KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium; University Psychiatric Centre KU Leuven, Kortenberg, Belgium.
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, United Kingdom; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, United Kingdom.
J Affect Disord. 2017 Oct 15;221:81-88. doi: 10.1016/j.jad.2017.06.012. Epub 2017 Jun 13.
There is a paucity of nationally representative data available on the correlates of physical activity (PA) among people with depression, especially in low- and middle-income countries (LMICs). Thus, we investigated PA correlates among community-dwelling adults with depression in this setting.
World Health Survey data included 24,230 adults (43.1 ± 16.1 years; 36.1% male) with ICD-10 diagnoses of depression including brief depressive episode and subsyndromal depression aged ≥ 18 years from 46 LMICs. PA was assessed by the International Physical Activity Questionnaire. Participants were dichotomised into low and moderate-to-high physically active groups. Associations between PA and a range of sociodemographic, health behaviour and mental and physical health variables were examined using multivariable logistic regressions.
34.8% of participants with depression were physically inactive. In the multivariate analyses, inactivity was associated with male sex, older age, not being married/cohabiting, high socio-economic status, unemployment, living in an urban setting, less vegetable consumption, and poor sleep/ low energy. In addition, mobility difficulties and some somatic co-morbidity were associated with not complying with the 150min per week moderate-to-vigorous PA recommendations.
The current data provide guidance for future population level interventions across LMICs to help people with depression engage in regular PA.
在中低收入国家（LMICs），针对抑郁症患者身体活动（PA）的相关性因素，目前仅有少量全国代表性数据。因此，我们在这一背景下，调查了社区中抑郁症患者的 PA 相关性因素。
世界卫生调查数据纳入了 46 个 LMICs 中年龄≥18 岁、患有 ICD-10 诊断的抑郁症（包括短暂抑郁发作和亚综合征性抑郁）的 24230 名成年人（43.1±16.1 岁；36.1%为男性）。PA 通过国际体力活动问卷进行评估。参与者分为低活动量和中高强度活动量两组。使用多变量逻辑回归分析 PA 与一系列社会人口学、健康行为以及心理和身体健康变量之间的相关性。
34.8%的抑郁症患者身体活动不足。在多变量分析中，不活动与男性、年龄较大、未婚/同居、高社会经济地位、失业、居住在城市、蔬菜摄入量较少以及睡眠不佳/能量较低有关。此外，行动困难和一些躯体共病与未达到每周 150 分钟的中高强度 PA 建议有关。
目前的数据为未来在 LMICs 开展人群水平干预措施提供了指导，以帮助抑郁症患者定期进行 PA。
