精神被动的久坐行为和发生的抑郁症:通过炎症标志物的调解
André O Werneck1, Neville Owen2, Raphael H O Araujo3
1Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), Brazil.
Journal of affective disorders
|July 19, 2023
概括
精神被动的久坐行为,如看电视,与新的抑郁病例有关. 这种关联部分可以通过增加腰围和C-反应蛋白来解释,这表明有炎症联系.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 久坐不动行为 (SB) 与抑郁症有关,但不同类型的SB的影响尚不清楚.
- 了解精神被动与精神活跃的SB对确定抑郁症风险因素至关重要.
- 潜在的生物媒介需要调查,以解释SB-抑郁症的关联.
研究的目的:
- 为了研究精神被动和精神活跃的久坐行为和事件抑郁之间的关系.
- 探索腰围,C反应蛋白和糖化血红蛋白在这些关联中的调解作用.
主要方法:
- 利用了1958年国家儿童发展研究 (n=4607) 的纵向队列数据.
- 在基线 (44-46岁) 评估精神被动 (看电视) 和精神活跃 (办公桌工作,开车) SB.
- 追踪抑郁症诊断和测量腰围,C反应蛋白和随访时的HbA1c (50-55岁).
主要成果:
- 精神被动的SB显示与发生抑郁症有显著的关联 (HR: 1.43).
- 在精神活跃的SB和发生抑郁症之间没有发现任何关联.
- 腰围和C-反应蛋白部分介导了精神被动性SB和抑郁症之间的联系.
结论:
- 精神被动的久坐不动行为是发展抑郁症的危险因素.
- 由腰围和C-反应性蛋白体现的炎症机制可能是这种关联的基础.
- 对生活方式因素和炎症的进一步研究对于抑郁症预防策略是有必要的.
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