Association between physical activity and mental disorders among adults in the United States
Association between physical activity and mental disorders among adults in the United States
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DOI：
10.1016/s0091-7435(03)00042-2
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发表时间：
2003-06-01
影响因子：
5.1
通讯作者：
Goodwin, RD
中科院分区：
文献类型：
--
作者：
Goodwin, RD
目标。本研究的目的是确定在美国成年人中有规律的体育活动和精神障碍之间的关系。使用来自全国共病调查（n = 8098）的数据，采用多元逻辑回归分析来比较有规律体育锻炼和没有规律体育锻炼的人的精神障碍患病率，该调查是美国15-54岁成年人的全国代表性样本。略多于一半的成年人报告有规律的身体活动（60.3%）。规律的体育活动与当前严重抑郁和焦虑障碍的患病率显著降低相关，但与其他情感、物质使用或精神障碍无显著相关性。在调整了社会人口学特征、自我报告的身体障碍和共病精神障碍的差异后，规律的身体活动与当前重度抑郁症（OR = 0.75(0.6, 0.94)）、恐慌发作（OR = 0.73(0.56, 0.96)）、社交恐惧症（OR = 0.65(0.53, 0.8)）、特定恐惧症（OR = 0.78(0.63, 0.97)）和广场恐惧症(OR = 0.64（0.43, 0.94）的低患病率之间的关联仍然存在。自我报告的体力活动频率也显示出与当前精神障碍的剂量反应关系。这些数据表明，在美国成年人中，有规律的体育活动与抑郁和焦虑症之间存在负相关。未来的研究需要使用纵向数据来调查这种关联的机制，以检查身体活动与整个生命周期中发生和复发的精神障碍之间的联系。(C) 2003年美国卫生基金会和爱思唯尔科学（美国）。版权所有。
Objective. The objective of this study was to determine the association between regular physical activity and mental disorders among adults in the United States.Method. Multiple logistic regression analyses were used to compare the prevalence of mental disorders among those who did and did not report regular physical activity using data from the National Comorbidity Survey (n = 8098), a nationally representative sample of adults ages 15-54 in the United States.Results. Slightly over one-half of adults reported regular physical activity (60.3%). Regular physical activity was associated with a significantly decreased prevalence of current major depression and anxiety disorders, but was not significantly associated with other affective, substance use, or psychotic disorders. The association between regular physical activity and lower prevalence of current major depression (OR = 0.75 (0.6, 0.94)), panic attacks (OR = 0.73 (0.56, 0.96)), social phobia (OR = 0.65 (0.53, 0.8)), specific phobia (OR = 0.78 (0.63, 0.97)), and agoraphobia (OR = 0.64 (0.43, 0.94)) persisted after adjusting for differences in sociodemographic characteristics, self-reported physical disorders, and comorbid mental disorders. Self-reported frequency of physical activity also showed a dose-response relation with current mental disorders.Discussion. These data document a negative association between regular physical activity and depressive and anxiety disorders among adults in the U.S. population. Future research that investigates the mechanism of this association using longitudinal data to examine the link between physical activity and incident and recurrent mental disorders across the lifespan is needed. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.