在 COVID-19 大流行初期,勇气和健康生活方式行为对美国成年人焦虑和抑郁的影响:横断面研究。

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Perspectives Pub Date : 2022-05-29 eCollection Date: 2022-01-01 DOI:10.34172/hpp.2022.10
Mike Toczko, Justin Merrigan, Ali Boolani, Bishop Guempel, Italia Milani, Joel Martin
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引用次数: 0

摘要

背景:冠状病毒病 2019(COVID-19)大流行改变了许多成年人的生活方式,影响了他们的心理健康。参加体育锻炼、避免久坐和健康饮食可改善心理健康。本研究调查了在 COVID-19 大流行的早期阶段,与健康相关的生活方式行为对成年人焦虑和抑郁情绪的影响。研究方法居住在美国的成年人(n=796)在 2020 年春季完成了一项基于互联网的调查,调查内容包括情绪、体育活动、坐姿和饮食行为等经过验证的调查工具。采用多元回归模型评估与健康相关的生活方式行为与焦虑和抑郁情绪之间的关联。结果显示大多数参与者(70.7%;95% CI:[0.607, 0.807])符合体力活动(PA)指南,43.7%(95% CI:[0.287, 0.587])每天坐的时间≥8小时,87.7%(95% CI:[0.807, 0.947])饮食健康。我们的最终模型分别解释了 6.2% 和 9.8% 的焦虑和抑郁变异。剧烈运动(焦虑:B=-0.111,95% CI:[-0.171,0.000];抑郁:B=-0.111,95% CI:[-0.186,-0.037])和饮食行为(焦虑:B=-0.112,95% CI:[-0.180,-0.444];抑郁:B=-0.112,95% CI:[-0.213,-0.076])与减少焦虑和抑郁情绪有关,而坐的时间(焦虑:B=0.119,95% CI:[-0.213,-0.076])与减少焦虑和抑郁情绪有关:B=0.119,95% CI:[0.000,0.199];抑郁:B=0.119,95% CI:[0.199,0.199])与焦虑和抑郁情绪加重有关。结论在疫情初期,参加剧烈运动、减少久坐时间和摄入健康饮食与焦虑和抑郁情绪的减少有关。上述可改变的生活方式行为是相互独立的,这表明改善一种行为可能会改善焦虑和抑郁情绪。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of grit and healthy lifestyle behaviors on anxiety and depression in US adults at the beginning of the COVID-19 pandemic: Cross-sectional study.

Background: The coronavirus disease 2019 (COVID-19) pandemic altered lifestyles and impacted mental health of many adults. Engaging in physical activity, avoiding prolonged sitting, and consuming a healthy diet improve mental health. The current study investigated the association between health-related lifestyle behaviors on feelings of anxiety and depression in adults during the early stages of the COVID-19 pandemic. Methods: Adults (n=796) living in the United States completed an internet-based survey in Spring 2020 that included validated survey instruments for moods, physical activity, sitting and dietary behaviors. Multivariate multiple regression models were used to assess the association between health-related lifestyle behaviors and feelings of anxiety and depression. Results: A majority (70.7%; 95% CI: [0.607, 0.807]) of participants met physical activity (PA) guidelines, 43.7% (95% CI: [0.287, 0.587]) sat for ≥ 8 hours per day, and 87.7% (95% CI [0.807, 0.947]) ate a healthy diet. Our final models explained 6.2% and 9.8% of the variance in anxiety and depression, respectively. Vigorous PA (anxiety: B=-0.111, 95% CI: [-0.171,0.000]; depression: B=-0.111, 95% CI: [-0.186,-0.037]) and dietary behaviors (anxiety: B=-0.112, 95% CI: [-0.180,-0.444]; depression: B=-0.112, 95% CI: [-0.213,-0.076]) were associated with reduced feelings of anxiety and depression while sitting time (anxiety: B=0.119, 95% CI: [0.000,0.199]; depression: B=0.119, 95% CI: [0.199,0.199]) were associated with greater feelings of anxiety and depression. Conclusion: Engaging in vigorous physically activity, reducing sitting time, and consuming a healthy diet was associated with reduced feelings of anxiety and depression during the early part of the pandemic. The aforementioned modifiable lifestyle behaviors are independent of each other suggesting improvements in one behavior may improve feelings of anxiety and depression.

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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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