The projected effect of increasing physical activity on reducing the prevalence of common mental disorders among Canadian men and women: A national population-based community study

The projected effect of increasing physical activity on reducing the prevalence of common mental disorders among Canadian men and women: A national population-based community study
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DOI:
10.1016/j.ypmed.2012.11.014
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发表时间:
2013-01-01
影响因子:
5.1
通讯作者:
D'Arcy, Carl
D'Arcy, Carl
中科院分区:
医学2区
文献类型:
--
作者:
Meng, Xiangfei;D'Arcy, Carl

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目标。在一个具有全国代表性的样本中,很少有关于体力活动(PA)修改对精神障碍患病率的影响的定量研究。我们的目的是为PA在精神障碍管理中的潜在有效性提供量化证据。我们使用了加拿大全国社区心理健康和幸福调查(CCHS 12)的数据,该调查旨在代表2002年约2500万15岁及以上的全国社区人口。大约十分之一的加拿大人报告患有12个月的精神障碍。女性报告的情绪和焦虑症更多,男性更多的物质依赖。几乎一半的加拿大人身体不活跃。在调整协变量后,除躁狂发作外,缺乏运动是常见精神障碍的重要危险因素。全国约有780,000例可归因于缺乏体力活动。缺乏体力活动的比率减少10%,常见的精神障碍病例将减少167,000例,减少25%,病例将减少389,000例。结论:PA对男性更有益。临床医生和针对个别患者和一般人群的公共卫生活动可以通过增加PA的量来改善患者的症状,并预防未来相当大比例的精神障碍。(C)2012 Elsevier Inc.保留所有权利。
Objective. Little quantitative research has been conducted on the effect of physical activity (PA) modification on the prevalence of mental disorders in a nationally representative sample. We aimed to provide quantitative evidence regarding the potential effectiveness of PA in the management of mental disorders.Methods. We used data from the national Canadian Community Health Survey of Mental Health and Well-being (CCHS 12) designed to represent the approximately the 25 million national community population aged 15 years and over in 2002.Results. Around 1 in 10 Canadians reported a 12-month mental disorder. Women reported more mood and anxiety disorders, men more substance dependence. Almost half of Canadians were physically inactive. After adjusting for covariates, physical inactivity was a significant risk factor for common mental disorders, except manic episode. Approximately 780,000 cases nationally are attributable to physical inactivity. A 10% reduction in the rate of physical inactivity would reduce common mental disorders by 167,000 cases, a 25% reduction would result in 389,000 fewer cases. PA was more beneficial for men.Conclusions. Clinicians and public health campaigns targeting individual patients and general populations can improve patients' symptoms and prevent a significant proportion of future mental disorders by increasing the amount of PA. (C) 2012 Elsevier Inc. All rights reserved.