Inverse association between physical inactivity and mental health in men and women
Inverse association between physical inactivity and mental health in men and women
复制标题
DOI：
10.1249/01.mss.0000180883.32116.28
复制
发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Kampert, JB
中科院分区：
文献类型：
--
作者：
Galper, DI;Trivedi, MH;Kampert, JB
用途：有氧运动中心纵向研究（ACLS）提供了一个机会，以评估身体活动和心理健康的措施之间的关联，在一个大的和良好的特征人口的男性和女性。研究方法：参与者为5451名男性和1277名女性（20 - 88岁），他们完成了最大健身跑步机测试和习惯性体力活动、抑郁症状（流行病学研究中心抑郁量表; CES-D）和情绪健康（一般健康量表; GWB）的自我报告测量。为了评估剂量反应梯度的关联，我们分类的样本，分别为男性和女性，分为三个级别的相对心肺（CR）健身（低，中，高）的最大跑步机测试，和四个级别的体力活动指数每周步行，慢跑，跑步。结果如下：在男性和女性中，最大CR适应度与CES-D评分之间存在显著的负向分级剂量反应关系（P <0.0001），CR适应度与GWB评分之间存在显著的正向分级剂量反应关系（P <0.0001）。我们还观察到体力活动水平与CES-D和GWB评分之间的剂量反应相关性（P <0.0001），每周11 - 19英里时达到峰值。结论：在ACLS中的男性和女性中，最大CR健身和习惯性体力活动的相对增加与较低的抑郁性精神病和更高的情感幸福感相关。需要前瞻性流行病学研究和对照临床试验，以确定最低和最佳水平的体力活动和CR健身与一般人群的不同部分的各种心理健康益处。
Purpose: The Aerobics Center Longitudinal Study (ACLS) provides the opportunity to evaluate associations between measures of physical activity and mental health in a large and well-characterized population of men and women. Methods: Participants were 5451 men and 1277 women (20-88 yr) who completed a maximal fitness treadmill test and self-report measures of habitual physical activity, depressive symptoms (Center for Epidemiological Studies Scale for Depression; CES-D) and emotional well-being (General Well-Being Schedule; GWB). To evaluate the dose-response gradient of the association, we classified the sample, separately for men and women, into three levels of relative cardiorespiratory (CR) fitness (low, moderate, high) on the maximal treadmill test, and four levels on a physical activity index of weekly walking, jogging, and running. Results: In both men and women, there was a significant inverse graded dose-response relationship between maximal CR fitness and the CES-D score (P < 0.0001), and a significant positive graded dose-response relationship between CR fitness and the GWB score (P < 0.0001). We also observed dose-response associations between the level of physical activity and both CES-D and GWB scores (P < 0.0001) that peaked at 11-19 miles per week. Conclusion: Among men and women in the ACLS, relative increases in maximal CR fitness and habitual physical activity are cross-sectionally associated with lower depressive symptomatology and greater emotional well-being. Prospective epidemiological studies and controlled clinical trials are needed to identify the minimal and optimal levels of physical activity and CR fitness associated with various mental health benefits in different segments of the general population.