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体力活动、久坐行为与弱势群体女性的抑郁

Physical activity, sedentary behavior and depression among disadvantaged women.

机构信息

Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia.

出版信息

Health Educ Res. 2010 Aug;25(4):632-44. doi: 10.1093/her/cyq008. Epub 2010 Feb 9.

Abstract

This study investigated associations between components of physical activity (PA; e.g. domain and social context) and sedentary behaviors (SBs) and risk of depression in women from disadvantaged neighborhoods. A total of 3645 women, aged 18-45 years, from disadvantaged neighborhoods, self-reported their PA, SB and depressive symptoms. Crude and adjusted odds ratios and 95% confidence intervals were calculated for each component of PA, SB and risk of depression using logistic regression analyses, adjusting for clustering by women's neighborhood of residence. Being in a higher tertile of leisure-time PA and transport-related PA was associated with lower risk of depression. No associations were apparent for domestic or work-related PA. Women who undertook a small proportion of their leisure-time PA with someone were less likely to be at risk of depression than those who undertook all leisure-time PA on their own. Women reporting greater time sitting at the computer, screen time and overall sitting time had higher odds of risk of depression compared with those reporting low levels. The domain and social context of PA may be important components in reducing the risk of depression. Reducing time spent in SB may be a key strategy in the promotion of better mental health in women from disadvantaged neighborhoods.

摘要

本研究调查了身体活动(PA)的组成部分(例如,领域和社会环境)和久坐行为(SBs)与来自贫困社区的女性抑郁风险之间的关联。共有 3645 名年龄在 18-45 岁之间、来自贫困社区的女性自我报告了她们的 PA、SB 和抑郁症状。使用逻辑回归分析,针对 PA、SB 的每个组成部分和抑郁风险计算了粗比值比和 95%置信区间,并根据女性居住的社区进行了聚类调整。休闲时间 PA 和与交通相关的 PA 处于较高三分位的女性患抑郁症的风险较低。与家庭或工作相关的 PA 没有明显关联。与独自进行所有休闲时间 PA 的女性相比,与他人一起进行较小比例休闲时间 PA 的女性患抑郁症的风险较低。报告坐在电脑前、屏幕时间和总坐姿时间较长的女性与报告低水平的女性相比,患抑郁症的风险更高。PA 的领域和社会环境可能是降低抑郁风险的重要组成部分。减少 SB 时间可能是促进贫困社区女性心理健康的关键策略。

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