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青少年的体育活动参与与情绪健康

Sports participation and emotional wellbeing in adolescents.

作者信息

Steptoe A, Butler N

机构信息

Department of Psychology, St George's Hospital Medical School, University of London, UK.

出版信息

Lancet. 1996 Jun 29;347(9018):1789-92. doi: 10.1016/s0140-6736(96)91616-5.

Abstract

BACKGROUND

Regular physical activity may have psychological benefits. Our study assessed the association between extent of participation in regular sport or vigorous recreational activity and emotional wellbeing in adolescents aged 16 years.

METHODS

Data were collected from a cohort of adolescents, born between April 5 and April 11, 1970, in England, Scotland, and Wales, who took part in the follow-up assessment at age 16 years. Emotional wellbeing was assessed by the general health questionnaire (GHQ) and the malaise inventory (divided into psychological and somatic subscales). Information was obtained about participation in ten team and 25 individual sports and vigorous recreational activities during the previous year. Non-vigorous recreations, such as darts and snooker, were assessed separately. Social class and health status (recent illness and use of hospital services) were included in our analyses as possible confounding factors. 2223 boys and 2838 girls with a mean age of 16.3 years (SD 0.38) were included in our analysis. Statistical analysis was by multiple linear and logistic regression.

FINDINGS

The sport and vigorous recreational activity index was positively associated with emotional wellbeing independently of sex, social class, health status, and use of hospital services. These associations were significant for the psychological symptom subscale of the malaise inventory (regression coefficient -0.024, 95 percent Cl -0.036 to -0.011, p<0.001) and the GHQ (odds ratio of emotional distress per unit increase in vigorous physical activity 0.992, 95 percent Cl 0.985-0.998, p<O.O1). By contrast, participation in non-vigorous activities was associated with high psychological and somatic symptoms on the malaise inventory.

INTERPRETATION

We conclude that emotional wellbeing is positively associated with extent of participation in sport and vigorous recreational activity among adolescents. Although causal associations cannot be assumed in this cross-sectional analysis, our results are consistent with experimental evidence that vigorous exercise has favourable effects on emotional state.

摘要

背景

规律的体育活动可能对心理有益。我们的研究评估了16岁青少年参与规律运动或剧烈娱乐活动的程度与情绪健康之间的关联。

方法

数据收集自1970年4月5日至4月11日在英格兰、苏格兰和威尔士出生的一组青少年,他们在16岁时参加了随访评估。情绪健康通过一般健康问卷(GHQ)和不适量表(分为心理和躯体子量表)进行评估。获取了有关前一年参与十项团队运动、25项个人运动和剧烈娱乐活动的信息。非剧烈娱乐活动,如飞镖和斯诺克,单独进行评估。社会阶层和健康状况(近期疾病和医院服务使用情况)作为可能的混杂因素纳入我们的分析。我们的分析纳入了2223名男孩和2838名女孩,平均年龄为16.3岁(标准差0.38)。统计分析采用多元线性和逻辑回归。

结果

运动和剧烈娱乐活动指数与情绪健康呈正相关,独立于性别、社会阶层、健康状况和医院服务使用情况。这些关联在不适量表的心理症状子量表(回归系数 -0.024,95%置信区间 -0.036至 -0.011,p<0.001)和GHQ(剧烈身体活动每增加一个单位,情绪困扰的优势比为0.992,95%置信区间0.985 - 0.998,p<0.01)方面具有显著性。相比之下,参与非剧烈活动与不适量表上较高的心理和躯体症状相关。

解读

我们得出结论,青少年的情绪健康与参与运动和剧烈娱乐活动的程度呈正相关。尽管在这项横断面分析中不能假定因果关联,但我们的结果与有力的实验证据一致,即剧烈运动对情绪状态有有利影响。

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