Forsyth A, Williams P, Deane F P
School of Health Sciences, University of Wollongong, Wollongong, Australia -
J Sports Med Phys Fitness. 2015 Jul-Aug;55(7-8):845-54.
The objective of this study was to evaluate the fitness and physical activity levels of people referred to a nutrition and physical activity program for the management of mental health in general practice.
General practitioners referred 109 patients being treated for depression and/or anxiety to a lifestyle intervention program. All participants completed anthropometric measurements and questionnaires including the Depression, Anxiety and Stress Scale (DASS) and the Active Australia Survey. Aerobic fitness was measured with the YMCA step test and muscular fitness was measured with repeated chair stands and arm curls. Fitness scores were compared to population norms, and physical activity levels were compared to population norms and national recommendations.
Eighty percent of participants were overweight or obese. A greater proportion of study participants (51%) than the general Australian population (38%) met the recommended 150 minutes per week spent in moderate physical activity. However, participants demonstrated lower than average levels of fitness and participated in low levels of vigorous physical activity.
Levels of physical activity, but not fitness, were inversely correlated with DASS scores. Patients presenting with depression and/or anxiety should be screened for physical activity behaviours and encouraged to meet the National Physical Activity Guidelines.
本研究的目的是评估被转介至一个营养与身体活动项目以在全科医疗中管理心理健康的人群的健康状况和身体活动水平。
全科医生将109名正在接受抑郁症和/或焦虑症治疗的患者转介至一个生活方式干预项目。所有参与者均完成了人体测量和问卷调查，包括抑郁、焦虑和压力量表（DASS）以及澳大利亚积极生活调查。有氧适能通过基督教青年会台阶试验进行测量，肌肉适能通过重复坐立试验和弯举试验进行测量。将适能得分与人群标准进行比较，并将身体活动水平与人群标准和国家建议进行比较。
80%的参与者超重或肥胖。与澳大利亚普通人群（38%）相比，有更大比例的研究参与者（51%）达到了每周进行150分钟中等强度身体活动的建议。然而，参与者的适能水平低于平均水平，且参与的剧烈身体活动水平较低。
身体活动水平而非适能水平与DASS得分呈负相关。患有抑郁症和/或焦虑症的患者应接受身体活动行为筛查，并鼓励他们遵循国家身体活动指南。
