设备测量和自我报告的身体活动与常见精神障碍之间的关联:来自大规模前性队列研究的发现
Zhe Wang1, Zhi Cao2, Jiahao Min3
1School of Clinical Medicine, Hangzhou Normal University, Hangzhou, China.
BMJ evidence-based medicine
|July 12, 2024
概括
身体活动 (PA) 测量方法产生了不同的心理健康见解. 自我报告的PA显示了与抑郁和焦虑的J形联系,而设备测量的PA显示了L形关联,这表明需要更新指南.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 像抑郁症和焦虑症这样的常见精神障碍给公共卫生带来了重大挑战.
- 身体活动 (PA) 被认为是心理健康的保护因素,但测量方法各不相同.
- 自我报告和客观测量的身体活动之间存在差异,这可能会影响对心理健康的研究结果.
研究的目的:
- 调查设备测量和自我报告的体力活动 (PA) 与事件常见精神障碍之间的关联.
- 为了比较不同PA测量方法与抑郁和焦虑风险的关系模式.
- 为未来的身体活动指南提供信息,以促进心理健康.
主要方法:
- 大规模前性队列研究利用英国生物库数据.
- 在365,956名参与者 (2006-2010年) 中通过问卷评估自报告的PA.
- 在91,800名参与者 (2013-2015) 中,客观测量的PA通过加速度计进行评估.
- 从医院记录中确定的事件抑郁和焦虑,使用Cox比例危险模型和受限立方线分析.
主要成果:
- 自我报告的PA显示了与事件抑郁和焦虑风险的J形关联.
- 设备测量中度至强烈的PA (MPA) 和强烈强度的PA (VPA) 显示了与发生抑郁和焦虑的L形关联.
- 对抑郁和焦虑的最佳风险降低在自我报告和设备测量的PA指标之间存在显著差异.
结论:
- 在自我报告和设备测量的身体活动与心理健康结果的关联之间观察到显著的不一致性.
- 当前的体力活动指南可能需要修订,以纳入客观测量的PA的发现.
- 未来的研究和指导方针应该优先考虑客观测量的PA,以更准确地了解其对心理健康的益处.
关键词:
精神疾病 精神疾病相关概念视频
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