Association between physical activity and mortality across levels of psychological stress and distress among Korean adults

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-12-06 DOI:10.1016/j.mhpa.2024.100662

Suyeon Kim , Younghwan Choi , Yeon Soo Kim

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引用次数: 0

Abstract

Background

Psychological issues persist in South Korea. We investigated the protective effects of physical activity (PA) on all-cause mortality among individuals with psychological issues.

Methods

We included 35,011 Korean adults from the 2007–2013 Korean National Health and Nutrition Examination Survey with all-cause mortality data up to 2019. Participants were classified into following three PA levels: insufficiently active, active, and highly active. Psychological issues were defined as a composite measure encompassing the following three factors: perceived stress, depressive symptoms, and suicidal thoughts. The participants were categorized based on their psychological status. Differences in mortality risk according to the PA levels and psychological status were examined using subgroup analyses. Hazard ratios (HRs) for mortality were estimated using the Cox proportional hazards model.

Results

Over a mean follow-up period of 9.2 years, 1925 deaths occurred. Compared to no symptoms, the HRs for mortality were 1.09 (95% confidence interval [CI]: 0.93–1.29), and 1.26 (95%CI: 1.14–1.40) for psychological stress and distress, respectively. Highly active individuals showed a significantly lower HR for mortality at 0.83 (95%CI: 0.75–0.92). Among individuals experiencing psychological distress, active individuals (HR = 0.81, 95%CI: 0.63–1.03) or highly active ones (HR = 0.80, 95%CI: 0.67–0.95) showed a low risk of mortality.

Conclusion

Psychological status and PA are independent predictors of mortality. Engaging in PA significantly reduces mortality risk associated with psychological issues, emphasizing the importance of promoting PA in individuals with psychological issues as a key strategy for reducing mortality risk in public health.

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韩国成年人心理压力和痛苦水平的体育活动与死亡率之间的关系

心理问题在韩国持续存在。我们调查了身体活动（PA）对有心理问题个体的全因死亡率的保护作用。方法：我们纳入了2007-2013年韩国国家健康与营养调查的35,011名韩国成年人，其中包括截至2019年的全因死亡率数据。参与者被分为以下三个PA水平：不充分活跃、活跃和高度活跃。心理问题被定义为包含以下三个因素的综合测量：感知压力、抑郁症状和自杀念头。参与者根据他们的心理状态被分类。根据PA水平和心理状态对死亡风险的差异进行亚组分析。使用Cox比例风险模型估计死亡率的风险比（hr）。结果随访9.2年，死亡病例1925例。与无症状组相比，心理压力和痛苦组死亡率的hr分别为1.09（95%可信区间[CI]: 0.93-1.29）和1.26（95%可信区间：1.14-1.40）。高运动个体的死亡率比显著降低，为0.83 （95%CI: 0.75-0.92）。在有心理困扰的个体中，活动者（HR = 0.81, 95%CI: 0.63 ~ 1.03）和活动者（HR = 0.80, 95%CI: 0.67 ~ 0.95）的死亡风险较低。结论心理状态和PA是死亡率的独立预测因素。参与PA可显著降低与心理问题相关的死亡风险，强调在有心理问题的个体中推广PA作为降低公共卫生死亡风险的关键策略的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;