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.
Gen Hosp Psychiatry. 2017 Nov;49:26-31. doi: 10.1016/j.genhosppsych.2017.04.007.
There is a lack of nationally-representative data on the correlates of physical activity (PA) among people with anxiety symptoms. Thus, we investigated PA correlates among community-dwelling adults with anxiety symptoms in 46 low- and middle-income countries (LMICs) using predominantly nationally-representative data.
Cross-sectional data from the World Health Survey were analysed. PA was assessed by the International Physical Activity Questionnaire (IPAQ) and participants were dichotomised into those that do (≥150min moderate-vigorous PA) and do not (<150min) meet recommended PA weekly targets. Multivariable logistic regression was used to assess the correlates.
The analysis included 24,850 people with anxiety symptoms (43.3±16.6years; 39.7% males). The prevalence of low PA was 33.1% (95%CI=31.6%-34.6%). Older age [e.g., OR=4.57 for age≥65 vs. 18-24years], not married/cohabiting (vs. married/cohabiting OR=1.36), being in the richest quintile (vs. poorest OR=1.41), unemployed (vs. employed OR=2.18), inadequate vegetable consumption (vs. adequate OR=1.66), and poor sleep/energy, worse cognition, pain/discomfort and mobility difficulties were all significant correlates of low PA.
PA is associated with a range of factors among people with anxiety symptoms. Future interventions might target the identified correlates in order to facilitate people with anxiety to be more physically active.
缺乏关于焦虑症状人群身体活动(PA)相关因素的全国代表性数据。因此,我们使用主要来自全国代表性的数据,调查了 46 个中低收入国家(LMICs)中社区居住的有焦虑症状的成年人的 PA 相关因素。
对世界卫生调查的横断面数据进行分析。通过国际体力活动问卷(IPAQ)评估 PA,参与者被分为达到(≥150 分钟中到高强度 PA)和未达到(<150 分钟)每周推荐 PA 目标的两组。采用多变量逻辑回归评估相关性。
分析包括 24850 名有焦虑症状的人(43.3±16.6 岁;39.7%为男性)。低 PA 的患病率为 33.1%(95%CI=31.6%-34.6%)。年龄较大[例如,年龄≥65 岁 vs. 18-24 岁的 OR=4.57]、未婚/同居(vs. 已婚/同居 OR=1.36)、最富有五分位数(vs. 最贫穷 OR=1.41)、失业(vs. 就业 OR=2.18)、蔬菜摄入不足(vs. 充足 OR=1.66)、睡眠/精力差、认知能力下降、疼痛/不适和行动困难,这些都是低 PA 的显著相关因素。
PA 与焦虑症状人群的一系列因素有关。未来的干预措施可能针对确定的相关因素,以促进焦虑人群更加积极地参与体育活动。