Association between movement behaviors and depression among vocational school students with different sleep duration - a study based on the isotemporal substitution model.

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Biaoqian Tang, Bohao Chen, Shuxian Yao, Yiyang Li, Hanqing Liu, Qianhong Chen, Jing Zhao, Shuqing Xu, Shumei Wang
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引用次数: 0

Abstract

The isotemporal substitution model can be used to explore the impact of the isotemporal substitution of different behaviors on human health. The association between sleep duration and mental health may be non-linear, but the relationship between the isotemporal substitution of movement behaviors and mental health in different sleep duration groups has not been explored. A questionnaire survey was conducted among Grade 1-3 students in 14 vocational schools in China, and 8149 valid questionnaires were obtained, of which 58.80% were in sleep-insufficient group, and 32.56% were detected with depression symptoms. The isotemporal substitution model was used for analysis. In the sleep-insufficient group, substituting 10 minutes/day of vigorous physical activity (β=-0.318, 95%I = -0.498~-0.138), walking (β=-0.254, 95%I = -0.381~-0.126) and sedentary behavior (β=-0.234, 95%I = -0.337~-0.130) with isotemporal moderate physical activity, or substituting vigorous physical activity (β=-0.465, 95%I = -0.577~-0.353), moderate physical activity (β=-0.147, 95%I = -0.263~-0.031), walking (β=-0.400,95%I = -0.476~-0.324) and sedentary behavior (β=-0.380,95%I = -0.434~-0.327) with isotemporal sleep, were negatively associated with depression; and substituting moderate physical activity (β = 0.318, 95%CI = 0.138 ~ 0.498) and sleep (β = 0.465, 95%CI = 0.353 ~ 0.577) with isotemporal vigorous physical activity was positively associated with depression. In the sleep-sufficient group, replacing sedentary behavior (β=-0.129, 95%I = -0.244~-0.013) with equivalent moderate physical activity was negatively associated with depression; replacing moderate physical activity (β = 0.219, 95%CI = 0.101 ~ 0.338), walking (β = 0.112, 95%CI = 0.040 ~ 0.185) and sedentary behavior (β = 0.091, 95%CI = 0.058 ~ 0.124) with equivalent sleep was positively associated with depression. For the sleep-insufficient group, substituting vigorous physical activity, walking, and sedentary behavior with isotemporal moderate physical activity and sleep had greater negative association with depression than the sleep-sufficient group. In conclusion, for the sleep-insufficient group, the substitution that was largest negatively associated with depression was sleep for other behaviors, and for sleep-sufficient group it was moderate physical activity for other behaviors. In future interventions, the sleep-insufficient group may achieve greater effects than the sleep-sufficient group if they use moderate physical activity and sleep instead of other behaviors.

不同睡眠时间中职学生运动行为与抑郁的关系——基于同时代入模型的研究
等时间替代模型可以用来探讨不同行为的等时间替代对人类健康的影响。睡眠持续时间与心理健康之间的关系可能是非线性的,但不同睡眠持续时间组中运动行为的同时间替代与心理健康之间的关系尚未探讨。对全国14所职业学校1-3年级学生进行问卷调查,共收到有效问卷8149份,其中58.80%为睡眠不足组,32.56%存在抑郁症状。采用等时间替代模型进行分析。在睡眠不足组,将每天10分钟的剧烈运动(β=-0.318, 95%I = -0.498~-0.138)、步行(β=-0.254, 95%I = -0.381~-0.126)和久坐行为(β=-0.234, 95%I = -0.337~-0.130)替换为等时间的中度运动(β=-0.465, 95%I = -0.577~-0.353)、中度运动(β=-0.147, 95%I = -0.263~-0.031)。行走(β=-0.400,95%I = -0.476~-0.324)和久坐行为(β=-0.380,95%I = -0.434~-0.327)与抑郁呈负相关;中等体力活动(β = 0.318, 95%CI = 0.138 ~ 0.498)和睡眠(β = 0.465, 95%CI = 0.353 ~ 0.577)与抑郁症呈正相关。在睡眠充足组,用同等的适度体育活动取代久坐行为(β=-0.129, 95%I = -0.244~-0.013)与抑郁呈负相关;以相当的睡眠取代适度的体力活动(β = 0.219, 95%CI = 0.101 ~ 0.338)、步行(β = 0.112, 95%CI = 0.040 ~ 0.185)和久坐行为(β = 0.091, 95%CI = 0.058 ~ 0.124)与抑郁症呈正相关。对于睡眠不足组来说,用同时间适度的身体活动和睡眠代替剧烈的身体活动、散步和久坐行为与抑郁的负相关比睡眠充足组更大。总之,对于睡眠不足组来说,与抑郁负相关的最大替代是用睡眠代替其他行为,而对于睡眠充足组来说,用适度的体育活动代替其他行为。在未来的干预中,如果睡眠不足组使用适度的体育活动和睡眠而不是其他行为,可能会比睡眠充足组取得更大的效果。
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来源期刊
Psychology Health & Medicine
Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.20
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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