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老年男性的身体活动与心理困扰:新南威尔士45岁及以上研究的结果

Physical activity and psychological distress in older men: findings from the New South Wales 45 and up study.

作者信息

George Emma S, Jorm Louisa, Kolt Gregory S, Bambrick Hilary, Lujic Sanja

机构信息

School of Science and Health, University of Western Sydney, Sydney, Australia.

出版信息

J Aging Phys Act. 2012 Jul;20(3):300-16. doi: 10.1123/japa.20.3.300. Epub 2011 Dec 20.

Abstract

Physical activity is an important factor in healthy aging and has been shown to reduce depressive symptoms. This association, however, is relatively understudied in older men. This study was a cross-sectional analysis of the association between physical activity (Active Australia Survey) and psychological distress (Kessler-10). Participants were a sample of 17,689 men age ≥ 65 yr drawn from a large-scale Australian cohort study of people age 45 years and over (The 45 and Up Study). The likelihood of reporting high or very high levels of psychological distress decreased with increasing weekly sessions of physical activity. Compared with participants reporting no sessions of physical activity, the fully adjusted odds ratio for high or very high psychological distress was .66 (95% CI .51-.85) for men who undertook 1-6 sessions of physical activity per week and decreased to .57 (95% CI, .43-.79) for men who reported 16 or more weekly sessions. The cross-sectional findings show that older men who are more active are less likely to report psychological distress, regardless of their level of functional limitation. Further research, informed by these findings, is required to investigate causal pathways and the temporal sequence of events.

摘要

体育活动是健康老龄化的一个重要因素,并且已被证明可以减轻抑郁症状。然而,这种关联在老年男性中相对较少被研究。本研究是一项关于体育活动(澳大利亚积极生活调查)与心理困扰(凯斯勒10项心理困扰量表)之间关联的横断面分析。参与者是从一项针对45岁及以上人群的澳大利亚大规模队列研究(“45岁及以上研究”)中抽取的17689名年龄≥65岁的男性样本。报告高或非常高程度心理困扰的可能性随着每周体育活动次数的增加而降低。与报告没有体育活动的参与者相比,每周进行1 - 6次体育活动的男性,报告高或非常高心理困扰的完全调整优势比为0.66(95%置信区间0.51 - 0.85),而报告每周进行16次或更多次体育活动的男性,该优势比降至0.57(95%置信区间0.43 - 0.79)。横断面研究结果表明,无论功能受限程度如何,体育活动较多的老年男性报告心理困扰的可能性较小。基于这些发现,需要进一步研究以调查因果途径和事件的时间顺序。

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