Long Sara, Rogers Michelle L, Gjelsvik Annie
Brown University School of Public Health, Box G-S121, Providence, RI, 02912, USA.
Hassenfeld Child Health Innovation Institute, Brown University, Box G-S121-4, Providence, RI 02912, USA.
Prev Med Rep. 2019 Jan 11;13:199-204. doi: 10.1016/j.pmedr.2018.12.018. eCollection 2019 Mar.
Exercise has been found to be an effective treatment for mild to moderate depression. The purpose of this study is to explore the relationship between depression status and weekly exercise in children ages 6 to 17 years stratifying by age and sex using a large nationally representative sample. The study data ( = 65,059) came from the 2011-12 National Survey of Children's Health. Depression categories were current, former, and no history of diagnosed depression. Exercise categories were exercising ≤6 days a week and 7 days a week. Multivariable regression stratified by age and by sex was conducted on the weighted survey data. Among children age 6 to 17, 95.2% were never depressed, 2.1% were formerly depressed, and 2.8% were currently depressed and 28.0% exercised daily. Currently depressed children had 0.75 (95% CI 0.56, 1.00) times and formerly depressed children had 1.09 (95% CI 0.76, 1.57) times the adjusted odds of exercising daily compared to never depressed children. Stratified separately by sex and by age, females and children age 12 to 17 with current depression had 0.63 (95% CI 0.42, 0.94) and 0.48 (95% CI 0.35, 0.66) times the adjusted odds of exercising daily compared to their counterparts with no depression. This study indicates a significant difference in daily exercise habits between currently depressed children age 12 to 17 and females compared to their never depressed counterparts. Healthcare workers should be aware of the possible heightened risk of physical inactivity for depressed female children and children age 12 to 17.
运动已被证明是治疗轻度至中度抑郁症的有效方法。本研究的目的是利用一个具有全国代表性的大样本，按年龄和性别分层，探讨6至17岁儿童的抑郁状况与每周运动量之间的关系。研究数据（n = 65,059）来自2011 - 12年全国儿童健康调查。抑郁类别分为当前抑郁、既往抑郁和无抑郁诊断史。运动类别分为每周运动≤6天和每周运动7天。对加权调查数据进行了按年龄和性别的多变量回归分析。在6至17岁的儿童中，95.2%从未抑郁，2.1%既往抑郁，2.8%当前抑郁，28.0%每天运动。与从未抑郁的儿童相比，当前抑郁的儿童每天运动的调整后比值比为0.75（95%可信区间0.56, 1.00），既往抑郁的儿童为1.09（95%可信区间0.76, 1.57）。按性别和年龄分别分层后，与无抑郁的同龄人相比，当前抑郁的女性和12至17岁儿童每天运动的调整后比值比分别为0.63（95%可信区间0.42, 0.94）和0.48（95%可信区间0.35, 0.66）。本研究表明，与从未抑郁的同龄人相比，12至17岁当前抑郁的儿童和女性在日常运动习惯上存在显著差异。医护人员应意识到抑郁女童和12至17岁儿童身体活动不足的风险可能更高。
