来自68个国家的297,354名在校青少年的久坐行为负担和精神健康障碍症状及其相关性

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-12-14 DOI:10.1016/j.mhpa.2024.100665

Md Shajedur Rahman Shawon , Fariha Binte Hossain , Anupama Thabrew , Sadia Fatema Kabir , Sultan Mahmood , Md Saiful Islam

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引用次数: 0

摘要

久坐行为已经成为青少年中一个重要的公共健康问题，越来越多的证据表明它与不良的心理健康结果有关。本研究旨在量化青少年中久坐行为和心理健康症状的流行程度，并利用来自世卫组织各区域国家的数据探讨两者之间的关联。方法：我们分析了2009年至2018年全球学校健康调查（GSHS）的数据，涵盖68个国家，其中包括297354名13-17岁的青少年。采用随机效应的荟萃分析来估计久坐行为（定义为每天坐3小时或更长时间）和心理健康症状（包括孤独、焦虑、自杀意念、自杀计划和自杀企图）的流行程度。采用多层级混合效应逻辑回归来研究这些因素之间的关联。结果总体而言，37.2%的青少年有久坐行为，女孩的患病率略高于男孩（38.5%比35.8%）。流行率最高的是美洲区域（46.9%），最低的是东南亚区域（25.7%），世卫组织各区域内国家之间存在显著差异。此外，19.0%的青少年报告有心理困扰，定义为经历至少两种心理健康症状。久坐行为与心理困扰（OR 1.34, 95% CI: 1.32-1.37）和每种心理健康症状显著相关，在女孩、青少年和父母支持较少的儿童中观察到更强的相关性。剂量-反应关系很明显，随着久坐时间的增加，心理困扰的几率几乎呈线性增加（P代表趋势<；0.001）。结论本研究强调了青少年中久坐行为和心理健康症状的高患病率，并证明了久坐行为和心理健康结果之间存在明确的剂量反应关系。这些发现强调，迫切需要制定旨在减少青少年久坐时间的策略，以促进更好的心理健康。

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Burdens of sedentary behaviour and symptoms of mental health disorders and their associations among 297,354 school-going adolescents from 68 countries

Background

Sedentary behaviour has become a critical public health issue among adolescents, with growing evidence linking it to adverse mental health outcomes. This study aimed to quantify the prevalence of sedentary behaviour and mental health symptoms among adolescents and explore their associations using data from countries across various WHO regions.

Methods

We analysed data from the Global School-based Health Survey (GSHS) covering 68 countries between 2009 and 2018, including 297,354 adolescents aged 13–17 years. A meta-analysis with random effects was conducted to estimate the prevalence of sedentary behaviour (defined as spending 3 or more hours per day sedentary) and mental health symptoms (including loneliness, anxiety, suicidal ideation, suicide planning, and suicide attempts). Multi-level mixed-effect logistic regressions were used to investigate the associations between these factors.

Results

Overall, 37.2% of adolescents engaged in sedentary behaviour, with a slightly higher prevalence among girls than boys (38.5% vs. 35.8%). The highest prevalence was in the Region of the Americas (46.9%), while the lowest was in the South-East Asia Region (25.7%), with significant variations between countries within each WHO region. Additionally, 19.0% of adolescents reported psychological distress, defined as experiencing at least two mental health symptoms. Sedentary behaviour was significantly associated with psychological distress (OR 1.34, 95% CI: 1.32–1.37) and each mental health symptom, with stronger associations observed among girls, younger adolescents, and those with lower parental support. A dose-response relationship was evident, with the odds of psychological distress increasing almost linearly with more hours spent sedentary (P for trend <0.001).

Conclusions

This study highlights the high prevalence of sedentary behaviour and mental health symptoms among adolescents and demonstrates a clear dose-response association between sedentary behaviour and mental health outcomes. These findings underscore the urgent need for strategies aimed at reducing sedentary time among adolescents to promote better mental health.

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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;