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Associations of sedentary behavior in leisure and occupational contexts with symptoms of depression and anxiety

机译:休闲行为在休闲和职业范围中的关联与抑郁症状和焦虑症状

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Sedentary behaviors (SB) can be associated with poorer mental health, but it remains unclear whether contexts for these behaviors may be important. We assessed relationships of SB in leisure-time and occupational contexts with frequent symptoms of depression and anxiety. Data originate from the Swedish Health Profile Assessment (HPA) database, a health assessment offered to employees working for companies or organizations connected to healthcare services. Analyses are based on data from 2017 onwards (N = 23,644; 57% male, mean age = 42 years). Two self-report questions assessed proportions of time spent in SB in leisure contexts and in the occupational setting. Logistic regressions examined relationships of SB in each context with the self-reporting of frequent symptoms of depression/anxiety. A separate model for the leisure plus occupational SB was also generated. Fully-adjusted models included exercise frequency. Compared to those reporting that they were 'almost never' sedentary in leisure-time contexts, a detrimental dose-response with frequent depression/anxiety symptoms was observed with increasing proportions of sedentary time: 50% of the time (OR = 1.44; 1.23-1.70), 75% (OR = 2.95; 2.45-3.54), almost always (OR = 3.85; 2.84-5.22). For occupational SB, the only associations were among those who reported being sedentary almost always, compared to almost never (OR = 1.47; 1.25-1.73). Associations of 'overall' SB with depression/anxiety symptoms mirrored the dose-response relationship for leisure-time SB. Exercise frequency attenuated the association for leisure-time SB only, but it remained statistically significant. Adults who spend >= 50% of their leisure-time in sedentary pursuits experience more frequent symptoms of depression and anxiety, compared to those who are less sedentary in that context.
机译:久坐不动行为(SB)可以与心理健康较差,但仍然尚不清楚这些行为的背景是否可能重要。我们评估了SB在休闲时间和职业范围内的关系,频繁抑郁和焦虑症状。数据来自瑞典卫生简介评估(HPA)数据库,为为与医疗保健服务有关的公司或组织工作的员工提供的健康评估。分析基于2017年的数据(n = 23,644; 57%的男性,平均年龄= 42岁)。两个自我报告的问题评估了在休闲背景和职业环境中为某些人的时间表所花费的时间。 Logistic回归在每个语境中检查了Sb的关系,并在抑郁/焦虑频繁症状的自我报告。还产生了休闲加上职业病的单独模型。完全调整的型号包括锻炼频率。与那些报告相比,他们“几乎从未”在休闲时间背景下的久坐不动,则观察到常急抑郁/焦虑症状的有害剂量反应随着久坐时间的比例增加:50%的时间(或= 1.44; 1.23- 1.70),75%(或= 2.95; 2.45-3.54),几乎总是(或= 3.85; 2.84-5.22)。对于职业病,唯一的协会是据报道的人几乎总是总是久坐的,而几乎从未(或= 1.47; 1.25-1.73)相比。 “整体”SB与抑郁/焦虑症状的关联反映了休闲时间SB的剂量 - 反应关系。运动频率仅衰减了休闲时间SB的关联,但它保持统计学意义。与那些在这种情况下不那么久坐的人相比,花费> = 50%的休闲追求休闲时间的休闲时间经历更常见的抑郁和焦虑症状。

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