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新冠疫情期间身体活动与久坐行为的心理健康关联

Psychological-health correlates of physical activity and sedentary behaviour during the COVID pandemic.

作者信息

Ringin Elysha, Meyer Denny, Neill Erica, Phillipou Andrea, Tan Eric J, Toh Wei Lin, Sumner Philip J, Owen Neville, Hallgren Mats, Dunstan David W, Rossell Susan L, Van Rheenen Tamsyn E

机构信息

Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia.

Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia.

出版信息

Ment Health Phys Act. 2022 Oct;23:100481. doi: 10.1016/j.mhpa.2022.100481. Epub 2022 Nov 15.

Abstract

BACKGROUND

While physical inactivity is associated with adverse psychological outcomes, less is known about the psychological outcomes associated with sedentary behaviour, and specifically, its mentally active and passive forms. The COVID-19 pandemic represents a unique opportunity to study associations between these variables in light of widespread stay-at-home mandates and restrictions on outdoor exercise/social activities. Using a cross-sectional dataset acquired during the COVID-19 pandemic in Australia, we examined whether physical activity and sedentary behaviour were associated with subjective quality of life (sQoL) and subjective cognitive dysfunction, and whether these associations were mediated by depressive symptoms.

METHODS

658 participants (males = 169, females = 489) self-reported data on physical activity and sedentary behaviour in an online survey during May 2020-May 2021. Data on physical activity and sedentary behaviour (both mentally active and passive types) was compared according to whether it was collected during or out of a lockdown period. Regression models were used to test associations of physical activity and sedentary behaviour with sQoL and subjective cognitive dysfunction, and whether these associations were mediated by depression severity.

RESULTS

Physical activity was beneficially associated with sQoL, whereas sedentary behaviour (both total hours and the reduction of mentally active/increase in mentally passive behaviour) was detrimentally associated with sQoL. These associations were mediated by depression severity. Physical activity and sedentary behaviour were also indirectly associated with subjective cognitive dysfunction by virtue of their associations with depression severity.

CONCLUSIONS

There are important differences in the psychological correlates of mentally passive and active sedentary behaviours. Our findings suggest that health promotion strategies should focus on not only increasing physical activity but also reducing sedentary behaviours as a means of maintaining good psychological health.

摘要

背景

虽然身体活动不足与不良心理结果相关,但对于久坐行为,特别是其精神上的主动和被动形式所关联的心理结果,我们了解得较少。鉴于广泛的居家指令以及对户外锻炼/社交活动的限制,新冠疫情为研究这些变量之间的关联提供了一个独特的机会。利用在澳大利亚新冠疫情期间获取的横断面数据集,我们研究了身体活动和久坐行为是否与主观生活质量(sQoL)及主观认知功能障碍相关,以及这些关联是否由抑郁症状介导。

方法

658名参与者(男性 = 169名,女性 = 489名)在2020年5月至2021年5月期间的一项在线调查中自我报告了身体活动和久坐行为的数据。根据身体活动和久坐行为(包括精神上的主动和被动类型)的数据是在封锁期间还是非封锁期间收集的进行了比较。回归模型用于测试身体活动和久坐行为与sQoL及主观认知功能障碍的关联,以及这些关联是否由抑郁严重程度介导。

结果

身体活动与sQoL呈有益关联,而久坐行为(总时长以及精神上主动行为的减少/精神上被动行为的增加)与sQoL呈有害关联。这些关联由抑郁严重程度介导。身体活动和久坐行为还因其与抑郁严重程度的关联而与主观认知功能障碍间接相关。

结论

精神上被动和主动的久坐行为在心理关联方面存在重要差异。我们的研究结果表明,健康促进策略不仅应侧重于增加身体活动,还应减少久坐行为,以此作为维持良好心理健康的一种手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a265/9664206/7a75ea156802/gr1_lrg.jpg

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