Post-Traumatic Stress Disorder, Physical Activity, and Eating Behaviors
Post-Traumatic Stress Disorder, Physical Activity, and Eating Behaviors
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DOI：
10.1093/epirev/mxu011
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发表时间：
2015-01-01
影响因子：
5.5
通讯作者：
Yancy, William S., Jr.
中科院分区：
文献类型：
--
作者：
Hall, Katherine S.;Hoerster, Katherine D.;Yancy, William S., Jr.
创伤后应激障碍（PTSD）是一种流行且昂贵的精神疾病，与肥胖和心脏代谢疾病的高发病率相关。许多研究已经研究了创伤后应激障碍和危险行为（例如，吸烟，酒精/药物滥用）;很少有人研究PTSD和健康促进行为之间的关系。身体活动和饮食行为是影响心脏代谢风险和长期健康的两个生活方式因素。这项文献综述（1980-2014）检查了报告患有PTSD或PTSD症状的成年人的身体活动和饮食行为的研究。系统检索电子数据库，确定了15篇关于PTSD-体力活动的文章和10篇关于PTSD-成人饮食行为的文章。这些研究表明，PTSD、体力活动和饮食行为之间可能存在负相关。来自3项试点干预研究的初步证据表明，身体活动或饮食的变化可能对PTSD症状有有益的影响。研究设计和样本人群存在相当大的异质性，许多研究存在方法和报告局限性。需要更多的证据，在代表性的样本，使用多变量分析技术，以确定PTSD和这些健康行为之间的明确关系。PTSD的干预研究，检查身体活动/饮食行为的次要影响，以及干预措施，以改变身体活动/饮食行为，检查PTSD的变化，也很有意义。
Post-traumatic stress disorder (PTSD), a prevalent and costly psychiatric disorder, is associated with high rates of obesity and cardiometabolic diseases. Many studies have examined PTSD and risky behaviors (e.g., smoking, alcohol/substance abuse); far fewer have examined the relationship between PTSD and health-promoting behaviors. Physical activity and eating behaviors are 2 lifestyle factors that impact cardiometabolic risk and long-term health. This comprehensive review of the literature (1980-2014) examined studies that reported physical activity and eating behaviors in adults with PTSD or PTSD symptoms. A systematic search of electronic databases identified 15 articles on PTSD-physical activity and 10 articles on PTSD-eating behaviors in adults. These studies suggest that there may be a negative association among PTSD, physical activity, and eating behaviors. Preliminary evidence from 3 pilot intervention studies suggests that changes in physical activity or diet may have beneficial effects on PTSD symptoms. There was considerable heterogeneity in the study designs and sample populations, and many of the studies had methodological and reporting limitations. More evidence in representative samples, using multivariable analytical techniques, is needed to identify a definitive relationship between PTSD and these health behaviors. Intervention studies for PTSD that examine secondary effects on physical activity/eating behaviors, as well as interventions to change physical activity/eating behaviors that examine change in PTSD, are also of interest.