探索低能耗,抑郁和女性运动员饮食障碍之间的关系:一个横截面研究
Robin Halioua1,2, Paulina Wasserfurth3, Désirée Toepffer3
1Research Group Sports Psychiatry, Center for Psychiatric Research, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Clinic Zurich, University of Zurich, Zurich, Switzerland.
BMJ open sport & exercise medicine
|September 3, 2024
概括
低能量的可用性 (LEA) 与女性运动员的抑郁症没有直接联系. 失调的饮食行为调解了LEA和抑郁症之间的关系,增加了抑郁症疾病的风险.
科学领域:
- 运动医学 运动医学
- 精神病学是一个精神病学.
- 营养科学 营养科学
背景情况:
- 国际奥委会的共识认为,抑郁症是低能耗 (LEA) 的结果,也是体育运动中相对能量不足 (REDs) 的风险因素.
- 运动员中LEA和抑郁症之间的直接关联仍然不够确立.
- 了解这种关系对于运动员的福祉和表现至关重要.
研究的目的:
- 调查LEA在女性运动员抑郁症和饮食障碍 (DE/EDs) 之间的相互作用中的作用.
- 为了确定LEA是否独立地预测该人口中的抑郁症.
- 探索DE / EDs在LEA-抑郁症关系中的调解作用.
主要方法:
- 在重量敏感体育运动中对57名女运动员进行横截面研究.
- 评估包括实验室分析,临床采访和患者健康问卷-9.
- LEA指标:月经障碍,抑制的休息代谢率和抑制的甲状腺激素.
主要成果:
- 抑郁症的终身患病率为29.6%;19%患有ED,22.6%患有DE.
- LEA与终身或当前抑郁症状没有显著的关联.
- DE/ED显著增加了34%的终身抑郁症的概率.
结论:
- 低能量可用性 (LEA) 似乎不是女性运动员抑郁症的独立风险因素.
- 低血压和抑郁症之间的关联,以及红色,很可能是通过失调的饮食行为调解的.
- 针对饮食失调的干预措施可能对减轻LEA运动员抑郁风险至关重要.
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