Blank Lindsay, Grimsley Mike, Goyder Elizabeth, Ellis Elizabeth, Peters Jean
School of Health and Related Research, Public Health, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK.
J Public Health (Oxf). 2007 Sep;29(3):236-45. doi: 10.1093/pubmed/fdm041. Epub 2007 Jun 29.
To explore the association between change in physical activity levels and fruit and vegetable consumption and changes in self-reported overall health and mental health, of residents living in deprived English communities.
Household survey conducted in 2002 and repeated in 2004.
Thirty-nine deprived UK communities in areas participating in the New Deal for Communities (NDCs), a major government funded community development initiative.
Ten thousand four hundred and nineteen residents in NDC areas and neighbouring comparator areas.
Overall levels of physical activity and fruit and vegetable consumption are low but a large positive change in diet or levels of physical activity is associated with a significant change in mental health (2.86 and 2.71, respectively: P < 0.01). Smaller, but also statistically significant, changes were found in physical health (0.07 and 0.05, P < 0.01). Specific dimensions of mental health which showed a large change in association with lifestyle change were those associated with 'peacefulness' and 'happiness'.
These findings suggest that, for residents of these neighbourhoods, positive lifestyle changes such as increasing physical activity levels and increase in fruit and vegetable consumption are associated with positive changes in mental health.
What is already known? Mental health, a key area of health inequality is related to physical health, and associated with education, employment, environment and community issues. There is known to be a relationship between improved lifestyle (increased physical activity levels and better diet) and better health. What does this study add? This study shows that over two years, measurable changes in lifestyle were associated with improvements in both mental health and self-reported overall health. The association of lifestyle changes with overall health, although statistically significant, were less significant than those with mental health over the same period, suggesting those wanting to measure the impact of community activity on health will be more likely to see a measurable short-term impact on mental, rather than overall self-reported health.
探讨英国贫困社区居民身体活动水平和果蔬摄入量的变化与自我报告的总体健康和心理健康变化之间的关联。
2002年进行的家庭调查，并于2004年重复进行。
参与“社区新政”（NDCs）的39个英国贫困社区，这是一项由政府资助的大型社区发展倡议。
NDC地区及相邻对照地区的10419名居民。
身体活动和果蔬摄入的总体水平较低，但饮食或身体活动水平的大幅积极变化与心理健康的显著变化相关（分别为2.86和2.71：P<0.01）。身体健康方面也发现了较小但具有统计学意义的变化（0.07和0.05，P<0.01）。与生活方式变化相关的心理健康的具体维度是那些与“平静”和“幸福”相关的维度。
这些发现表明，对于这些社区的居民来说，积极的生活方式改变，如增加身体活动水平和增加果蔬摄入量，与心理健康的积极变化相关。
已知什么？心理健康是健康不平等的一个关键领域，与身体健康相关，并与教育、就业、环境和社区问题有关。已知改善生活方式（增加身体活动水平和改善饮食）与更好的健康之间存在关系。本研究补充了什么？本研究表明，在两年时间里，生活方式的可测量变化与心理健康和自我报告的总体健康的改善相关。生活方式变化与总体健康的关联虽然具有统计学意义，但在同一时期内不如与心理健康的关联显著，这表明那些想要衡量社区活动对健康影响的人更有可能看到对心理健康而非总体自我报告健康的可测量短期影响。
