Brennan-Olsen Sharon L, Pasco Julie A, Hosking Sarah M, Dobbins Amelia G, Williams Lana J
Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne, C/-Sunshine Hospital, Furlong Road, St. Albans, Melbourne, Australia; Department of Medicine, Western Health, Melbourne Medical School, The University of Melbourne, Furlong Road, Melbourne, Australia; Institute of Health and Ageing, Australian Catholic University, Spring Street, Melbourne, Australia; Deakin University, Ryrie Street, Geelong, Australia.
Department of Medicine, Western Health, Melbourne Medical School, The University of Melbourne, Furlong Road, Melbourne, Australia; Deakin University, Ryrie Street, Geelong, Australia.
Maturitas. 2017 Sep;103:32-36. doi: 10.1016/j.maturitas.2017.06.024. Epub 2017 Jun 16.
Despite their public health importance, little is known about associations between modifiable lifestyles, quality of life (QOL), and psychiatric symptoms in men. We investigated relationships between QOL, obesity, mobility and lifestyle in Australian men, including whether associations were mediated by anxiety and depression.
A cross-sectional study of 893 men (aged 24-92 yrs) participating in the Geelong Osteoporosis Study: an age-stratified, population-based sample of men randomly recruited from the Barwon Statistical Division (BSD), in south-eastern Australia.
Using a validated tool, QOL was measured in the domains of physical health, psychological health, social relationships and the environment. Anxiety and depression were ascertained using the Hospital Anxiety and Depressive Scale. Models were adjusted for age, clinical measures of obesity and mobility, and self-reported lifestyles, with adjustment made for anxiety and depression.
Associations were observed between low mobility and lower psychological-related QOL (OR 0.70, 95%CI 0.53-0.93), and for smoking and low mobility with lower environment-related QOL (OR 0.48, 95%CI 0.27-0.84; OR 0.67, 95%CI 0.50-0.90, respectively). Age, anxiety and depression were independently associated with QOL in each domain.
Independent of age, anxiety and depression, smoking and low mobility showed particularly strong effects on the likelihood of men reporting a lower satisfaction with their QOL. This information will inform the design of effective and equitable health policies, the allocation of resources toward unmet needs, and the development of strategic health-related plans.
尽管其对公众健康具有重要意义，但关于可改变的生活方式、生活质量（QOL）与男性精神症状之间的关联，我们知之甚少。我们调查了澳大利亚男性的生活质量、肥胖、活动能力与生活方式之间的关系，包括这些关联是否由焦虑和抑郁介导。
对893名年龄在24 - 92岁之间参与吉朗骨质疏松症研究的男性进行横断面研究：这是一个从澳大利亚东南部巴旺统计区（BSD）随机招募的按年龄分层的男性人群样本。
使用经过验证的工具，在身体健康、心理健康、社会关系和环境等领域测量生活质量。使用医院焦虑抑郁量表确定焦虑和抑郁情况。模型针对年龄、肥胖和活动能力的临床指标以及自我报告的生活方式进行了调整，并对焦虑和抑郁进行了校正。
观察到活动能力低与心理相关生活质量较低之间存在关联（比值比[OR]为0.70，95%置信区间[CI]为0.53 - 0.93），吸烟和活动能力低与环境相关生活质量较低之间也存在关联（OR分别为0.48，95%CI为0.27 - 0.84；OR为0.67，95%CI为0.50 - 0.90）。年龄、焦虑和抑郁在每个领域均与生活质量独立相关。
独立于年龄、焦虑和抑郁之外，吸烟和活动能力低对男性报告生活质量满意度较低的可能性具有特别强烈的影响。这些信息将为有效且公平的卫生政策设计、针对未满足需求的资源分配以及与健康相关的战略计划制定提供参考。
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