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一项关于瑞典医疗保健工作者和社会保险官员业余时间体力活动与心理健康的前瞻性研究。

A prospective study of leisure-time physical activity and mental health in Swedish health care workers and social insurance officers.

机构信息

Institute of Stress Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.

出版信息

Prev Med. 2010 Nov;51(5):373-7. doi: 10.1016/j.ypmed.2010.07.019. Epub 2010 Aug 5.

Abstract

OBJECTIVE

This study analyzes longitudinal associations between self-reported leisure-time physical activity (PA) and perceived stress, burnout and symptoms of depression and anxiety.

METHOD

Cohort data collected in 2004 and 2006 from health care and social insurance workers in western Sweden (2694 women; 420 men) were analyzed. Cox regression was conducted to examine associations between baseline levels of PA and mental health (MH) problems 2 years later.

RESULTS

Cross-sectional analysis show that individuals reporting either light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) were less likely to report high levels of perceived stress, burnout and symptoms of depression and anxiety, as compared to individuals reporting a sedentary lifestyle. The risks of symptoms of depression, burnout, and high stress levels at follow-up were significantly lower for those reporting LPA or MVPA at baseline. For symptoms of anxiety, an activity level corresponding to MVPA was required.

CONCLUSION

Participation in PA appeared to lower the risk of developing MH problems two years later. This relationship involved LPA and MVPA regarding feelings of depression, burnout and perceived stress, and exclusively MVPA regarding feelings of anxiety. The implications of these findings are important, as preventive strategies for psychosocial stress and mental health problems are needed.

摘要

目的

本研究分析了自我报告的闲暇时间体力活动(PA)与感知压力、倦怠和抑郁及焦虑症状之间的纵向关联。

方法

对 2004 年和 2006 年瑞典西部医疗保健和社会保险工作者的队列数据(2694 名女性;420 名男性)进行了分析。采用 Cox 回归分析了基线 PA 水平与 2 年后心理健康(MH)问题之间的关联。

结果

横断面分析表明,与报告久坐生活方式的个体相比,报告轻度体力活动(LPA)或中等到剧烈体力活动(MVPA)的个体报告感知压力、倦怠和抑郁及焦虑症状的水平较低。与基线报告 LPA 或 MVPA 的个体相比,随访时出现抑郁症状、倦怠和高压力水平的风险明显降低。对于焦虑症状,需要达到相当于 MVPA 的活动水平。

结论

参与 PA 似乎降低了两年后患 MH 问题的风险。这种关系涉及到 LPA 和 MVPA 与抑郁、倦怠和感知压力有关,而仅与 MVPA 与焦虑有关。这些发现的意义很重要,因为需要制定针对心理社会压力和心理健康问题的预防策略。

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