The association between medical fitness facility attendance and incident mental disorders.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-12-05 DOI:10.17269/s41997-024-00971-w

Jonathan Tebbi, Ranveer Brar, Alan Katz, Michelle Di Nella, Clara Bohm, Claudio Rigatto, Navdeep Tangri, Sue Boreskie, Carrie Solmundson, Leanne Kosowan, Darlene Lamont, Paul V J Komenda, David Collister, James M Bolton

{"title":"The association between medical fitness facility attendance and incident mental disorders.","authors":"Jonathan Tebbi, Ranveer Brar, Alan Katz, Michelle Di Nella, Clara Bohm, Claudio Rigatto, Navdeep Tangri, Sue Boreskie, Carrie Solmundson, Leanne Kosowan, Darlene Lamont, Paul V J Komenda, David Collister, James M Bolton","doi":"10.17269/s41997-024-00971-w","DOIUrl":null,"url":null,"abstract":"Objective: This study examined the effects of medical fitness facility (MFF) attendance, a proxy for exercise, on the incidence of mental disorders.Methods: This retrospective cohort study linked members at two MFFs in Winnipeg, Canada, to health administrative databases held at the Manitoba Centre for Health Policy population research data repository. Adults aged ≥ 18 years were assigned an index date at MFF membership enrollment between January 1, 2005, and December 31, 2015, and matched to controls based on propensity score weighting. Cox proportional hazards models generated hazard ratios (HR) comparing the MFF group to controls on incident mental disorders (mood and anxiety disorders, substance use disorders, dementia, personality disorders, schizophrenia, and psychotic disorders).Results: There were 15,407 MFF members and 507,400 controls. Attendance at a MFF was associated with a reduced hazards risk of incident substance use disorders (HR = 0.67, 95% confidence interval (CI) 0.62-0.67), psychotic disorders (HR = 0.69, 95% CI 0.60-0.79), personality disorders (HR = 0.63, 95% CI 0.50-0.78), schizophrenia (HR = 0.69, 95% CI 0.52-0.93), and dementia (HR = 0.69, 95% CI 0.64-0.75).Conclusion: Attending a medical fitness facility was associated with a reduced risk of incident mental disorders. Further research in MFFs as preventive initiatives for mental illness is warranted.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.17269/s41997-024-00971-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study examined the effects of medical fitness facility (MFF) attendance, a proxy for exercise, on the incidence of mental disorders.

Methods: This retrospective cohort study linked members at two MFFs in Winnipeg, Canada, to health administrative databases held at the Manitoba Centre for Health Policy population research data repository. Adults aged ≥ 18 years were assigned an index date at MFF membership enrollment between January 1, 2005, and December 31, 2015, and matched to controls based on propensity score weighting. Cox proportional hazards models generated hazard ratios (HR) comparing the MFF group to controls on incident mental disorders (mood and anxiety disorders, substance use disorders, dementia, personality disorders, schizophrenia, and psychotic disorders).

Results: There were 15,407 MFF members and 507,400 controls. Attendance at a MFF was associated with a reduced hazards risk of incident substance use disorders (HR = 0.67, 95% confidence interval (CI) 0.62-0.67), psychotic disorders (HR = 0.69, 95% CI 0.60-0.79), personality disorders (HR = 0.63, 95% CI 0.50-0.78), schizophrenia (HR = 0.69, 95% CI 0.52-0.93), and dementia (HR = 0.69, 95% CI 0.64-0.75).

Conclusion: Attending a medical fitness facility was associated with a reduced risk of incident mental disorders. Further research in MFFs as preventive initiatives for mental illness is warranted.

查看原文本刊更多论文

医疗健身设施出勤率与精神障碍事件之间的关系。

目的：本研究探讨医疗健身设施（MFF）出勤率对精神障碍发生率的影响。方法：这项回顾性队列研究将加拿大温尼伯两个MFFs的成员与马尼托巴卫生政策中心人口研究数据库中保存的卫生管理数据库联系起来。年龄≥18岁的成年人在2005年1月1日至2015年12月31日期间加入MFF，并根据倾向得分加权与对照进行匹配。Cox比例风险模型生成风险比（HR），将MFF组与控制组在突发精神障碍（情绪和焦虑障碍、物质使用障碍、痴呆、人格障碍、精神分裂症和精神障碍）方面进行比较。结果：MFF成员15407人，对照组507400人。参加MFF与发生物质使用障碍（HR = 0.67, 95%可信区间（CI） 0.62-0.67）、精神障碍（HR = 0.69, 95% CI 0.60-0.79）、人格障碍（HR = 0.63, 95% CI 0.50-0.78）、精神分裂症（HR = 0.69, 95% CI 0.52-0.93）和痴呆（HR = 0.69, 95% CI 0.64-0.75）的风险降低相关。结论：参加医疗健身设施与降低发生精神障碍的风险有关。有必要对MFFs作为精神疾病预防措施进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.