KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium; KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, UK; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK.
Psychiatry Res. 2019 Mar;273:501-508. doi: 10.1016/j.psychres.2019.01.064. Epub 2019 Jan 17.
We investigated correlates of sedentary behavior (SB) among community-dwelling adults with elevated anxiety symptoms in six low- and middle-income countries (LMICs). Cross-sectional data from the World Health Organization's Study on Global Ageing and Adult Health (2007-2010) were analyzed. Associations between SB levels and the correlates were examined using multivariable linear and logistic regressions. Out of 42,469 individuals aged ≥ 18 years, there were 2630 participants with anxiety (47.6 ± 16.5 years; 66.6% female). Correlates significantly associated with being sedentary ≥ 8 h/day were being male, older age, a lower income, never married (vs. married/cohabiting), being unemployed, poor self-related health, alcohol consumption, and less social cohesion (highest quartile vs. lowest). Disability and bodily pain were associated with more time spent (min/day) sedentary. Future intervention research should target the risk groups based on identified sociodemographic correlates. Also, whether the promotion of social cohesion increases the efficacy of public health initiatives should be examined with prospective data.
我们调查了六个中低收入国家（LMICs）中社区成年人中存在焦虑症状的人群中久坐行为（SB）的相关因素。对世界卫生组织全球老龄化和成人健康研究（2007-2010 年）的横断面数据进行了分析。使用多变量线性和逻辑回归检验了 SB 水平与相关因素之间的关联。在 42469 名年龄≥18 岁的人中，有 2630 名参与者有焦虑症状（47.6±16.5 岁；66.6%为女性）。与每天久坐≥8 小时显著相关的因素包括男性、年龄较大、收入较低、未婚（与已婚/同居相比）、失业、自我健康状况较差、饮酒和社会凝聚力较低（最高四分位与最低四分位相比）。残疾和身体疼痛与久坐时间（分钟/天）的增加有关。未来的干预研究应根据确定的社会人口学相关因素针对风险群体。此外，还应使用前瞻性数据检查促进社会凝聚力是否会提高公共卫生举措的效果。
