职业体力活动和抑郁风险:系统性审查和剂量反应元分析
Yumi Park1, Seo Yeong An1, Justin Y Jeon2
1Department of Sport Industry Studies, Yonsei University, Seoul, Republic of Korea.
Journal of affective disorders
|July 30, 2025
概括
更高的职业体力活动 (OPA) 与抑郁症风险增加有关. 这项元分析发现,每小时的OPA增加了5%的抑郁风险,特别是在男性和亚洲人群中.
科学领域:
- 职业健康 职业健康 职业健康
- 精神卫生流行病学 精神卫生流行病学
- 公共卫生 公共卫生
背景情况:
- 职业体力活动 (OPA) 与抑郁风险之间的关联尚未得到充分证实.
- 现有的研究提出了相矛盾的发现,关于在工作中体力劳动对心理健康的影响.
研究的目的:
- 系统地评估职业体力活动 (OPA) 与患抑郁症的风险之间的关系.
- 调查OPA水平和抑郁风险之间的潜在剂量反应关系.
主要方法:
- 对观察性研究进行了全面的元分析,使用了PubMed和EMBASE的数据,截至2025年5月25日.
- 使用随机效应模型计算聚合相对风险 (RRs),并进行线性和非线性剂量反应分析.
- 进行了小组分析,以确定影响OPA与抑郁症相关的因素,例如性别和种族.
主要成果:
- 包括183,555名参与者的11项研究表明,较高的OPA水平与25%的抑郁症风险增加有关 (RR=1.25).
- 线性剂量反应分析显示,每天每增加一小时的OPA与5%的抑郁风险增加有关 (RR=1.05).
- 在男性 (RR=1.45) 和亚洲人群 (RR=1.60) 中观察到更强烈的关联,使用验证的抑郁症尺度的研究显示出更有意义的联系.
结论:
- 这一元分析提供了强有力的证据,将更高的职业体力活动 (OPA) 与抑郁症风险增加联系起来.
- 这些发现挑战了普遍认为所有体力活动对心理健康都有好处的假设,强调了OPA的背景.
- 工作场所干预应考虑OPA的具体需求,以减轻心理健康风险.
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