Breland Jessica Y, Fox Ashley M, Horowitz Carol R
Department of Psychology, Rutgers, The State University of New Jersey, 152 Frelinghuysen Road, Piscataway, NJ 08854, USA ; Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, 112 Paterson Street, New Brunswick, NJ 08901, USA.
Department of Health Evidence and Policy, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1077, New York, NY 10029, USA.
Ment Health Phys Act. 2013 Mar;6(1):10-15. doi: 10.1016/j.mhpa.2012.08.002.
Emerging research suggests that sedentary behavior, sometimes measured as screen time, may be an important correlate of depression. Physical activity, while not the direct opposite of sedentary behavior, has also been associated with depression (albeit inversely). Although low-income and minority populations may experience greater levels of depression, little research has focused on the relationships between screen time or physical activity and depression in low-income, minority populations in the United States. This study used logistic regression to assess relationships among depression, daily screen time, and weekly physical activity and the interaction between screen time and physical activity in a cross-sectional sample of 535 overweight or obese minority women in East Harlem, New York. Sixteen percent of participants were at risk for depression, which was significantly higher than national averages. Results suggested that engaging in high levels of daily screen time was associated with increased depression risk, even after controlling for physical activity and demographic variables. Neither physical activity nor the interaction between screen time and physical activity were associated with depression risk. Obesity was significantly associated with depression risk in all models, even when accounting for sedentary behavior and physical activity. Daily screen time may be an important risk factor for depression in minority women in the United States. The lack of association between physical activity and depression did not support past research and may have been due to the physical activity measure or the fact that physical activity may not be an important risk factor for depression in minority women.
新出现的研究表明,久坐行为(有时以屏幕使用时间来衡量)可能是抑郁症的一个重要相关因素。身体活动虽然并非久坐行为的直接对立面,但也与抑郁症有关(尽管是负相关)。尽管低收入和少数族裔人群可能经历更高水平的抑郁症,但很少有研究关注美国低收入少数族裔人群中屏幕使用时间或身体活动与抑郁症之间的关系。本研究使用逻辑回归来评估抑郁症、每日屏幕使用时间和每周身体活动之间的关系,以及在纽约东哈莱姆区535名超重或肥胖少数族裔女性的横断面样本中屏幕使用时间与身体活动之间的相互作用。16%的参与者有患抑郁症的风险,这显著高于全国平均水平。结果表明,即使在控制了身体活动和人口统计学变量之后,每天长时间使用屏幕也与抑郁症风险增加有关。身体活动以及屏幕使用时间与身体活动之间的相互作用均与抑郁症风险无关。在所有模型中,肥胖都与抑郁症风险显著相关,即使考虑了久坐行为和身体活动也是如此。在美国少数族裔女性中,每日屏幕使用时间可能是抑郁症的一个重要风险因素。身体活动与抑郁症之间缺乏关联并不支持以往的研究,这可能是由于身体活动的测量方法,或者身体活动可能不是少数族裔女性抑郁症的重要风险因素这一事实。