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身体活动、健康与生活满意度:四项面板研究证明了相互影响。

Physical activity, health, and life satisfaction: Four panel studies demonstrate reciprocal effects.

作者信息

Groß Daniel, Kohlmann Carl-Walter

机构信息

University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany.

Zentrum für Psychiatrie Reichenau, Reichenau, Germany.

出版信息

Appl Psychol Health Well Being. 2025 May;17(2):e70027. doi: 10.1111/aphw.70027.

Abstract

We examined the between-person correlations and within-person reciprocal effects of physical activity, long-standing health issues, self-rated health, and life satisfaction across four panels using random intercept cross-lagged panel models. Data were analyzed from the Household, Income and Labour Dynamics in Australia Survey (HILDA, N = 32,913, 21 waves, 1-year intervals), the German Socio-Economic Panel (SOEP, N = 83,844, 14 waves, 2-year intervals), the Dutch Longitudinal Internet Studies for the Social Sciences Panel (LISS, N = 14,778, 11 waves, 1-year intervals), and the United Kingdom Household Longitudinal Study (UKHLS, N = 50,032, 4 waves, 2-year intervals). The analysis of the first two panels focused on moderate-to-vigorous physical activity and sports participation in leisure time, whereas the latter two examined physical activity intensities (light, moderate, and vigorous). Across all panels, physical activity and its intensities were positively correlated with long-standing health issues, self-rated health, and life satisfaction. Within-person analyses revealed primarily positive bidirectional effects between physical activity and self-rated health and between physical activity and life satisfaction, with self-rated health effects more pronounced at higher physical activity intensities and life satisfaction at lower intensities. Effects between physical activity and long-standing health issues were less consistent, appearing mainly for moderate-to-vigorous physical activity intensities in 1-year intervals. Physical activity intensities had different effects on self-rated health and life satisfaction, and the effects were bidirectional in nature. These results suggest that physical activity interventions should be tailored to intensity: Light activity may enhance more effective life satisfaction, while higher intensities better support health. The existing bidirectional effects may further trigger an upward spiral, reinforcing improvements in both health and well-being.

摘要

我们使用随机截距交叉滞后面板模型,在四个面板中检验了身体活动、长期健康问题、自评健康和生活满意度的个体间相关性以及个体内的相互影响。分析的数据来自澳大利亚家庭、收入与劳动力动态调查(HILDA,N = 32913,21轮,间隔1年)、德国社会经济面板(SOEP,N = 83844,14轮,间隔2年)、荷兰社会科学纵向互联网研究面板(LISS,N = 14778,11轮,间隔1年)以及英国家庭纵向研究(UKHLS,N = 50032,4轮,间隔2年)。前两个面板的分析聚焦于中度至剧烈身体活动以及休闲时间的体育参与,而后两个面板则考察了身体活动强度(轻度、中度和剧烈)。在所有面板中,身体活动及其强度与长期健康问题、自评健康和生活满意度呈正相关。个体内分析主要揭示了身体活动与自评健康之间以及身体活动与生活满意度之间的正向双向影响,自评健康的影响在较高身体活动强度时更为显著,而生活满意度的影响在较低强度时更为显著。身体活动与长期健康问题之间的影响不太一致,主要出现在间隔1年的中度至剧烈身体活动强度中。身体活动强度对自评健康和生活满意度有不同影响,且这些影响本质上是双向的。这些结果表明,身体活动干预应根据强度进行调整:轻度活动可能更有效地提高生活满意度,而较高强度则更有利于支持健康。现有的双向影响可能会进一步引发上升螺旋,加强健康和幸福感的改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7c/11995367/b864104b4500/APHW-17-0-g001.jpg

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