在中老年和老年人中确定社区建设环境对身体活动和抑郁症状轨迹的影响:中国国家纵向研究
Kaili Zhang1, Bowen Huang2, Prasanna Divigalpitiya3
1Graduate School of Human-Environment Studies, Kyushu University, Fukuoka, Japan.
JMIR public health and surveillance
|January 13, 2025
概括
低强度的休时间体力活动 (LTPA) 可以减少抑郁症状,而职业体力活动 (OPA) 可能会增加抑郁症状. 社区建筑环境 (CBE) 的因素也影响了这些关系.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 身体活动 (PA) 领域/强度和抑郁症状之间的关系尚未完全理解.
- 将社区构建的环境 (CBE) 纳入对PA对抑郁症影响的分析是必不可少的.
研究的目的:
- 研究休时间和职业环境中低强度和中等至强烈强度的PA如何影响中年和老年人抑郁症状轨迹.
- 探索CBE对抑郁症状和PA的影响.
主要方法:
- 在6865名成年人中,使用中国健康与退休长度调查数据进行了长度研究 (共3次: 2015, 2018, 2020年).
- 评估抑郁症状 (流行病学研究中心抑郁症量表) 和CBE属性.
- 采用潜增长曲线建模来分析PA,CBE和抑郁症状关系.
主要成果:
- 较高的低强度休时间体育活动 (LTPA) 与较少的抑郁症状相关.
- 中度至强度的LTPA对抑郁症状没有显著影响.
- 职业体力活动 (OPA),特别是中度至强度,与抑郁症状的增加有关.
- 更好的CBE基础设施和公共设施访问最初降低了抑郁症状,但随着时间的推移,可能会增加它们.
- CBE因素影响了LTPA和OPA的水平和轨迹.
结论:
- 公共卫生政策应在解决抑郁症状时区分PA类型和领域.
- 针对建筑环境的社区级干预措施对于管理PA和心理健康至关重要.
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