Onyeaka Henry, Firth Joe, Enemuo Valentine, Muoghalu Chioma, Naslund John, Baiden Philip, Torous John
Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Division of Psychology and Mental Health, The University of Manchester, Manchester, United Kingdom.
Front Digit Health. 2021 Sep 14;3:707900. doi: 10.3389/fdgth.2021.707900. eCollection 2021.
The present study aimed to investigate the cross-sectional association between self-reported use of electronic wearable devices (EWDs) and the levels of physical activity among a representative sample of adults with depression and anxiety in the United States. For this cross-sectional study, data were pooled from the Health Information National Trends Survey 2019. A sample of 1,139 adults with self-reported depression and anxiety (60.9% women; mean age of 52.5 years) was analyzed. The levels of physical activity and prevalence of EWD utilization were self-reported. The chi-square tests were used to compare individual characteristics through the use of EWDs. Multivariable logistic regression was employed to investigate the association between EWDs and physical activity levels while adjusting for sociodemographic and health-related factors. From the 1,139 adults with self-reported depression and anxiety, 261 (weighted percentage 28.1%) endorsed using EWD in the last year. After adjusting for covariates, the use of EWDs was only significantly associated with a higher odds of reporting intention to lose weight (OR 2.12; 95% 1.04, 4.35; = 0.04). We found no association between the use of EWDs and meeting the national weekly recommendation for physical activity or resistance/strength exercise training. About three in 10 adults suffering from depression and anxiety in the United States reported using EWDs in the last year. The current study findings indicate that among people living with mental illness, EWD use is associated with higher odds of weight loss intent suggesting that EWDs may serve as an opening for the clinical interactions around physical health through identifying patients primed for behavior change. Further large-scale studies using randomized trial designs are needed to examine the causal relationships between EWDs and the physical activity of people with mental health conditions.
本研究旨在调查在美国有代表性的成年抑郁和焦虑患者样本中，自我报告的电子可穿戴设备（EWD）使用情况与身体活动水平之间的横断面关联。对于这项横断面研究，数据来自2019年健康信息国家趋势调查。分析了1139名自我报告有抑郁和焦虑的成年人样本（60.9%为女性；平均年龄52.5岁）。身体活动水平和EWD使用 prevalence 通过自我报告获得。卡方检验用于比较使用EWD的个体特征。多变量逻辑回归用于研究EWD与身体活动水平之间的关联，同时调整社会人口学和健康相关因素。在1139名自我报告有抑郁和焦虑的成年人中，261人（加权百分比28.1%）认可在过去一年使用EWD。在调整协变量后，使用EWD仅与报告有减肥意愿的较高几率显著相关（比值比2.12；95% 1.04，4.35； = 0.04）。我们发现使用EWD与达到国家每周身体活动建议或进行抗阻/力量锻炼训练之间没有关联。在美国，约十分之三患有抑郁和焦虑的成年人报告在过去一年使用了EWD。当前研究结果表明，在患有精神疾病的人群中，使用EWD与有更高的减肥意愿几率相关，这表明EWD可能通过识别有行为改变准备的患者，为围绕身体健康的临床互动提供一个契机。需要进一步使用随机试验设计的大规模研究来检验EWD与有心理健康状况人群的身体活动之间的因果关系。
