Gender, mental health service use and objectively measured physical activity: Data from the National Health and Nutrition Examination Survey (NHANES 2003-2004).
Gender, mental health service use and objectively measured physical activity: Data from the National Health and Nutrition Examination Survey (NHANES 2003-2004).
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DOI：
10.1016/j.mhpa.2008.05.001
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发表时间：
2008-06-01
影响因子：
4.7
通讯作者：
Kriska, Andrea M
中科院分区：
文献类型：
--
作者：
Janney, Carol A;Richardson, Caroline R;Kriska, Andrea M
目的：在男性和女性代表性样本中检查通过加速测量法客观测量的体力活动水平与心理健康服务 (MHS) 的使用之间的关系。 方法：NHANES 2003-2004 是一项针对美国非机构化成年人口的横断面研究。参与者报告了他们在过去 12 个月内是否见过心理健康专家。通过加速度测量法确定每日体力活动的三项指标（轻度活动分钟数、中等强度活动分钟数和总活动计数）和久坐分钟数。在对潜在的社会经济和健康混杂因素进行调整和不调整的情况下，对身体活动和 MHS 使用之间的关系进行了建模。 结果：在本次分析中纳入的 1846 名男性和 1963 名女性中，分别有 7% 和 8% 的人报告在过去 12 个月内见过心理健康专业人员。使用 MHS 的男性的活动量明显低于不使用 MHS 的男性（总活动计数分别为 227,700 和 276,900，p < 0.05）。未使用 MHS 的男性每天比使用 MHS 的男性多进行 38 分钟（95% CI 16.3, 59.0）的轻度或中度剧烈体力活动。无论是否使用 MHS，女性的体力活动水平均显着低于未使用 MHS 的男性。使用和未使用 MHS 的女性之间的总体力活动差异很小（1.3，95% CI - 14.0，11.4）。 结论：使用 MHS 的男性和女性相对久坐。需要进行更多研究来确定增加体力活动水平是否会改善使用 MHS 的个体的心理健康。
OBJECTIVE: To examine the relationship between physical activity levels measured objectively by accelerometry and the use of mental health services (MHS) in a representative sample of males and females. METHOD: NHANES 2003-2004 is a cross-sectional study of the civilian, non-institutionalized US adult population. Participants reported whether or not they had seen a mental health professional during the past 12 months. Three measures of daily physical activity (light minutes, moderate-vigorous minutes, and total activity counts) and sedentary minutes were determined by accelerometry. The relationship between physical activity and use of MHS was modeled with and without adjustments for potential socioeconomic and health confounders. RESULTS: Of the 1846 males and 1963 females included in this analysis, 7 and 8% reported seeing mental health professionals during the past 12 months, respectively. Men who used MHS were significantly less active than men who did not use MHS (227,700 versus 276,900 total activity counts, respectively, p < 0.05). Men who did not use MHS engaged in 38 min (95% CI 16.3, 59.0) more of light or moderate-vigorous physical activity per day than men who used MHS. Physical activity levels of women, regardless of MHS use, were significantly lower than men who did not use MHS. Differences in total physical activity between women who did and did not use MHS were small (1.3, 95% CI - 14.0, 11.4). CONCLUSION: Men and women who used MHS were relatively sedentary. Additional research is warranted to determine if increasing physical activity levels results in improved mental health in individuals who use MHS.