Chen Zihao, Xin Jiahao, Jia Junqiang, Tu Jiayuan, Li Xiaoming
College of Physical Education, Yangzhou University, NO.196 Huayang west Road, Hanjiang district, Yangzhou City, Jiangsu province, China.
Faculty of Sport Science, Waseda University, Saitama, Japan.
BMC Psychiatry. 2025 Feb 25;25(1):168. doi: 10.1186/s12888-025-06612-x.
This study investigates the association between the Weekend Warrior (WW) pattern and the risk of anxiety among American adults, offering insights into a more flexible exercise strategy for individuals with limited time for regular exercise during weekdays.
We analyzed data from the 2007-2012 National Health and Nutrition Examination Survey (NHANES) to examine the relationship between different physical activity (PA) patterns and the risk of anxiety. Multivariate logistic regression, subgroup interaction, restricted cubic spline analysis (RCS), and sensitivity analyses were conducted to assess this association.
Compared to inactive individuals, those engaging in WW pattern (OR = 0.65, 95% CI: 0.48-0.90, p = 0.010), insufficiently active (OR = 0.71, 95% CI: 0.62-0.82, p < 0.001), or regularly active pattern (OR = 0.75, 95% CI: 0.65-0.87, p < 0.001) showed significantly lower risk of anxiety. Subgroup interaction analyses revealed significant effect modification in the poverty income ratio (PIR) and diabetes subgroups (P for interaction < 0.05), while no significant interactions were observed for other variables. RCS analysis showed a significant nonlinear relationship between recreational moderate to vigorous intensity physical activity and risk of anxiety (P for nonlinear < 0.001). Sensitivity analyses further confirmed the stability of the findings.
The WW pattern was associated with a lower risk of anxiety. For individuals unable to exercise consistently throughout the week, the WW pattern offers a practical alternative for reducing the risk of anxiety, particularly among those with lower income levels or diabetes.
本研究调查了周末战士（WW）模式与美国成年人焦虑风险之间的关联，为工作日定期锻炼时间有限的个体提供一种更灵活的锻炼策略见解。
我们分析了2007 - 2012年国家健康与营养检查调查（NHANES）的数据，以检验不同身体活动（PA）模式与焦虑风险之间的关系。进行了多变量逻辑回归、亚组交互作用、受限立方样条分析（RCS）和敏感性分析来评估这种关联。
与不活动的个体相比，采用WW模式（OR = 0.65，95%CI：0.48 - 0.90，p = 0.010）、活动不足（OR = 0.71，95%CI：0.62 - 0.82，p < 0.001）或定期活动模式（OR = 0.75，95%CI：0.65 - 0.87，p < 0.001）的个体焦虑风险显著更低。亚组交互作用分析显示在贫困收入比（PIR）和糖尿病亚组中有显著的效应修饰（交互作用p < 0.05），而其他变量未观察到显著交互作用。RCS分析显示娱乐性中等至剧烈强度身体活动与焦虑风险之间存在显著的非线性关系（非线性p < 0.001）。敏感性分析进一步证实了研究结果的稳定性。
WW模式与较低的焦虑风险相关。对于无法在一周内持续锻炼的个体，WW模式为降低焦虑风险提供了一种实用的替代方案，尤其是在低收入水平或糖尿病患者中。
