Tebbi Jonathan, Brar Ranveer, Katz Alan, Di Nella Michelle, Bohm Clara, Rigatto Claudio, Tangri Navdeep, Boreskie Sue, Solmundson Carrie, Kosowan Leanne, Lamont Darlene, Komenda Paul V J, Collister David, Bolton James M
Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
Chronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
Can J Public Health. 2024 Dec 5. doi: 10.17269/s41997-024-00971-w.
This study examined the effects of medical fitness facility (MFF) attendance, a proxy for exercise, on the incidence of mental disorders.
This retrospective cohort study linked members at two MFFs in Winnipeg, Canada, to health administrative databases held at the Manitoba Centre for Health Policy population research data repository. Adults aged ≥ 18 years were assigned an index date at MFF membership enrollment between January 1, 2005, and December 31, 2015, and matched to controls based on propensity score weighting. Cox proportional hazards models generated hazard ratios (HR) comparing the MFF group to controls on incident mental disorders (mood and anxiety disorders, substance use disorders, dementia, personality disorders, schizophrenia, and psychotic disorders).
There were 15,407 MFF members and 507,400 controls. Attendance at a MFF was associated with a reduced hazards risk of incident substance use disorders (HR = 0.67, 95% confidence interval (CI) 0.62-0.67), psychotic disorders (HR = 0.69, 95% CI 0.60-0.79), personality disorders (HR = 0.63, 95% CI 0.50-0.78), schizophrenia (HR = 0.69, 95% CI 0.52-0.93), and dementia (HR = 0.69, 95% CI 0.64-0.75).
Attending a medical fitness facility was associated with a reduced risk of incident mental disorders. Further research in MFFs as preventive initiatives for mental illness is warranted.
本研究探讨了医疗健身设施（MFF）的使用情况（作为运动的替代指标）对精神障碍发病率的影响。
这项回顾性队列研究将加拿大温尼伯市两家MFF的会员与曼尼托巴省卫生政策中心人口研究数据存储库中的卫生行政数据库进行了关联。年龄≥18岁的成年人在2005年1月1日至2015年12月31日期间MFF会员注册时被指定一个索引日期，并根据倾向得分加权与对照组进行匹配。Cox比例风险模型生成风险比（HR），比较MFF组与对照组在新发精神障碍（情绪和焦虑障碍、物质使用障碍、痴呆、人格障碍、精神分裂症和精神病性障碍）方面的情况。
共有15407名MFF会员和507400名对照组。参加MFF与新发物质使用障碍（HR = 0.67，95%置信区间（CI）0.62 - 0.67）、精神病性障碍（HR = 0.69，95% CI 0.60 - 0.79）、人格障碍（HR = 0.63，95% CI 0.50 - 0.78）、精神分裂症（HR = 0.69，95% CI 0.52 - 0.93）和痴呆（HR = 0.69，95% CI 0.64 - 0.75）的风险降低相关。
参加医疗健身设施与新发精神障碍风险降低相关。有必要对MFF作为精神疾病预防措施进行进一步研究。
