ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom 73170, Thailand.
Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom 2531, South Africa.
Int J Environ Res Public Health. 2019 Apr 8;16(7):1251. doi: 10.3390/ijerph16071251.
The study aimed to estimate independent and combined associations of sedentary behaviour and physical activity with anxiety and depression among chronic disease patients in Myanmar and Vietnam. The cross-sectional sample included 3201 chronic disease patients (median age 51 years, interquartile range 25) systematically recruited from primary care facilities in 2015. Sedentary time and physical activity were assessed with the General Physical Activity Questionnaire (GPAQ). Overall, the prevalence of sedentary time per day was 51.3% < 4 h, 31.2% between 4 and 8 h, and 17.5% 8 or more hours a day), and 30.7% engaged in low physical activity, 50.0% moderate, and 23.6% high physical activity. The prevalence of anxiety and depression was 12.7% and 19.9%, respectively. In the final logistic regression model, adjusted for relevant confounders, higher sedentary time (≥8 h) did not increase the odds for anxiety or depression, but moderate to high physical activity decreased the odds for anxiety and depression. Combined regression analysis found that participants with both less than eight hours of sedentary time and moderate or high physical activity had significantly lower odds of having anxiety and depression. Findings suggest an independent and combined association between moderate or high physical activity and low sedentary time with anxiety and/or depression among chronic disease patients in Myanmar and Vietnam.
本研究旨在估计久坐行为和身体活动与缅甸和越南慢性病患者焦虑和抑郁的独立和联合关联。这项横断面研究的样本包括 2015 年从初级保健机构系统招募的 3201 名慢性病患者（中位年龄 51 岁，四分位间距 25）。久坐时间和身体活动使用一般体力活动问卷（GPAQ）进行评估。总的来说，每天久坐时间的流行率为：51.3%＜4 小时，31.2%在 4-8 小时之间，17.5% 8 小时或更长时间），30.7%的人身体活动量低，50.0%中等，23.6%高。焦虑和抑郁的患病率分别为 12.7%和 19.9%。在最终的逻辑回归模型中，调整了相关混杂因素后，较高的久坐时间（≥8 小时）并没有增加焦虑或抑郁的几率，但中等到高度的身体活动降低了焦虑和抑郁的几率。联合回归分析发现，久坐时间少于 8 小时且身体活动量为中等到高度的参与者，其焦虑和抑郁的几率明显降低。研究结果表明，在缅甸和越南的慢性病患者中，中等到高度的身体活动和低久坐时间与焦虑和/或抑郁之间存在独立和联合关联。
