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青春期前儿童的中度至剧烈身体活动及对急性心理社会应激的反应

Moderate-to-vigorous physical activity and reactivity to acute psychosocial stress in preadolescent children.

作者信息

Hanke Manuel, Looser Vera Nina, Bruggisser Fabienne, Leuenberger Rahel, Gerber Markus, Ludyga Sebastian

机构信息

University of Basel, Department of Sport, Exercise and Health, Sport Science Section, Switzerland.

University of Basel, Department of Sport, Exercise and Health, Sport Science Section, Switzerland.

出版信息

J Sci Med Sport. 2023 Sep;26(9):487-492. doi: 10.1016/j.jsams.2023.07.010. Epub 2023 Jul 28.

Abstract

OBJECTIVES

High reactivity to psychosocial stress during childhood increases the risk of future psychological and physiological disorders. The main objective of this study was to investigate associations between children's moderate-to-vigorous physical activity (MVPA) and physiological and psychological reactions to acute psychosocial stress.

DESIGN

Randomized cross-over study comparing two groups.

METHODS

After a 7-day accelerometer-based measurement of MVPA, 110 children aged 10-13 years (48 female) were categorized into a low (<30 min/d) or a high MVPA group (>60 min/d). On separate laboratory appointments, participants completed the Trier Social Stress Test for Children (TSST-C) and a non-stressful control task in randomized order. Stress reactivity was assessed from saliva cortisol, heart rate variability and self-reported anxiety.

RESULTS

In repeated measures analyses of variance, main effects of condition indicated higher stress reactivity in the TSST-C compared to control for cortisol and anxiety, with more pronounced effects in girls compared to boys. Differences in heart rate variability disappeared after controlling for confounding variables. No interactions with MVPA were found. A main effect of MVPA indicated generally lower cortisol reactivity in the high compared to the low MVPA group.

CONCLUSIONS

The TSST-C is suitable for induction of psychosocial stress in the laboratory, but sex-specific differences have to be considered. Children who met the WHO recommendations for MVPA exhibited generally lower endocrine reactivity to both laboratory tasks combined, underlining the potential role of regular physical activity in the regulation of the stress response in early developmental stages. Further studies are necessary to ascertain causal associations.

摘要

目的

儿童期对心理社会应激的高反应性会增加未来出现心理和生理障碍的风险。本研究的主要目的是调查儿童中度至剧烈身体活动(MVPA)与对急性心理社会应激的生理和心理反应之间的关联。

设计

比较两组的随机交叉研究。

方法

在基于加速度计对MVPA进行7天测量之后,将110名10 - 13岁的儿童(48名女性)分为低MVPA组(<30分钟/天)或高MVPA组(>60分钟/天)。在单独的实验室预约中,参与者以随机顺序完成儿童期特里尔社会应激测试(TSST - C)和一项无应激的对照任务。通过唾液皮质醇、心率变异性和自我报告的焦虑来评估应激反应性。

结果

在重复测量方差分析中,条件的主效应表明,与对照相比,TSST - C中的皮质醇和焦虑应激反应性更高,女孩的效应比男孩更明显。在控制混杂变量后,心率变异性的差异消失。未发现与MVPA的交互作用。MVPA的主效应表明,与低MVPA组相比,高MVPA组的皮质醇反应性总体上更低。

结论

TSST - C适用于在实验室中诱导心理社会应激,但必须考虑性别差异。达到世界卫生组织MVPA建议的儿童对两项实验室任务的综合内分泌反应总体较低,这突出了规律体育活动在早期发育阶段应激反应调节中的潜在作用。需要进一步研究以确定因果关联。

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