老年人心理困扰与久坐时间延长之间的关系：四阶段分析

Relationship between Psychological Distress and Prolonged Sedentary Bouts in the Elderly: Four Period Analysis.

作者信息

Owari Yutaka

机构信息

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

出版信息

Healthcare (Basel). 2021 Jun 4;9(6):676. doi: 10.3390/healthcare9060676.

DOI:10.3390/healthcare9060676

PMID:34200000

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8230261/

Abstract

BACKGROUND

Too much sitting is associated with low mental health in elderly individuals. We clarified the relationship between psychological distress and the rate of prolonged sedentary bouts (PSBs) among the elderly over four periods.

METHODS

In a secondary analysis, a sample population of 68 adults aged 65 years or older in Japan was used. The following proxy variables were used: PSB (mental health) and the Kessler 6 scale; K6 scores (psychological distress).

RESULTS

Using the cross-lagged effects models, from "2016 K6" to "2017 PSB" ( = 0.004), from "2017 K6" to "2018 PSB" ( < 0.001), and from "2018 K6" to "2019 PSB" ( = 0.021) were all significant; however, the reverse were not all significant in one period. In four periods, from "2016 PSB" to "2019 K6" ( = 0.025) was significant; however, the reverse was not significant. Fit indices were obtained: χ = 7.641 ( = 0.182), goodness of fit index (GFI) = 0.891, comparative fit index (CFI) = 0.901, and root mean square error of approximation (RMSEA) = 0.121 in structural equation modelling.

CONCLUSIONS

Psychological distress may affect the rate of PSB after one year, and the rate of PSB may affect the rate of psychological distress after three years in elderly individuals.

摘要

背景

久坐与老年人心理健康水平低有关。我们阐明了老年人在四个时间段中心理困扰与久坐不动时长（PSB）之间的关系。

方法

在一项二次分析中，使用了日本68名65岁及以上成年人的样本群体。使用了以下替代变量：PSB（心理健康）和凯斯勒6项量表；K6得分（心理困扰）。

结果

使用交叉滞后效应模型，从“2016年K6”到“2017年PSB”（=0.004），从“2017年K6”到“2018年PSB”（<0.001），以及从“2018年K6”到“2019年PSB”（=0.021）均具有显著性；然而，反向关系在一个时间段内并非都具有显著性。在四个时间段中，从“2016年PSB”到“2019年K6”（=0.025）具有显著性；然而，反向关系不具有显著性。在结构方程模型中获得了拟合指数：χ=7.641（=0.182），拟合优度指数（GFI）=0.891，比较拟合指数（CFI）=0.901，近似误差均方根（RMSEA）=0.121。