The basic research for the association of exercise and fitness with mental health status

本研究根据以下主题进行：主题1：本研究问卷的选择我们考察了每个问卷的答案与生理生化指标之间的协调性，并决定采用一般健康问卷（GHQ）进行本研究。主题2：社区老年人客观健身与心理健康的关系在一个社区的老年人中，客观健康与心理健康之间没有显著的关联。主题3：新诊断糖尿病患者心肺健康、病理和心理健康的关系。(1)心肺适能对代谢异常患病率的影响提示：低心肺适能与肝功能指标天冬氨酸转氨酶（AST）和丙氨酸转氨酶（ALT）升高密切相关。到目前为止，还没有报告这种现象……因此，需要进行以下研究来阐明其机制。(2)心理健康、心肺适能与脂肪肝及肝酶的相关性调查在脂肪肝患者中，心理健康加重组的心肺适能和肝酶水平明显低于心理健康正常组。此外，在调整了内脏脂肪面积和其他代谢异常后，心理健康状况的恶化与较低的心肺适能有关。因此，这可能是心理健康恶化可能抑制运动行为的途径之一，随之而来的是代谢异常的高发。综上所述，心理健康与糖尿病患者的心肺健康和代谢指标相关，而与健康老年人无关。此外，肝酶水平可能成为表达心理健康状况的新生物标志物之一。少

The present study was performed according to following themes;Theme 1: Selection of questionnaire for the present studyWe examined the coordination between an answer to each questionnaire and physiological and biochemical indices, and decided to adopt the General Health Questionnaire (GHQ) for the present study.Theme 2: The association between objective fitness and mental health in elderly people in a community.In the elderly people in a community, no significant association was recognized between objective fitness and mental health.Theme 3: The association among cardiorespiratory fitness, pathology and mental health in newly diagnosed diabetic patients. Sub theme 1) The impact of cardiorespiratory fitness on prevalence of metabolic abnormalityIt was suggested that low cardiorespiratory fitness was strongly associated with elevated aspartate- aminotransferase (AST) and alanine-aminotransferase (ALT) which were the indices of hepatic function. No report has so far reported such phenomen … More a, it was therefore needed the following study to clarify its mechanism.Sub theme 2) The investigation for the association among mental health, cardiorespitratory fitness and fatty liver and hepatic enzymesIn the patients having fatty liver, cardiorespiratory fitness and hepatic enzyme level were significantly worsened in the group with aggravated mental health than that in the group with normal mental health. In addition, the aggravated mental health was associated with low cardiorespiratory fitness after adjusting for visceral fat area and the other metabolic abnormalities. It was therefore suggested to be one of pathways that aggravated mental health might suppressed exercise behavior, and followed by high prevalence of metabolic abnormalities.In summary, it was suggested that mental health was associated with cardiorespiratory fitness and metabolic markers in the diabetic patients rather than the healthy elderly people. In addition, the hepatic enzyme level could be able to be one of new biomarkers to express mental health status. Less