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Influence of a sedentary lifestyle on self-reported mental health status among community-dwelling older adults with depression: Implications for secondary prevention efforts

机译:久坐的生活方式对患有抑郁症的社区老年人的自我报告的心理健康状况的影响:对二级预防工作的启示

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The relationship between sedentary behavior and mental health is documented in the primary prevention literature in the context of mental illnesses such as depression. However, these relationships have not been studied to the same extent for secondary prevention efforts, especially among at risk communitydwelling older adults. The Brazos Valley Health Assessment was administered to nearly 4000 adults. Respondents self-reported disease status, lifestyle behaviors such as physical activity and nutrition habits, perceptions of physical and mental health, and socio-demographics. The selection criteria for inclusion in our study sample were being at least 55 years old and having been diagnosed with depression by a healthcare provider. This criterion resulted in a sample of 545. Negative binomial regression was used to examine the association between number of the past 30 days where mental health days were not good and sedentary behaviors such as time spent watching television and time spent using a computer. For each day per week respondents did not engage in at least 10 min of moderate physical activity (such as fast walking) relative to their peers, they were 5% less likely to report positive mental health (IRR=0.95, P=0.036). For each additional hour per day respondents spent watching television relative to their peers, they were 12% more likely to report poorer mental health (IRR=1.12, P=0.033). Secondary prevention efforts should recognize the influence of sedentary behaviors and emphasize similar interventions used for primary prevention of depression.
机译:久坐行为与心理健康之间的关系已在初级预防文献中记录,涉及精神疾病(例如抑郁症)。但是,对于二级预防工作,尤其是处于高风险社区的老年人中,对这些关系的研究尚未得到同样程度的研究。对近4000名成年人进行了Brazos谷健康评估。受访者自我报告的疾病状况,生活方式(例如体育活动和营养习惯),对身心健康的感知以及社会人口统计学。纳入我们研究样本的选择标准至少已年满55岁,并且已被医护人员诊断为患有抑郁症。该标准得出的样本为545。使用二项式负回归分析了过去30天精神健康状况不好的人数与久坐行为(例如看电视的时间和使用计算机的时间)之间的关系。相对于同龄人,受访者每周每天没有参加至少10分钟的中等体力活动(例如快步走),他们报告积极的心理健康的可能性降低了5%(IRR = 0.95,P = 0.036)。相对于同龄人,受访者每天每增加一小时的电视观看时间,他们报告的心理健康状况就会增加12%(IRR = 1.12,P = 0.033)。二级预防工作应认识到久坐行为的影响,并强调用于一级预防抑郁的类似干预措施。

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