Ellingson Laura D, Meyer Jacob D, Shook Robin P, Dixon Philip M, Hand Gregory A, Wirth Michael D, Paluch Amanda E, Burgess Stephanie, Hebert James R, Blair Steven N
Department of Kinesiology, Iowa State University, Ames, IA, United States of America.
Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO, United States of America.
Prev Med Rep. 2018 Jul 30;11:274-281. doi: 10.1016/j.pmedr.2018.07.013. eCollection 2018 Sep.
Excessive sedentary time is related to poor mental health. However, much of the current literature uses cross-sectional data and/or self-reported sedentary time, and does not assess factors such as sedentary bout length. To address these limitations, the influence of objectively measured sedentary time including sedentary bout length (i.e. <30 min, ≥30 min) on mood, stress, and sleep, was assessed in 271 healthy adults (49% women; age 27.8 ± 3.7) across a 1-year period between 2011 and 2013 in Columbia, SC. Participants completed the Profile of Mood States and the Perceived Stress Scale, and wore a Sensewear Armband to assess sedentary time, physical activity, and sleep for ten days at baseline and one year. A series of fixed-effects regressions was used to determine the influence of both baseline levels and changes in daily sedentary time (total and in bouts) and physical activity on changes in mood, stress, and sleep over one year. Results showed that across the year, decreases in total sedentary time, and time in both short and long bouts, were associated with improvements in mood, stress and sleep (p < 0.05). Increases in physical activity were only significantly predictive of increases in sleep duration (p < 0.05). Thus, reductions in sedentary time, regardless of bout length, positively influenced mental wellbeing. Specifically, these results suggest that decreasing daily sedentary time by 60 min may significantly attenuate the negative effects of high levels of pre-existing sedentary time on mental wellbeing. Interventions manipulating sedentary behavior are needed to determine a causal link with wellbeing and further inform recommendations.
久坐时间过长与心理健康不佳有关。然而,当前的许多文献使用的是横断面数据和/或自我报告的久坐时间,并未评估久坐时长等因素。为解决这些局限性,在南卡罗来纳州哥伦比亚市,于2011年至2013年的一年时间里,对271名健康成年人(49%为女性;年龄27.8±3.7岁)进行了研究,评估了包括久坐时长(即<30分钟、≥30分钟)在内的客观测量的久坐时间对情绪、压力和睡眠的影响。参与者完成了情绪状态量表和感知压力量表,并佩戴了Sensewear臂带,在基线期和一年后分别连续十天评估久坐时间、身体活动和睡眠情况。使用一系列固定效应回归分析来确定基线水平以及每日久坐时间(总计及各时段)和身体活动的变化对一年中情绪、压力和睡眠变化的影响。结果显示,在这一年中,总久坐时间以及短时长和长时长久坐时间的减少与情绪、压力和睡眠的改善相关(p<0.05)。身体活动的增加仅显著预测了睡眠时间的增加(p<0.05)。因此,无论久坐时长如何,减少久坐时间都对心理健康有积极影响。具体而言,这些结果表明,每天减少60分钟的久坐时间可能会显著减轻高水平的既往久坐时间对心理健康的负面影响。需要通过干预久坐行为来确定其与幸福感之间的因果关系,并为相关建议提供更多信息。