在中风幸存者中,体力活动剂量与心理健康之间的关联
Ajith Kumar Vemuri1, Seyyed Sina Hejazian1, Alireza Vafaei Sadr2
1Department of Neurology, College of Medicine Pennsylvania State University Hershey PA.
Journal of the American Heart Association
|June 23, 2025
概括
美国心脏协会/美国中风协会的体力活动指南与中风幸存者的心理健康负担降低有关. 最佳剂量包括每周4-6个中等级的疗程,每次45分钟.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 众所周知,身体活动可以减少中风幸存者的抑郁症状.
- 身体活动"剂量" (频率,强度,持续时间) 与心理健康负担之间的确切关系尚不清楚.
研究的目的:
- 检查美国心脏协会/美国中风协会 (AHA/ASA) 准则 (2011, 2014, 2021) 推的体力活动剂量与中风幸存者的心理健康负担之间的关联.
- 确定最佳的身体活动剂量,以改善这一群体的心理健康.
主要方法:
- 利用了2011-2019年行为风险因素监测系统 (BRFSS) 的数据.
- 使用倾向性得分匹配,将遵循指南和不遵守指南的群体之间的心理健康负担进行比较.
- 通过非线性回归分析了持续时间,频率和强度的影响.
主要成果:
- 遵守2011年,2014年和2021年的AHA/ASA指南与精神健康不佳的日数分别减少了0.6,0.8和0.3天.
- 确定最佳剂量为每周进行4-6次中等体力活动,每次持续45分钟.
- 观察到亚人口差异,年轻人从2014年指南中受益更多,老年人从2021年指南中受益更多.
结论:
- AHA/ASA指南推的体育活动剂量与中风幸存者的心理健康负担降低相关.
- 最佳的体力活动剂量可能在各个子群体之间存在差异,例如根据年龄.
- 需要进一步的随机对照试验来证实这些发现并确定最佳剂量.
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