JourneyWell, University of Minnesota, Minneapolis, Minnesota 55440-1309, USA.
Popul Health Manag. 2011 Apr;14(2):59-67. doi: 10.1089/pop.2010.0007. Epub 2010 Nov 19.
Simultaneous adherence to abstinence from smoking, adequate physical activity, eating 5 servings of fruits and vegetables each day, and consuming limited or no amount of alcohol has been associated with a variety of health outcomes, but not emotional health. The purpose of this investigation was to study the association between optimal lifestyle behaviors and self-reported emotional health indicators among employed adults. Emotional health indicators studied were feeling depressed, stress risk, and the impact of emotional health on daily life among employees (N = 34,603). Binary logistic regression models were used to predict likelihood of feeling depressed and risk of stress based on degree of adherence to optimal lifestyle. Multinomial logistic regression models were used to assess the association between adherence to optimal lifestyle and likelihood of emotional quality of life among employees. Analyses were adjusted for age, sex, socioeconomic status (using the area deprivation index), sleep, self-perceived health status, self-efficacy, and chronic conditions including depression. All data were self-reported except for the area deprivation index. Adherence to any 3 or 4 components of the optimal lifestyle was associated with all 3 emotional health issues studied: Lower odds of feeling depressed, reporting stress risk, and emotional health affecting daily life. Adherence to any 2 components of the optimal lifestyle metric was associated with lower odds of feeling depressed and emotional health affecting daily life. All 4 individual lifestyle behaviors had significant associations with at least 2 of the 3 emotional health outcomes studied. Adherence to optimal lifestyle is associated with significantly more positive emotional health states as measured by feeling depressed, risk for high stress, and impact of emotional health on daily life. While causality cannot be inferred, the strength of the associations warrants trials to determine the extent to which adopting positive lifestyles can result in improved mental health.
同时坚持戒烟、进行充分的身体活动、每天吃 5 份水果和蔬菜、以及限制或不饮酒，与各种健康结果相关，但与情绪健康无关。本研究的目的是研究在就业成年人中，最佳生活方式行为与自我报告的情绪健康指标之间的关系。所研究的情绪健康指标包括感到抑郁、压力风险，以及情绪健康对员工日常生活的影响（N=34603）。使用二元逻辑回归模型根据对最佳生活方式的遵守程度预测感到抑郁的可能性和压力风险。使用多项逻辑回归模型评估在就业人员中，遵守最佳生活方式与情绪生活质量的可能性之间的关系。分析调整了年龄、性别、社会经济地位（使用区域贫困指数）、睡眠、自我感知的健康状况、自我效能和包括抑郁在内的慢性疾病。除了区域贫困指数外，所有数据均为自我报告。遵守最佳生活方式的任何 3 个或 4 个组成部分均与所有 3 个情绪健康问题相关：降低感到抑郁、报告压力风险和情绪健康影响日常生活的可能性。遵守最佳生活方式指标的任何 2 个组成部分与降低感到抑郁和情绪健康影响日常生活的可能性相关。最佳生活方式的所有 4 个个体行为均与至少 3 个情绪健康结果中的 2 个有显著关联。遵守最佳生活方式与情绪健康的显著更积极状态相关，如感到抑郁、高压力风险和情绪健康对日常生活的影响。虽然不能推断因果关系，但关联的强度值得进行试验，以确定采取积极生活方式在多大程度上可以改善心理健康。
