Choi Namkee G, Choi Bryan Y, Marti C Nathan
University of Texas at Austin, Austin, TX, USA.
Philadelphia College of Osteopathic Medicine and BayHealth, Dover, DE, USA.
Gerontol Geriatr Med. 2024 Mar 23;10:23337214241241397. doi: 10.1177/23337214241241397. eCollection 2024 Jan-Dec.
In this study, based on the 2022 National Health and Aging Trend Study ( = 5,593, age 65+), we examined direct associations between moderate and vigorous physical exercise (PE) and depressive/anxiety symptoms as well as bothersome pain and sleep problems. We then examined if the association between PE and depressive/anxiety symptoms would be partially mediated by the effects of PE on bothersome pain and sleep problems. Results from a path model showed that controlling for sociodemographic and health statuses, PE was negatively associated with depressive/anxiety symptoms and bothersome pain, but it was not significantly associated with sleep problems. The mediation analysis showed that 10% of the total effects of PE on depressive/anxiety symptoms was indirect effects of PE on bothersome pain. This study is important as it examined the associations among PE, pain, sleep, and depression/anxiety in community-dwelling older adults in their natural environments. Healthcare and social service providers for older adults need to emphasize the importance and benefits of PE for older adults' physical and mental health. Easy access to venues for PE is also important.
在本研究中，基于2022年国家健康与老龄化趋势研究（n = 5593，年龄65岁及以上），我们研究了中度和剧烈体育锻炼（PE）与抑郁/焦虑症状以及令人烦恼的疼痛和睡眠问题之间的直接关联。然后，我们研究了PE与抑郁/焦虑症状之间的关联是否会部分由PE对令人烦恼的疼痛和睡眠问题的影响所介导。路径模型的结果表明，在控制了社会人口统计学和健康状况后，PE与抑郁/焦虑症状和令人烦恼的疼痛呈负相关，但与睡眠问题无显著关联。中介分析表明，PE对抑郁/焦虑症状的总效应中有10%是PE通过令人烦恼的疼痛产生的间接效应。这项研究很重要，因为它在自然环境中研究了社区居住的老年人中PE、疼痛、睡眠和抑郁/焦虑之间的关联。老年保健和社会服务提供者需要强调PE对老年人身心健康的重要性和益处。方便使用体育锻炼场所也很重要。
