Brosnahan Jennifer, Steffen Lyn M, Lytle Leslie, Patterson Joan, Boostrom Ardys
School of Public Health, Division of Epidemiology, University of Minnesota, Minneapolis, USA.
Arch Pediatr Adolesc Med. 2004 Aug;158(8):818-23. doi: 10.1001/archpedi.158.8.818.
To assess the relation of physical activity (PA) with feelings of sadness and suicidal thoughts and behaviors among Hispanic and non-Hispanic white adolescent boys and girls.
Cross-sectional study using a modified 2001 Youth Risk Behavior Survey.
One thousand eight hundred seventy Hispanic and non-Hispanic white adolescents, aged 14 to 18 years, attending high school in Nueces County, Texas.
Logistic regression analysis was used to assess the relation between PA, including moderate and vigorous PAs, strength and toning, total PA, physical education class, and participation in team sports, and the dependent variables feelings of sadness and considering, planning, and attempting suicide.
More boys reported participating in PA than girls (P<.001), and more girls than boys reported feelings of sadness and considering and planning suicide (P<.001). Greater attendance in physical education class was inversely related to feelings of sadness (odds ratio [OR], 0.80 [95% confidence interval (CI), 0.68-0.94]); participation in more total PA sessions per week was associated with a lower risk of considering suicide (OR, 0.72 [95% CI, 0.65-0.79]); and higher levels of vigorous PA (OR, 0.73 [95% CI, 0.57-0.93]), total PA (OR, 0.65 [95% CI, 0.48-0.87]), and strength and toning activity (OR, 0.64 [95% CI, 0.42-0.99]) were associated with a lower risk of planning suicide.
These findings are consistent with a beneficial effect of PA on feelings of sadness and suicidal behaviors in Hispanic and non-Hispanic white boys and girls. Physical activity may be considered as part of an intervention strategy to improve adolescent health as a whole.
评估西班牙裔和非西班牙裔白人青少年男孩和女孩的身体活动(PA)与悲伤情绪、自杀念头及行为之间的关系。
采用经修改的2001年青少年风险行为调查进行横断面研究。
1870名年龄在14至18岁之间、就读于得克萨斯州努埃塞斯县高中的西班牙裔和非西班牙裔白人青少年。
采用逻辑回归分析评估PA(包括中度和剧烈PA、力量和塑形锻炼、总PA、体育课以及团队运动参与情况)与因变量悲伤情绪以及考虑、计划和尝试自杀之间的关系。
报告参与PA的男孩多于女孩(P<0.001),报告有悲伤情绪以及考虑和计划自杀的女孩多于男孩(P<0.001)。更高的体育课出勤率与悲伤情绪呈负相关(比值比[OR],0.80[95%置信区间(CI),0.68 - 0.94]);每周参与更多总PA课程与考虑自杀的较低风险相关(OR,0.72[95%CI,0.65 - 0.79]);更高水平的剧烈PA(OR,0.7