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青少年身体活动的量与社会环境及其与心理健康、焦虑和抑郁的关系

Volume and social context of physical activity in association with mental health, anxiety and depression among youth.

作者信息

Doré Isabelle, O'Loughlin Jennifer L, Beauchamp Guy, Martineau Marc, Fournier Louise

机构信息

Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada; Department of Social and Preventive Medicine, School of Public Health (ESPUM), Université de Montréal, Montréal, Qc, Canada.

Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Gatineau, Qc, Canada.

出版信息

Prev Med. 2016 Oct;91:344-350. doi: 10.1016/j.ypmed.2016.09.006. Epub 2016 Sep 5.

Abstract

There is growing interest in physical activity (PA) to prevent mental disorders in youth. However, few studies examine the association between PA and mental health. Further, how PA volume and context relate to mental health and mental disorders remains unclear, especially among youth in transition to adulthood. This study examined the cross-sectional associations among PA volume and context, mental health, and symptoms of anxiety and depression in post-secondary students. A total of 1527 post-secondary students (97.4% were age 16-24years) recruited in a CEGEP in Quebec, Canada completed a self-report questionnaire during class-time in October 2013. Multivariate linear regression was used to model the associations between PA volume and context and mental health, anxiety and depression controlling for sex, age and perceived socioeconomic status. Volume of moderate-to-vigorous leisure time PA (MVPA) was positively associated with mental health (β (95% CI)=0.072 (0.045, 0.099)) and inversely associated with symptoms of anxiety (-0.011 (-0.020, -0.001)) and depression (-0.010 (-0.017, -0.003)). Volume including all PA intensities was associated with mental health (0.052 (0.028, 0.076)). After controlling for PA volume, active youth involved in team sports had better mental health than those who engaged in PA individually. PA volume and the social context of PA are independently associated with mental health among youth. MVPA is inversely associated with anxiety and depressive symptoms.

摘要

人们越来越关注通过体育活动(PA)来预防青少年的精神障碍。然而,很少有研究探讨体育活动与心理健康之间的关联。此外,体育活动的量和环境如何与心理健康及精神障碍相关仍不清楚,尤其是在向成年过渡的青少年中。本研究调查了大专学生体育活动的量和环境、心理健康以及焦虑和抑郁症状之间的横断面关联。2013年10月,在加拿大魁北克一所职业技术教育学院招募的总共1527名大专学生(97.4%年龄在16 - 24岁)在课堂上完成了一份自我报告问卷。采用多元线性回归模型来分析体育活动的量和环境与心理健康、焦虑和抑郁之间的关联,并对性别、年龄和感知的社会经济地位进行了控制。中度至剧烈强度的休闲时间体育活动(MVPA)量与心理健康呈正相关(β(95%可信区间)=0.072(0.045,0.099)),与焦虑症状呈负相关(-0.011(-0.020,-0.001))以及与抑郁症状呈负相关(-0.010(-0.017,-0.003))。包括所有体育活动强度的量与心理健康相关(0.052(0.028,0.076))。在控制了体育活动量之后,参与团队运动的活跃青少年比单独进行体育活动的青少年心理健康状况更好。体育活动量和体育活动的社会环境在青少年中与心理健康独立相关。MVPA与焦虑和抑郁症状呈负相关。

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