Augestad Liv Berit, Slettemoen Ragnhild Prytz, Flanders William Dana
Norwegian University of Science and Technology, The Human Movement Science Programme, Trondheim, Norway.
Public Health Nurs. 2008 Nov-Dec;25(6):536-45. doi: 10.1111/j.1525-1446.2008.00740.x.
To analyze the association between physical activity (PA) and occurrence of depressive symptoms in The Nord-Trøndelag Health Survey (HUNT 1 1984-1986, HUNT 2 1995-1997).
In this prospective follow-up study, we studied men and women who were 21-40 years old in HUNT 1, and participated in HUNT 2. The sample consisted of 3,353 women and 3,308 men. We used logistic regression and calculated odds ratios (OR) to assess the association between physical activity and depression (Hospital Anxiety and Depression Scale depression subscale [HADS-D]). Confounding was addressed by excluding those with relevant health conditions and adjustment.
Among women 272 (8.1%) and among men 293 (8.9%) scored higher than 8 on the HADS-D scale. We found a higher mean on HADS-D in men and women who were inactive. Men participating in low PA had significantly lower scores on depression (OR=0.63, confidence interval [CI]=0.43-0.93, p=.02) than inactive men. Women participating in medium PA had significantly lower scores on depression (OR=0.69, CI=0.49-0.97, p=.03) than inactive women.
Young men and women who exercised were less likely to have a high depression score, compared with inactive people. Our prospective, observational study included a large population and indicated some significant associations between physical activity and depression.
分析在北特伦德拉格健康调查（HUNT 1，1984 - 1986年；HUNT 2，1995 - 1997年）中身体活动（PA）与抑郁症状发生之间的关联。
在这项前瞻性随访研究中，我们对HUNT 1中年龄在21 - 40岁且参与了HUNT 2的男性和女性进行了研究。样本包括3353名女性和3308名男性。我们使用逻辑回归并计算优势比（OR）来评估身体活动与抑郁（医院焦虑抑郁量表抑郁分量表[HADS - D]）之间的关联。通过排除患有相关健康状况的人群并进行调整来处理混杂因素。
在女性中，272人（8.1%），在男性中，293人（8.9%）在HADS - D量表上得分高于8分。我们发现不活动的男性和女性的HADS - D平均得分更高。参与低强度身体活动的男性在抑郁方面的得分显著低于不活动的男性（OR = 0.63，置信区间[CI] = 0.43 - 0.93，p = 0.02）。参与中等强度身体活动的女性在抑郁方面的得分显著低于不活动的女性（OR = 0.69，CI = 0.49 - 0.97，p = 0.03）。
与不活动的人相比，进行锻炼的年轻男性和女性患高抑郁评分的可能性较小。我们的前瞻性观察性研究纳入了大量人群，并表明身体活动与抑郁之间存在一些显著关联。
