长期心理困扰与健康老年人持续久坐行为之间的关系：一项三面板研究。

Long-Term Relationship between Psychological Distress and Continuous Sedentary Behavior in Healthy Older Adults: A Three Panel Study.

机构信息

Shikoku Medical College, Utazu, Kagawa 769-0205, Japan.

Department of Hygiene, Faculty of Medicine, Kagawa University, Miki, Kagawa 761-0793, Japan.

出版信息

Medicina (Kaunas). 2019 Aug 31;55(9):555. doi: 10.3390/medicina55090555.

DOI:10.3390/medicina55090555

PMID:31480432

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6780232/

Abstract

: Psychological distress (PD) is associated with continuous sedentary behaviors (CSB; based on the ratio of 1.5 metabolic equivalents (METs) sessions or more continuing for over 30 min) in older adults, but the long-term relation is not sufficiently clarified. This study aims to clarify the long-term relationship between PD and the rate of CSB. : In this secondary analysis, a sample population of 72 healthy elderly people aged 65 years or older participated in a health club of college A from 2016 to 2018. We conducted structural equation modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB and PD (based on the Kessler 6 scale (K6) scores). : "2016 K6" to"2017 CSB" (standardization factor (β = 0.141, = 0.025), "2017 K6" to "2018 CSB" (β = 0.187, < 0.001) and "2016 CSB" to "2018 CSB" (β = 0.188, < 0.001) were all statistically significant using the cross-lagged effects models. Fit indices were adjusted goodness of fit index (AGFI) = 0.961, comparative fit index (CFI) = 1.000, and root mean square error of approximation (RMSEA) = 0.000. : The results suggest that PD may affect the ratio of CSB one year later, and CSB may affect the ratio of PD two year later.

摘要

心理困扰（PD）与老年人的持续久坐行为（CSB；基于 1.5 代谢当量（METs）的会话比持续超过 30 分钟）有关，但长期关系尚未充分阐明。本研究旨在阐明 PD 与 CSB 比率之间的长期关系。

在这项二次分析中，一个样本人群由 2016 年至 2018 年参加 A 学院健康俱乐部的 72 名健康老年人组成。我们使用交叉滞后和同步效应模型进行结构方程建模（SEM）。我们采用以下代理变量：CSB 和 PD（基于 Kessler 6 量表（K6）评分）。

“2016 年 K6”到“2017 年 CSB”（标准化因子（β=0.141，=0.025），“2017 年 K6”到“2018 年 CSB”（β=0.187，<0.001）和“2016 年 CSB”到“2018 年 CSB”（β=0.188，<0.001）在交叉滞后效应模型中均具有统计学意义。拟合指数调整后的拟合优度指数（AGFI）=0.961，比较拟合指数（CFI）=1.000，近似均方根误差（RMSEA）=0.000。

结果表明，PD 可能会影响一年后 CSB 的比例，而 CSB 可能会影响两年后 PD 的比例。