体力活动不同领域与青年男性积极心理健康之间的关系。
Relationship between different domains of physical activity and positive mental health among young adult men.
机构信息
Finnish Institute for Health and Welfare / Centre for Military Medicine, P. O Box 30, 00271, Helsinki, Finland.
The Department of Leadership and Military Pedagogy, National Defence University, Helsinki, Finland.
出版信息
BMC Public Health. 2020 Jul 16;20(1):1116. doi: 10.1186/s12889-020-09175-6.
BACKGROUND
There is growing evidence on positive effects of physical activity (PA) on mental health. However, the focus of previous research on this relationship has typically been on mental health from the perspective of mental health problems rather than from the perspective of mental wellbeing. Further, previous research has commonly focused rather on leisure time PA without evidence on the role of other domains of PA. The aim of the present cross-sectional study was to investigate the relationship between positive mental health (PMH) and different domains of PA in young Finnish men. The secondary aim was to examine the reasons for physical inactivity among individuals with a low level of PMH.
METHODS
Positive mental health (measured with Short Warwick-Edinburgh Mental Wellbeing Scale, SWEMWBS), self-reported leisure time, occupational and commuting PA as well as reasons for physical inactivity were measured using questionnaires (n = 456, mean age 29 years) among young Finnish males. Logistic regression modelling was used to generate odds for low and high levels of positive mental health for different levels of PA and sociodemographic variables.
RESULTS
A weak positive association between leisure time PA and PMH was found in men with a low level of PMH (OR = 0.33, 95% CI 0.13-0.86). No association was found in the domains of commuting and occupational PA. Multivariate logistic regression analysis showed lower level of leisure time PA, unemployment and being single independently predicting low level of PMH. No associations were found between any domains of PA and high level of PMH. The most common reasons for physical inactivity among men with a low level of PMH were lack of interest (28%) and unwillingness to practise sports alone (27%).
CONCLUSIONS
The relationship between physical activity and positive mental health seems to vary between different domains of physical activity. The findings highlight the important role of leisure time physical activity, particularly in men with a low level of positive mental health. Strategies aimed at increasing physical activity for mental health benefits should focus particularly on providing opportunities for leisure time physical activity involving social interactions for men with lower mental wellbeing.
背景
越来越多的证据表明身体活动（PA）对心理健康有积极影响。然而，以前关于这种关系的研究重点通常是从心理健康问题的角度，而不是从心理健康的角度来看待这个问题。此外，以前的研究通常更关注休闲时间的 PA，而没有证据表明其他领域的 PA 的作用。本横断面研究的目的是调查年轻芬兰男性的积极心理健康（PMH）与不同领域 PA 之间的关系。次要目的是研究 PMH 水平较低的个体缺乏身体活动的原因。
方法
采用简短的沃里克-爱丁堡心理健康量表（SWEMWBS）测量积极心理健康，使用问卷测量自我报告的休闲时间、职业和通勤 PA 以及缺乏身体活动的原因（n=456，平均年龄 29 岁）。使用逻辑回归模型生成不同 PA 水平和社会人口学变量下低水平和高水平积极心理健康的几率。
结果
在 PMH 水平较低的男性中，发现休闲时间 PA 与 PMH 呈弱正相关（OR=0.33，95%CI 0.13-0.86）。在通勤和职业 PA 领域没有发现关联。多变量逻辑回归分析显示，休闲时间 PA 水平较低、失业和单身是预测 PMH 水平较低的独立因素。在任何 PA 领域与高水平 PMH 之间均未发现关联。PMH 水平较低的男性缺乏身体活动的最常见原因是缺乏兴趣（28%）和不愿意独自进行体育运动（27%）。
结论
PA 与 PMH 之间的关系似乎因 PA 的不同领域而异。研究结果强调了休闲时间 PA 的重要作用，特别是在 PMH 水平较低的男性中。为促进心理健康而增加身体活动的策略应特别关注为心理健康水平较低的男性提供参与社交互动的休闲时间身体活动机会。
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