积极和消极心理健康与新冠疫情期间中老年期身体活动的关联。

The associations of positive and negative mental well-being with physical activity during the COVID-19 across late adulthood.

机构信息

Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, PO Box 35 (viv256), Jyväskylä, FIN-40014, Finland.

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

出版信息

BMC Public Health. 2024 Nov 26;24(1):3288. doi: 10.1186/s12889-024-20803-3.

DOI:10.1186/s12889-024-20803-3

PMID:39592965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11600867/

Abstract

BACKGROUND

Mental well-being (MWB) may play an important role in physical activity (PA) behavior, but the independent associations of affective MWB indicators and depressive symptoms with PA are sparsely investigated in late adulthood. We investigated the associations of positive affect, negative affect, and depressive symptoms with PA during the COVID-19 restrictions across late adulthood.

METHODS

Cross-sectional data came from two Finnish population-based studies. The younger cohort (N = 162, 56% women, 60-61 years) was drawn from the TRAILS study, and the older (N = 272, 60% women, 72-88 years) from the PASSWORD study. Data on PA frequency (1-7; from "not at all" to "approximately daily") and perceived changes in PA (no change/increased/reduced) during COVID-19 restrictions were self-reported. MWB was assessed by positive and negative affect (International Positive and Negative Affect Schedule Short Form) and depressive symptoms (younger cohort: General Behavioral Inventory; older cohort: Geriatric Depression Scale). Associations between MWB and PA were analyzed using linear and multinominal logistic regression models.

RESULTS

When each MWB indicator was investigated separately, higher positive affect was associated with higher PA frequency in both cohorts and with a higher likelihood of increased PA in the younger cohort; higher negative affect was associated with a higher likelihood of reduced PA in the older cohort; higher depressive symptoms were associated with lower PA frequency in both cohorts and with a higher likelihood of reduced PA in the older cohort (p ≤ 0.009 for all), In the final models including all three MWB indicators, socioeconomic, and health-related covariates, only the association between higher positive affect and higher odds of increased PA remained significant in the younger cohort (OR = 4.28, p = 0.006). In the older cohort, only the associations of higher depressive symptoms with lower PA frequency (β=-0.097, p = 0.024) and higher odds of reduced PA (OR = 1.26, p = 0.010) remained significant.

CONCLUSIONS

Positive affect was independently associated with increased PA during the COVID-19 restrictions in sixty-year-olds. Higher depressive symptoms were independently associated with lower PA frequency and a higher likelihood of reduced PA in 72-88-year-olds. Positive and negative aspects of MWB have different relations to PA among people aged 60 and 70 + when one's daily routines are restricted.

TRIAL REGISTRATION NUMBER

ISRCTN52388040 (the PASSWORD study).

摘要

背景

心理健康（MWB）可能在身体活动（PA）行为中发挥重要作用，但在晚年，情感 MWB 指标和抑郁症状与 PA 的独立关联研究甚少。我们研究了在 COVID-19 限制期间，积极情绪、消极情绪和抑郁症状与 PA 在晚年的关联。

方法

横断面数据来自两项芬兰人群为基础的研究。较年轻的队列（N=162，女性占 56%，60-61 岁）来自 TRAILS 研究，较年长的队列（N=272，女性占 60%，72-88 岁）来自 PASSWORD 研究。PA 频率（1-7；从不至几乎每天）和 COVID-19 限制期间 PA 的感知变化（无变化/增加/减少）均为自我报告。MWB 通过积极和消极情绪（国际积极和消极情绪量表简短形式）和抑郁症状（年轻队列：一般行为量表；年长队列：老年抑郁量表）进行评估。使用线性和多项逻辑回归模型分析 MWB 和 PA 之间的关联。

结果

当分别研究每个 MWB 指标时，较高的积极情绪与两个队列的 PA 频率较高相关，与年轻队列中 PA 增加的可能性较高相关；较高的消极情绪与年长队列中 PA 减少的可能性较高相关；较高的抑郁症状与两个队列的 PA 频率较低相关，与年长队列中 PA 减少的可能性较高相关（p≤0.009 所有）。在包含所有三个 MWB 指标以及社会经济和健康相关协变量的最终模型中，只有较高的积极情绪与年轻队列中 PA 增加的几率更高相关（OR=4.28，p=0.006）。在年长队列中，只有较高的抑郁症状与较低的 PA 频率（β=-0.097，p=0.024）和较高的 PA 减少几率（OR=1.26，p=0.010）相关仍然显著。