2DM的慢性病的老年人中的这些关联.
- 在这个人口群体中,为旨在预防抑郁症的公共卫生干预提供信息.
主要方法:
- 利用了来自爱尔兰长度老龄化研究 (TILDA) 的10年数据.
- 量化连续MVPA (MET.min.week-1) 并将MVPA分为三级和五级剂量.
- 采用负二项回归和物流模型,对共变量进行调整,分析随时间推移的关联.
主要成果:
- 符合世卫组织MVPA指导方针的参与者 (600<1,200 MET.min.week-1) 与不符合指导方针的参与者相比,患重抑郁症的几率降低了28% (OR:0.72;95%CI:0.530.98).
- 较高的MVPA剂量,特别是超过推 (1200<2,400 MET.min.week-1),与13%较低的抑郁症状率相关 (IRR:0.87;95%CI:0.820.93).
- 观察到剂量与反应的关系,较高的MVPA水平与对抑郁症状更大的保护有关.
结论:
- 遵守世卫组织体育活动指南表明,在患有T2DM的慢性病的老年人中,对重度抑郁症有保护作用.
- 在这个人群中,获得更高剂量的MVPA与抑郁症状的减少率有关.
- 干预措施应优先促进慢性病患者 (包括T2DM患者) 遵守和遵守MVPA指南,以减轻抑郁风险.
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