身体活动,久坐行为和睡眠时间与严重抑郁症的关联:一个横截面和门德尔随机化研究
Zhenping Jiang1, Bum-Young Park2
1Department of Sports Science, Hanyang University ERICA, 55 Hanyangdaehak-ro, Sangnok-gu, Ansan-si, Gyeonggi-do, 15588, Republic of Korea.
Journal of affective disorders
|September 11, 2025
概括
身体活动和充足的睡眠可以降低患重度抑郁症 (MDD) 的风险. 有氧运动在降低MDD风险方面显示出潜在的因果关系,强调了生活方式选择对心理健康的重要性.
科学领域:
- 流行病学 流行病学
- 心理健康研究 心理健康研究
- 行为科学 行为科学
背景情况:
- 大型抑郁症 (MDD) 是一个重大的公共卫生挑战.
- 身体活动 (PA),久坐行为 (SB) 和睡眠时间 (SD) 和MDD之间的关系需要进一步澄清.
研究的目的:
- 调查PA,SB,SD和MDD之间的关联.
- 使用孟德尔随机化 (MR) 探索这些生活方式因素和MDD之间的潜在因果关系.
主要方法:
- 分析了22474名参与国家健康和营养检查调查 (NHANES) (2007-2018) 的数据.
- 通过问卷对PA,SB和SD进行评估,并使用PHQ-9对MDD进行诊断.
- 使用了后勤回归建模和两样MR分析.
主要成果:
- 低PA和严重SB与增加MDD风险有关;中度PA和轻度SB显示有保护作用.
- 建议的睡眠时间 (7-9小时) 与MDD风险最低,而过度睡眠 (>9小时) 与风险增加有关.
- MR分析表明有氧运动对MDD具有因果保护作用;对于SB或SD没有发现显著的因果关系.
结论:
- 可修改的生活方式行为,包括PA,SB和SD,显著影响MDD风险.
- 有氧运动可能因果保护MDD.
- 建议包括促进身体活动,减少久坐时间,优化睡眠时间以改善心理健康.
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