Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
Prev Med. 2013 Jan;56(1):59-63. doi: 10.1016/j.ypmed.2012.11.014. Epub 2012 Nov 28.
Little quantitative research has been conducted on the effect of physical activity (PA) modification on the prevalence of mental disorders in a nationally representative sample. We aimed to provide quantitative evidence regarding the potential effectiveness of PA in the management of mental disorders.
We used data from the national Canadian Community Health Survey of Mental Health and Well-being (CCHS 1.2) designed to represent the approximately the 25 million national community population aged 15 years and over in 2002.
Around 1 in 10 Canadians reported a 12-month mental disorder. Women reported more mood and anxiety disorders, men more substance dependence. Almost half of Canadians were physically inactive. After adjusting for covariates, physical inactivity was a significant risk factor for common mental disorders, except manic episode. Approximately 780,000 cases nationally are attributable to physical inactivity. A 10% reduction in the rate of physical inactivity would reduce common mental disorders by 167,000 cases, a 25% reduction would result in 389,000 fewer cases. PA was more beneficial for men.
Clinicians and public health campaigns targeting individual patients and general populations can improve patients' symptoms and prevent a significant proportion of future mental disorders by increasing the amount of PA.
针对身体活动(PA)改变对精神障碍患病率的影响,很少有定量研究。我们旨在提供关于 PA 在精神障碍管理中潜在有效性的定量证据。
我们使用了来自全国性加拿大社区心理健康与幸福感调查(CCHS 1.2)的数据,旨在代表 2002 年约 2500 万 15 岁及以上的全国社区人群。
大约每 10 个加拿大人中就有 1 人报告在过去 12 个月中患有精神障碍。女性报告的情绪和焦虑障碍更多,男性则更多物质依赖。近一半的加拿大人身体活动不足。在调整了协变量后,身体活动不足是常见精神障碍的一个显著危险因素,但躁狂发作除外。全国约有 78 万例病例可归因于身体活动不足。身体活动不足率降低 10%,将减少 16.7 万例常见精神障碍病例;降低 25%,将减少 38.9 万例病例。PA 对男性更有益。
针对个体患者和一般人群的临床医生和公共卫生运动可以通过增加 PA 量来改善患者的症状,并预防很大一部分未来的精神障碍。