多病患者的身体活动与心理健康

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-01-27 DOI:10.1016/j.mhpa.2025.100673

Christian W. Schmidt , Megan Agnew , Kristen Malecki , Ronald Gangnon , Amy Schultz , Paul E. Peppard , Lisa Cadmus-Bertram

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引用次数: 0

摘要

背景和目的多重疾病，定义为存在两种或两种以上的慢性健康状况，在美国和国外是一个日益严重的问题。体育活动是一种可改变的健康行为，可促进身心健康，但对多病人群中体育活动与心理健康之间的关系知之甚少。方法采用基于人群的威斯康辛州社区居住成年人调查，威斯康辛州健康调查（SHOW），我们评估了加速度计测量的身体活动与有和没有多重疾病的人自我报告的抑郁和焦虑症状之间的关系。结果有多重疾病的受试者出现中度至极重度焦虑的可能性显著高于无多重疾病的受试者(17.2% vs 10.5%, p <；0.001)。每周1小时的中高强度体育活动（MVPA）与多病患者焦虑发生率降低相关（0.86[0.75,0.99]）。我们还发现，在患有一种慢性疾病（0.95[0.93,0.98]）或多种疾病（0.97[0.95,1.00]）的患者中，低强度体力活动与较低的抑郁症状负担呈正相关，而在没有慢性疾病（0.98[0.95,1.00]）或只有一种慢性疾病（0.95[0.93,0.98]）的患者中，焦虑的几率较低。结论我们的研究表明，MVPA和低强度体力活动可能与有或没有多重发病的患者抑郁和焦虑症状升高的几率较低有关。需要进一步的研究来确定可能从低强度活动和MVPA中获得最大潜在益处的人群、疾病状态和病症群。

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Physical activity and mental health in patients with multimorbidity

Background and aims

Multimorbidity, defined as the presence of two or more chronic health conditions, is a growing problem in the United States and abroad. Physical activity is a modifiable health behavior that promotes physical and mental health, yet little is known about the relationship between physical activity and mental health among those with multimorbidity.

Methods

Using a population-based survey of community dwelling adults in Wisconsin, the Survey of the Health of Wisconsin (SHOW), we assessed the relationship between accelerometer-measured physical activity and self-reported depressive and anxiety symptoms among those with and without multimorbidity.

Results

Participants with multimorbidity were significantly more likely to have moderate to extremely severe levels of anxiety than those without multimorbidity (17.2% vs 10.5%, p < 0.001). One hour of moderate-to-vigorous physical activity (MVPA) per week was associated with decreased odds of anxiety of those with multimorbidity (0.86 [0.75, 0.99]). We also found a positive association between light intensity physical activity and a lower burden of depressive symptoms among those with one chronic condition (0.95 [0.93, 0.98]) or multimorbidity (0.97 [0.95, 1.00]), and lower odds of anxiety among those without chronic conditions (0.98 [0.95, 1.00]) or with only one chronic condition (0.95 [0.93, 0.98]).

Conclusions

Our study suggests that MVPA and light intensity physical activity may be associated with lower odds of elevated depressive and anxiety symptoms among those with and without multimorbidity. Further research is needed to identify populations, disease states, and condition clusters that may have the most potential benefit from light intensity activity and MVPA.

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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;