Interactive effect of sleep duration and physical activity on anxiety/depression in adolescents

Interactive effect of sleep duration and physical activity on anxiety/depression in adolescents
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DOI:
10.1016/j.psychres.2018.12.085
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发表时间:
2019-03-01
影响因子:
11.3
通讯作者:
Sasaki, Tsukasa
Sasaki, Tsukasa
中科院分区:
医学2区
文献类型:
--
作者:
Ogawa, Sayoko;Kitagawa, Yuko;Sasaki, Tsukasa

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尽管睡眠时间和体力活动 (PA) 对青少年心理健康的影响已被证明,但它们的交互作用尚未得到研究。这项横断面研究首先考察了这种对青少年焦虑/抑郁的交互作用。使用自我报告问卷对总共 983 名 12 至 17 岁的日本学生进行了研究。睡眠持续时间和 PA 量的相互作用及其对焦虑/抑郁的主要影响,使用 12 项一般健康问卷 (GHQ-12) 进行评估,并采用多元回归研究,调整年级和性别。睡眠持续时间和 PA 量分别根据国家睡眠基金会和世界卫生组织建议的持续时间和数量分为充足与否。结果,睡眠持续时间和 PA 量之间的交互作用及其主效应具有统计学显着性。睡眠充足或 PA 充足(而非两者兼有)的青少年的 GHQ-12 评分明显优于睡眠不足或 PA 不足的青少年。然而,对于那些睡眠充足且体力活动充足的人来说,分数似乎没有进一步提高。目前的研究表明,需要研究睡眠和体力活动对心理健康的影响,并考虑到它们之间的相互作用。
Although effects of sleep duration and physical activity (PA) have been demonstrated on mental health in adolescents, their interactive effect has not been studied. This cross-sectional study first examines this interactive effect on anxiety/depression in adolescents. A total of 983 Japanese students aged 12-17 were studied, using a self-report questionnaire. The interaction of sleep duration and amount of PA and their main effects on anxiety/depression, assessed using the 12-item General Health Questionnaire (GHQ-12), were investigated employing multiple regression, adjusting for grade and sex. Sleep duration and amount of PA were classified as being adequate or not, according to the duration and amount recommended by the National Sleep Foundation and World Health Organization, respectively. As a result, the interaction between sleep duration and amount of PA and their main effects were statistically significant. GHQ-12 score was significantly better in adolescents with either adequate sleep or adequate PA, not both, than those with neither adequate sleep nor adequate PA. The score, however, seemed no further improved in those with both adequate sleep and PA. The present study suggests that effects of sleep and PA on mental health need to be studied with consideration to their interaction.