Factors associated with regular physical activity participation among people with severe mental ill health
Factors associated with regular physical activity participation among people with severe mental ill health
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DOI：
10.1007/s00127-018-1639-2
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发表时间：
2019-07-01
影响因子：
4.4
通讯作者：
Gilbody, Simon
中科院分区：
文献类型：
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作者：
Mishu, Masuma Pervin;Peckham, Emily J.;Gilbody, Simon
研究目的：与一般人群相比，患有严重精神疾病（SMI）的人身体活动较少，久坐不动。有有限的研究调查的相关性的体力活动（PA）的人与SMI阻碍成功的干预措施的发展。本研究的目的是评估与经常参与PA的大样本人群SMI.MethodsThe数据为这项研究收集的因素，从关闭差距：生活方式的健康和福祉“（HWB）队列，通过自填问卷与SMI的参与者收集数据。自我报告参与定期PA是主要的结果变量。PA的潜在预测因素分为人口统计学、生物学、心理学和行为学变量。多变量Logistic回归进行考虑PA参与作为因变量调整可能的相关predictor.ResultsIn总，3287人SMI [平均（SD）年龄47.7（14.58）岁，59%的男性]; 38%的报告进行定期PA和61%的人想进行更多的体力活动。多变量logistic回归分析显示，以下因素与进行更常规的PA相关：男性，年龄在18-65岁之间，体重指数在18.5 - 30 kg/m2之间，自我感觉的一般健康状况较好，没有限制活动的健康问题，更重视保持健康的生活方式，结论：自我感觉良好的一般健康状况和重视保持健康的生活方式是定期PA的重要预测因素。针对重度精神障碍患者增加PA的生活方式干预措施应根据他们的健康观念和需求进行调整。
PurposePeople with severe mental ill health (SMI) are less physically active and more sedentary than the general population. There is limited research investigating the correlates of physical activity (PA) in people with SMI impeding the development of successful interventions. This study aimed to assess the factors associated with regular participation of PA among a large sample of people with SMI.MethodsThe data for this study were collected from the Closing the Gap:Lifestyle Health and Wellbeing' (HWB) cohort that collected data through self-administered questionnaire from participants with SMI. Self-reported participation in regular PA was the main outcome variable. Potential predictors of PA were grouped as demographic, biological, psychological and behavioural variables. Multivariable logistic regressions were conducted considering PA participation as the dependent variable adjusted for possible correlated predictors.ResultsIn total, 3287 people with SMI [mean (SD) age 47.7 (14.58) years, 59% male] were included; 38% reported undertaking regular PA and 61% wanted to undertake more physical activity. Multivariable logistic regressions showed that the following factors were associated with undertaking more regular PA: being male, aged 18-65 years, having a body mass index between 18.5 and 30kg/m(2), having better self-perceived general health condition, not having a health problem that limits activity, giving higher importance to maintain a healthy lifestyle, and eating more fruit and vegetables.ConclusionsHaving a better self-perceived general health and placing importance on maintaining a healthy lifestyle were important predictors of regular PA. Lifestyle interventions targeting increased PA among people with SMI should be shaped by their health perception and informed by their needs.