Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, 4076, Australia.
Queensland Brain Institute, The University of Queensland, St Lucia, Australia.
Soc Psychiatry Psychiatr Epidemiol. 2019 Dec;54(12):1443-1457. doi: 10.1007/s00127-019-01760-4. Epub 2019 Aug 23.
We investigated if (a) people with lower physical activity have an increased risk of subsequent mental disorders (compared to those with higher physical activity); and (b) people with mental disorders have reduced subsequent physical activity (compared to those without mental disorders).
A systematic review of population-based longitudinal studies examining physical activity and mental disorders was conducted. Mental disorders were defined by International Classification of Diseases or Diagnostic and Statistical Manual of Mental Disorders. The results were described in a narrative summary.
Twenty-two studies were included. The majority (19) examined mood disorders and physical activity. Only two studies found consistent association between lower physical activity and a reduced risk of subsequent mental disorders. One study found the bidirectional association between physical activity and major depression. Twelve studies found mixed results (i.e., no consistency in direction and significance of the findings), and seven studies found no association between the variables of interest.
There is a lack of consistent evidence linking physical activity to be either a risk factor or consequence of mental disorders.
CRD42017071737.
我们调查了（a）体力活动较少的人是否比体力活动较多的人更容易患随后出现的精神障碍（与体力活动较多的人相比）；以及（b）是否患有精神障碍的人随后的体力活动减少（与没有精神障碍的人相比）。
对考察体力活动和精神障碍的基于人群的纵向研究进行了系统综述。精神障碍通过国际疾病分类或精神障碍诊断和统计手册来定义。结果以叙述性总结进行描述。
共纳入 22 项研究。其中大部分（19 项）研究了心境障碍和体力活动。仅有两项研究发现体力活动较低与随后发生精神障碍的风险降低之间存在一致关联。一项研究发现体力活动与重度抑郁症之间存在双向关联。有 12 项研究得出了混合结果（即，发现的方向和意义不一致），还有 7 项研究发现了感兴趣变量之间没有关联。
目前缺乏将体力活动与精神障碍的风险因素或后果联系起来的一致证据。
PROSPERO 注册号：CRD42017071737。
