一项基于学校的体育活动干预对巴西青少年样本心理健康指标的影响：一项整群随机对照试验。
Effects of a school-based physical activity intervention on mental health indicators in a sample of Brazilian adolescents: a cluster randomized controlled trial.
作者信息
da Silva Jadson Marcio, Castilho Dos Santos Géssika, de Oliveira Barbosa Rodrigo, de Souza Silva Thais Maria, Correa Renan Camargo, da Costa Bruno Gonçalves Galdino, Kennedy Sarah G, Stabelini Neto Antonio
机构信息
Post-Graduate Program in Physical Education Associate UEM/UEL, Physical Education and Sports Center, State University of Londrina, Londrina, PR, Brazil.
Post-Graduate Program in Human Moviment Sciences, Health Sciences Center, University of Northern Paraná, Jacarezinho, Brazil.
出版信息
BMC Public Health. 2025 Feb 10;25(1):539. doi: 10.1186/s12889-025-21620-y.
PURPOSE
To test the effects of a physical activity intervention program on symptoms of mental disorders among adolescents.
METHODS
This study is a 12-week cluster randomized controlled trial. The sample consisted of 306 adolescents (45,8% male, age: 13,6 [0,72] years; 54.2% female, age: 13.5 [0.69] years), randomized into an intervention group (N = 165) and a control group (N = 141). The physical activity program involved sessions including muscle strengthening and cardiorespiratory exercises and lifestyle guidance. The mental health indicators analyzed were: anxiety, depression, sleep, and psychological well-being. Intervention effects were analyzed by generalized estimating equations.
RESULTS
After 12 weeks, no significant improvements were observed in the intervention group for sleep; anxiety; depression, and psychological well-being. In the subgroup analysis, significant group×time interactions were observed for adolescents who were classified with moderate symptoms of depression (mean difference: -0.97, p = 0.002) and anxiety (mean difference: -3.03, p = 0.01) with favorable effects for intervention group.
CONCLUSION
After the 12-week intervention period, it can be concluded that 12 weeks of school-based physical activity intervention significantly reduced symptoms of anxiety and depression in adolescents with moderate/severe symptoms. Furthermore, the intervention contributed to the maintenance of psychological well-being, since the control group showed a significant reduction in this mental health indicator.
目的
测试一项体育活动干预计划对青少年精神障碍症状的影响。
方法
本研究为一项为期12周的整群随机对照试验。样本包括306名青少年（男性占45.8%，年龄：13.6[0.72]岁；女性占54.2%，年龄：13.5[0.69]岁），随机分为干预组（N = 165）和对照组（N = 141）。体育活动计划包括肌肉强化和心肺锻炼课程以及生活方式指导。分析的心理健康指标为：焦虑、抑郁、睡眠和心理健康状况。干预效果通过广义估计方程进行分析。
结果
12周后，干预组在睡眠、焦虑、抑郁和心理健康状况方面未观察到显著改善。在亚组分析中，对于抑郁症状中度（平均差异：-0.97，p = 0.002）和焦虑症状中度（平均差异：-3.03，p = 0.01）的青少年，观察到显著的组×时间交互作用，干预组有良好效果。
结论
经过12周的干预期后，可以得出结论，为期12周的校内体育活动干预显著减轻了中度/重度症状青少年的焦虑和抑郁症状。此外，该干预有助于维持心理健康状况，因为对照组在这一心理健康指标上有显著下降。
Zotero 插件