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首页> 外文期刊>Journal of psychiatric research >Prospective study of cardiorespiratory fitness and depressive symptoms in women and men.
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Prospective study of cardiorespiratory fitness and depressive symptoms in women and men.

机译:男女的心肺适应性和抑郁症状的前瞻性研究。

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Most studies of the relationship between cardiorespiratory fitness (CRF) and depression have been limited to cross-sectional designs. The objective of this study was to follow individuals over time to examine whether those with higher levels of CRF have lower risk of developing depressive symptoms. Participants were 11,258 men and 3085 women enrolled in the Aerobics Center Longitudinal Study in Dallas, TX. All participants completed a maximal treadmill exercise test at baseline (1970-1995) and a follow-up health survey in 1990 and/or 1995. Individuals with a history of a mental disorder, cardiovascular disease, or cancer were excluded. CRF was quantified by exercise test duration, and categorized into age and sex-stratified groups as low (lowest 20%), moderate (middle 40%), or high (upper 40%). Depressive symptoms were assessed using the 20-item Center for Epidemiologic Studies Depression Scale (CES-D). Those who scored 16 or more on the CES-D were considered to have depressive symptoms. After an average of 12 years of follow-up, 282 women and 740 men reported depressive symptoms. After adjusting for age, baseline examination year, and survey response year, the odds of reporting depressive symptoms were 31% lower for men with moderate CRF (odds ratio, OR 0.69; 95% confidence interval, CI 0.56-0.85) and 51% lower for men with high CRF (OR 0.49, CI 0.39-0.60), compared to men with low CRF. Corresponding ORs for women were 0.56 (CI 0.40-0.80) and 0.46 (CI 0.32-0.65). Higher CRF is associated with lower risk of incident depressive symptoms independent of other clinical risk predictors.
机译:大多数关于心肺适应性(CRF)和抑郁之间关系的研究仅限于横断面设计。这项研究的目的是随着时间的推移跟踪个人,以检查那些具有较高CRF水平的人是否具有较低的出现抑郁症状的风险。德克萨斯州达拉斯有氧运动中心纵向研究的参与者为11258名男性和3085名女性。所有参与者均在基线(1970-1995年)完成了最大的跑步机运动测试,并于1990年和/或1995年完成了后续健康调查。排除了有精神疾病,心血管疾病或癌症病史的个体。通过运动测试的持续时间对CRF进行量化,并将其分为年龄组和按性别分层的组,分别为低(最低20%),中(中40%)或高(上40%)。使用20个项目的流行病学研究中心抑郁量表(CES-D)评估抑郁症状。在CES-D上得分达到16分或以上的人被认为患有抑郁症。平均随访12年后,有282名女性和740名男性报告了抑郁症状。在调整了年龄,基线检查年和调查响应年后,中度CRF的男性报告抑郁症状的几率降低了31%(比值或OR 0.69; 95%的置信区间CI 0.56-0.85)和降低了51% CRF高的男性(OR 0.49,CI 0.39-0.60),而CRF低的男性。女性的OR分别为0.56(CI 0.40-0.80)和0.46(CI 0.32-0.65)。独立于其他临床风险预测因素,较高的CRF与发生抑郁症状的风险较低相关。

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