Exercising Alone or Exercising With Others and Mental Health Among Middle-Aged and Older Adults: Longitudinal Analysis of Cross-Lagged and Simultaneous Effects
Exercising Alone or Exercising With Others and Mental Health Among Middle-Aged and Older Adults: Longitudinal Analysis of Cross-Lagged and Simultaneous Effects
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DOI：
10.1123/jpah.2018-0366
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发表时间：
2019-07-01
影响因子：
3.1
通讯作者：
Kondo, Narihiko
中科院分区：
文献类型：
--
作者：
Harada, Kazuhiro;Masumoto, Kouhei;Kondo, Narihiko
背景：虽然体力活动和锻炼对心理健康的有益影响众所周知，但它们有益于心理健康的最佳条件仍不清楚。与他人一起锻炼可能比单独锻炼对心理健康产生更理想的影响。这项研究调查了中老年人单独锻炼、与他人一起锻炼与心理健康之间的关系。方法：对 129 人进行基线调查和一年随访调查。通过 7 天的日记调查来测量单独或与他人一起锻炼的时间。使用加速度计客观地测量总身体活动。使用简化的日本版世界卫生组织五福祉指数评估心理健康，使用日本版凯斯勒痛苦量表（K6）评估精神困扰。结果：交叉滞后和同时效应模型显示，与他人一起锻炼对心理健康有积极影响。单独锻炼和整体体力活动不会显着影响心理健康。总体体力活动、单独锻炼或与他人一起锻炼都与精神困扰没有显着相关。结论：与单独锻炼相比，与他人一起锻炼可以有效改善心理健康。
Background: Although the beneficial effects of physical activity and exercise on mental health are well known, the optimal conditions for them for benefitting mental health are still unclear. Engaging in exercise with others might have more desirable effects on mental health than engaging in exercise alone. This study examined the associations between exercising alone, exercising with others, and mental health among middle-aged and older adults. Methods: Baseline and 1-year follow-up surveys were conducted with 129 individuals. Time spent exercising alone or with others was measured using a 7-day diary survey. Total physical activity was objectively measured using an accelerometer. Mental well-being was assessed using the simplified Japanese version of the World Health Organization Five Well-Being Index, and mental distress was assessed using the Japanese version of the Kessler Distress Scale (K6). Results: Cross-lagged and simultaneous effects models revealed that exercising with others positively influenced mental well-being. Exercising alone and total physical activity did not significantly influence mental well-being. Neither total physical activity, exercising alone, nor exercising with others was significantly associated with mental distress. Conclusion: Engaging in exercise with others could be effective in improving mental well-being relative to engaging in exercise alone.