Association between physical activity and comorbid anxiety/depression in 46 low- and middle-income countries.
Association between physical activity and comorbid anxiety/depression in 46 low- and middle-income countries.
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DOI：
10.1016/j.jad.2022.10.002
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发表时间：
2023-01-01
影响因子：
6.6
通讯作者：
Koyanagi, Ai
中科院分区：
文献类型：
--
作者：
Ma, Ruimin;Romano, Eugenia;Vancampfort, Davy;Firth, Joseph;Stubbs, Brendon;Koyanagi, Ai
关于低体力活动（PA）与抑郁或焦虑之间的联系的证据已经得到了充分的证实。然而，关于PA与共病焦虑/抑郁之间关联的证据仍然很少，特别是在低收入和中等收入国家（LMIC）。因此，本研究探讨了46个LMICs中≥18岁成年人之间的这种关系。横截面，基于社区的数据进行了分析，从世界卫生调查（WHS）。进行多变量多项逻辑回归分析，以检查低PA和共病焦虑/抑郁之间的关联，无焦虑或抑郁作为基础类别。237，023名参与者[平均（SD）年龄= 38.4（16.0）岁; 50.8%为女性]被纳入分析。低PA与单独抑郁（OR = 1.33; 95%CI = 1.12-1.57）和单独焦虑（OR = 1.37; 95%CI = 1.23-1.53）显著相关，而在焦虑/抑郁共病者中OR最高（OR = 1.75; 95%CI = 1.52-2.01）。低PA与共病焦虑/抑郁的几率特别增加相关。增加PA可能对预防焦虑/抑郁共病有有益作用。然而，未来的纵向研究建立这种关系的方向是必要的。探讨体力活动与抑郁/焦虑共病之间的关系。低体力活动仅与抑郁和焦虑相关。低体力活动与抑郁/焦虑共病的最高几率相关。
Evidence on the association of low physical activity (PA) with depression or anxiety is well established. Yet, evidence on the association between PA and comorbid anxiety/depression remains scarce, especially in low- and middle-income countries (LMICs). Thus, this study explored this relationship among adults aged ≥18 years from 46 LMICs. Cross-sectional, community-based data were analyzed from the World Health Survey (WHS). Multivariable multinomial logistic regression analysis was conducted to examine the association between low PA and comorbid anxiety/depression with no anxiety or depression as the base category. 237,023 participants [mean (SD) age = 38.4 (16.0) years; 50.8 % female] were included in the analysis. Low PA was significantly associated with depression alone (OR = 1.33; 95%CI = 1.12–1.57) and anxiety alone (OR = 1.37; 95%CI = 1.23–1.53), while the OR was highest among those with comorbid anxiety/depression (OR = 1.75; 95%CI = 1.52–2.01). Low PA is associated with particularly increased odds for comorbid anxiety/depression. Increasing PA may have a beneficial effect on the prevention of comorbid anxiety/depression. However, future longitudinal research establishing the direction of this relationship is warranted. To explore the association between physical activity and comorbid depression/anxiety Low physical activity was associated with depression alone and anxiety alone. Low physical activity was associated with highest odds for comorbid depression/anxiety.
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