中老年人花在体育活动、看电视和睡眠上的时间及其与执行功能的关系：一项等时间替代分析

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-12-20 DOI:10.1016/j.mhpa.2024.100668

Rosa Palazuelos-González , Richard C. Oude Voshaar , Sacha la Bastide-van Gemert , Nynke Smidt

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引用次数: 0

摘要

体力活动的时间、久坐行为和白天的睡眠是相互关联的，并且与执行功能（EF）有不同的关联。大多数研究并没有同时分析这三种活动。我们研究了这些活动与EF之间的关系，并估计了久坐行为（看电视）对其他活动的时间重新分配对EF的影响。方法使用生命线队列研究（n = 58,582）的基线数据（≥40y），使用多变量线性回归评估自我报告的看电视时间、睡眠时间和身体活动（积极通勤、休闲、运动、家庭和工作）与EF （Ruff图形流畅性测试）之间的关系。等时间替代分析用于估计其他活动替代看电视时间对CP的影响。分析按年龄（中年（60岁）和老年人）和睡眠时间（短、正常（7-8小时/天）和长）分层。结果在睡眠正常的受试者（75%）中，中年受试者（β - 0.30, 95%CI -0.41, - 0.19）和老年受试者（β - 0.33, 95%CI -0.51, - 0.14）看电视时间与EF呈负相关。用休闲（β 0.22, 95%CI 0.11, 0.34）、运动（β 0.51, 95%CI 0.48, 0.97）、家庭（β 0.21, 95%CI 0.09, 0.33）或工作（β 0.39, 95%CI 0.28, 0.50）代替30分钟的电视观看时间与EF有更强的正相关。这种关联在短睡眠者中不太明显，在≥60岁的长睡眠者中不存在。结论用体育活动代替30分钟的电视观看可能是改善或保持EF的潜在策略。未来的研究应该探索这一理论含义。

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Time spent in physical activities, TV watching and sleep and its association with executive functioning in middle age and older adults: An isotemporal substitution analysis

Background

Time spent in physical activities, sedentary behavior and sleep during the day are interrelated and are differentially associated with executive functioning (EF). Most studies have not analyzed these three activities simultaneously when examining this association. We examined the association between these activities and EF, and estimated the influence of time reallocation of sedentary behavior (TV watching) for other activities on EF.

Methods

Baseline data (≥40y) from Lifelines Cohort study (n = 58,582) was used to assess the association between self-reported time spent in TV-watching, sleep, and physical activities (active commuting, leisure, sports, household, and work) with EF (Ruff Figural Fluency Test) using multivariable linear regression. Isotemporal substitution analyses were applied to estimate the impact of time replacement of TV-watching by other activities on CP. Analyses were stratified by age (middle age (<60y) and older adults) and sleep duration (short, normal (7–8 h/day), and long).

Results

In participants with normal sleep (75%), TV-watching time was inversely associated with EF in middle aged (β −0.30, 95%CI -0.41, −0.19) and older (β −0.33, 95%CI -0.51, −0.14) participants. Replacing 30 min of TV-watching with leisure (β 0.22, 95%CI 0.11, 0.34), sports (β 0.51, 95%CI 0.48, 0.97), household (β 0.21, 95%CI 0.09, 0.33), or work (β 0.39, 95%CI 0.28, 0.50) showed a stronger and positive association with EF. Associations were less pronounced in short sleepers, and absent among long sleepers aged ≥60y.

Conclusion

Substituting 30 min of TV-watching by with physical activities may be a potential strategy to improve or preserve EF. Future research should explore this theoretical implication.

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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;