Associations of sedentary behavior in leisure and occupational contexts with symptoms of depression and anxiety
Associations of sedentary behavior in leisure and occupational contexts with symptoms of depression and anxiety
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DOI：
10.1016/j.ypmed.2020.106021
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发表时间：
2020-04-01
影响因子：
5.1
通讯作者：
Ekblom-Bak, Elin
中科院分区：
文献类型：
--
作者：
Hallgren, Mats;Thi-Thuy-Dung Nguyen;Ekblom-Bak, Elin
久坐行为（SB）可能与较差的心理健康有关，但目前尚不清楚这些行为的背景是否重要。我们评估了休闲时间和职业背景下的SB与频繁出现抑郁和焦虑症状的关系。数据来自瑞典健康概况评估（HPA）数据库，这是为与医疗保健服务相关的公司或组织工作的员工提供的健康评估。分析基于2017年以后的数据（N = 23,644； 57%为男性，平均年龄= 42岁）。两个自我报告问题评估了在休闲环境和职业环境中在SB中花费的时间比例。Logistic回归检验了在每种情况下SB与频繁抑郁/焦虑症状的自我报告的关系。另外，还建立了一个休闲+职业SB模型。完全调整后的模型包括运动频率。与那些报告说他们在休闲时间“几乎从不”久坐的人相比，久坐时间的增加观察到频繁出现抑郁/焦虑症状的有害剂量反应：50%的时间（OR = 1.44; 1.23-1.70）， 75% (OR = 2.95; 2.45-3.54)，几乎总是（OR = 3.85; 2.84-5.22）。对于职业性SB，唯一的关联是那些几乎总是久坐的人，而几乎从不久坐的人（OR = 1.47; 1.25-1.73）。“总体”SB与抑郁/焦虑症状的关联反映了休闲时间SB的剂量反应关系。运动频率减弱了休闲时间SB的关联，但仍具有统计学意义。在这种情况下，那些把50%的闲暇时间花在久坐活动上的成年人，比那些不怎么久坐的人更容易出现抑郁和焦虑的症状。
Sedentary behaviors (SB) can be associated with poorer mental health, but it remains unclear whether contexts for these behaviors may be important. We assessed relationships of SB in leisure-time and occupational contexts with frequent symptoms of depression and anxiety. Data originate from the Swedish Health Profile Assessment (HPA) database, a health assessment offered to employees working for companies or organizations connected to healthcare services. Analyses are based on data from 2017 onwards (N = 23,644; 57% male, mean age = 42 years). Two self-report questions assessed proportions of time spent in SB in leisure contexts and in the occupational setting. Logistic regressions examined relationships of SB in each context with the self-reporting of frequent symptoms of depression/anxiety. A separate model for the leisure plus occupational SB was also generated. Fully-adjusted models included exercise frequency. Compared to those reporting that they were 'almost never' sedentary in leisure-time contexts, a detrimental dose-response with frequent depression/anxiety symptoms was observed with increasing proportions of sedentary time: 50% of the time (OR = 1.44; 1.23-1.70), 75% (OR = 2.95; 2.45-3.54), almost always (OR = 3.85; 2.84-5.22). For occupational SB, the only associations were among those who reported being sedentary almost always, compared to almost never (OR = 1.47; 1.25-1.73). Associations of 'overall' SB with depression/anxiety symptoms mirrored the dose-response relationship for leisure-time SB. Exercise frequency attenuated the association for leisure-time SB only, but it remained statistically significant. Adults who spend >= 50% of their leisure-time in sedentary pursuits experience more frequent symptoms of depression and anxiety, compared to those who are less sedentary in that context.