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

{"title":"Association between physical activity and mortality across levels of psychological stress and distress among Korean adults","authors":"Suyeon Kim , Younghwan Choi , Yeon Soo Kim","doi":"10.1016/j.mhpa.2024.100662","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Psychological issues persist in South Korea. We investigated the protective effects of physical activity (PA) on all-cause mortality among individuals with psychological issues.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100662"},"PeriodicalIF":2.3000,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mental Health and Physical Activity","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755296624000899","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

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.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

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;