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运动量和运动强度对青少年身体活动与心理健康之间关联的作用:一项横断面研究。

The role of volume and intensity on the association between physical activity and mental health among adolescents: a cross-sectional study.

机构信息

Instituto Federal de Educação, Ciência e Tecnologia de São Paulo, Boituva, SP, Brazil.

Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Paul Pediatr. 2023 Apr 7;41:e2022010. doi: 10.1590/1984-0462/2023/41/2022010. eCollection 2023.

Abstract

OBJECTIVE

To analyze the association between volume and intensity of physical activity and mental health among adolescents.

METHODS

Cross-sectional study with 604 Brazilian adolescents. Data were assessed using a self-report questionnaire. The outcomes were suicidal ideation, suspicion of common mental disorders, and negative self-perception of mental health. The independent variables were leisure physical activity at low and moderate-to-vigorous intensities. Volume was analyzed in two ways: any volume (presence vs absence), and volume classified according to amount in minutes of weekly physical activity: inactive (0), low active (1-419), and high active (≥420). Poisson regression was performed to estimate prevalence ratios.

RESULTS

Any volume of moderate-to-vigorous physical activity was significantly associated with a lower prevalence ratio of all outcomes (PR 0.67 to 0.77). Compared to inactive adolescents, those who were classified as low active for moderate-to-vigorous intensity, presented a lower likelihood of having suicidal ideation, suspicion of common mental disorders, and negative self-perception of mental health (PR 0.70 to 0.76). Furthermore, high active adolescents in moderate-to-vigorous physical activity presented lower suicidal ideation and negative self-perception of mental health (PR 0.62 and 0.57).

CONCLUSIONS

The promotion of moderate-to-vigorous intensity physical activity at any volume can benefit the mental health of adolescents, however, no association was evidenced for low intensity physical activity.

摘要

目的

分析青少年身体活动量和强度与心理健康之间的关系。

方法

这是一项横断面研究,共纳入 604 名巴西青少年。使用自我报告问卷评估数据。结局指标为自杀意念、疑似常见精神障碍和心理健康自我负面感知。自变量为低强度和中高强度休闲身体活动。活动量分析采用两种方法:有或无任何活动量(存在或不存在),以及根据每周身体活动分钟数将活动量分类:不活动(0)、低活动(1-419)和高活动(≥420)。采用泊松回归估计患病率比。

结果

中高强度身体活动的任何活动量均与所有结局指标的较低患病率比显著相关(PR 0.67 至 0.77)。与不活动的青少年相比,被归类为中高强度身体活动低活跃的青少年,自杀意念、疑似常见精神障碍和心理健康自我负面感知的可能性较低(PR 0.70 至 0.76)。此外,中高强度身体活动中高活跃的青少年自杀意念和心理健康自我负面感知的可能性较低(PR 0.62 和 0.57)。

结论

任何量的中高强度身体活动都可以促进青少年的心理健康,但低强度身体活动与心理健康之间没有关联。

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