Figueroa Caroline A, Aguilera Adrian, Hoffmann Thomas J, Fukuoka Yoshimi
Department Engineering Systems and Services, Faculty of Technology, Policy, and Management, Delft University of Technology, Delft, The Netherlands.
School of Social Welfare, University of California, Berkeley, California, USA.
Womens Health Rep (New Rochelle). 2024 Mar 13;5(1):242-249. doi: 10.1089/whr.2023.0034. eCollection 2024.
Women are less physically active, report greater perceived barriers for exercise, and show higher levels of depressive symptoms. This contributes to high global disability. The relationship between perceived barriers for physical activity and depressive symptoms in women remains largely unexplored. The aims of this cross-sectional analysis were to examine the association between physical activity barriers and depressive symptoms, and identify types of barriers in physically inactive community-dwelling women.
Three hundred eighteen physically inactive women aged 25-65 years completed the Barriers to Being Active Quiz (BBAQ) developed by the Centers for Disease Control and Prevention, and the Center for Epidemiological Studies Depression Scale at the baseline visit of the mobile phone-based physical activity education trial. The BBAQ consists of six subscales (lack of time, social influence, lack of energy, lack of willpower, fear of injury, lack of skill, and lack of resources). We used multivariate regression analyses, correcting for sociodemographics.
Higher physical activity barriers were associated with greater depressive symptoms scores (linear effect, estimate = 0.75, 95% confidence interval [CI]: 0.39-1.12, < 0.001). This effect appeared to taper off for the higher barrier scores (quadratic effect, estimate: -0.02, 95% CI: -0.03 to -0.01, = 0.002). Exploratory analyses indicated that these associations were most driven by the social influence ( = 0.027) and lack of energy subscales ( = 0.017).
Higher depression scores were associated with higher physical activity barriers. Social influence and lack of energy were particularly important barriers. Addressing these barriers may improve the efficacy of physical activity interventions in women with higher depressive symptoms. Future research should assess this in a randomized controlled trial.
TRIAL REGISTRATION CLINICALTRIALSGOV#: NCTO1280812 registered January 21, 2011.
女性身体活动较少，报告称运动的感知障碍更大，且抑郁症状水平较高。这导致了全球范围内的高致残率。女性身体活动的感知障碍与抑郁症状之间的关系在很大程度上仍未得到探索。本横断面分析的目的是研究身体活动障碍与抑郁症状之间的关联，并确定身体不活动的社区居住女性中的障碍类型。
318名年龄在25 - 65岁的身体不活动女性在基于手机的身体活动教育试验的基线访视时，完成了由疾病控制与预防中心开发的“积极活动障碍测验”（BBAQ）以及流行病学研究中心抑郁量表。BBAQ由六个子量表组成（缺乏时间、社会影响、缺乏精力、缺乏意志力、害怕受伤、缺乏技能和缺乏资源）。我们使用多变量回归分析，并对社会人口统计学因素进行校正。
较高的身体活动障碍与更高的抑郁症状评分相关（线性效应，估计值 = 0.75，95%置信区间[CI]：0.39 - 1.12，P < 0.001）。对于较高的障碍评分，这种效应似乎逐渐减弱（二次效应，估计值：-0.02，95% CI：-0.03至-0.01，P = 0.002）。探索性分析表明，这些关联主要由社会影响（P = 0.027）和缺乏精力子量表（P = 0.017）驱动。
较高的抑郁评分与较高的身体活动障碍相关。社会影响和缺乏精力是特别重要的障碍。解决这些障碍可能会提高对抑郁症状较高女性进行身体活动干预的效果。未来的研究应在随机对照试验中对此进行评估。
试验注册ClinicalTrials.gov编号：NCT01280812，于2011年1月21日注册。
