Mental Health and Physical Activity最新文献

Fostering physical activity motivation at substance use disorder treatment facilities: A qualitative study grounded in self-determination theory 在药物使用障碍治疗机构中培养体育锻炼动机：以自我决定理论为基础的定性研究

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100650

Sascha Thal , Chloe Graham , Nikos Ntoumanis , Bronwyn Myers , Stephen Bright , Jocelyn Jones , Eleanor Quested

Background and aims

Studies have found inconclusive results for the effects of physical activity (PA) interventions on substance use, mental health, and physiological health of people experiencing substance use disorders (SUDs). To improve PA interventions for individuals with SUDs, a deeper understanding of the underlying motivational processes is imperative. This study employs self-determination theory as a framework to explore factors impacting PA motivation in SUD treatment contexts.

Methods

A qualitative research design utilising semi-structured interviews explored the experiences and perspectives of five people with lived or living experience of SUD treatment and five stakeholders within SUD treatment facilities across Western Australia. A reflexive thematic analysis was employed for the data analysis.

Results

Five themes were developed: (i) Belonging to a Community, describing the sense of community fostered by group PA (ii) Mind, Body, and Soul, outlining the impact of PA on mental and physical well-being and sense of self; (iii) Physical Activity and Recovery Integration, describing how structured PA supports individuals transitioning from SUD treatment to community environments, (iv) Goals and Rewards, illustrating how setting goals fosters a sense of accomplishment, and (v) Safe Space, describing the importance of creating safe environments for PA exploration.

Conclusion

Insights gained from this study could be used to design PA interventions that address individuals’ basic psychological needs and promote more autonomous motivation while fostering peer connections, PA knowledge, and independence. These implementations may lead to greater PA engagement and adherence.

背景和目的研究发现，体育锻炼（PA）干预措施对药物使用障碍（SUDs）患者的药物使用、心理健康和生理健康的影响尚无定论。为了改善针对药物滥用障碍患者的体育锻炼干预，必须深入了解其潜在的动机过程。本研究以自我决定理论为框架，探讨了影响药物滥用性精神障碍（SUD）治疗过程中的动力因素。研究方法采用半结构式访谈的定性研究设计，探讨了西澳大利亚州药物滥用性精神障碍（SUD）治疗过程中的五位亲身经历者和五位利益相关者的经验和观点。数据分析采用了反思性主题分析法。结果形成了五个主题：(i) 归属社区，描述了集体 PA 所培养的社区感；(ii) 心灵、身体和灵魂，概述了 PA 对身心健康和自我意识的影响；(iii) 身体活动与康复融合，描述了有组织的 PA 如何支持个人从药物依赖治疗过渡到社区环境；(iv) 目标和奖励，说明了设定目标如何培养成就感；以及 (v) 安全空间，描述了为 PA 探索创造安全环境的重要性。结论从本研究中获得的启示可用于设计PA干预措施，以满足个人的基本心理需求，促进更自主的动机，同时培养同伴联系、PA知识和独立性。这些措施的实施可能会提高人们对体育锻炼的参与度和坚持度。

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引用次数: 0

An integrative overview of physical activity for people with opioid use disorder 阿片类药物使用障碍患者体育锻炼综合概述

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100651

Evan Matthews , Hannah Fabian , Martina Gooney , Denise Rogers , Joseph Firth

Background

People with and in recovery from opioid use disorder face a burden of poor physical and mental health. However, an emergent and growing body of evidence shows that physical activity has a multidimensional therapeutic potential to help people with opioid use disorders during recovery.

Methods

We conducted a narrative review that incorporated a broad range of quantitative and qualitative evidence, in addition to key review evidence, to offer an overview of the benefits of physical activity on (i) abstinence and related outcomes, (ii) other mental health and cognitive outcomes, (iii) physical health outcomes, (iv) social health and wellbeing outcomes. We also discuss the evidence for (v) physical activity levels and behaviour in people with opioid use disorder, (vi) and, key factors of influences on physical activity behaviour among people with opioid use disorder. The article concludes with key recommendations for future research and practice.

Results

A limited body of evidence exists for using physical activity to improve outcomes of abstinence, improved physical health, mental health and social health among people with opioid use disorder. To date, such interventions are somewhat limited in quality and scale, and few have examined effects beyond light and moderate intensity, including high intensity PA and resistance exercise intervention. People with opioid use disorder appear to have nuanced physical activity behaviours that are influenced by a plethora of individual, interpersonal and environmental factors. Such populations also typically have low levels of physical activity, but more research is required to understand this.

Conclusion

There is an apparent need for integrated efforts to improve opportunities for physical activity as part of treatment for opioid use disorders. There is also a need for the inclusion of people with opioid use disorder in PA implementation research.

背景阿片类药物滥用障碍患者和康复者面临着身心健康状况不佳的负担。方法我们进行了一项叙述性综述，除关键综述证据外，还纳入了大量定量和定性证据，概述了体育活动对以下方面的益处：(i) 戒烟及相关结果；(ii) 其他心理健康和认知结果；(iii) 身体健康结果；(iv) 社会健康和福祉结果。我们还讨论了以下方面的证据：(v) 阿片类药物滥用障碍患者的体育锻炼水平和行为；(vi) 以及影响阿片类药物滥用障碍患者体育锻炼行为的关键因素。文章最后对未来的研究和实践提出了重要建议。结果关于利用体育活动改善阿片类药物使用障碍患者的戒断、身体健康、心理健康和社会健康状况的证据有限。迄今为止，此类干预措施在质量和规模上都有一定的局限性，很少有人研究过轻度和中度强度以外的效果，包括高强度体育锻炼和阻力运动干预。阿片类药物滥用障碍患者的体育锻炼行为似乎存在细微差别，受到大量个人、人际和环境因素的影响。这些人群的体育锻炼水平通常也较低，但还需要更多的研究来了解这一点。结论显然需要采取综合措施，改善体育锻炼机会，以此作为阿片类药物使用障碍治疗的一部分。还需要将阿片类药物使用障碍患者纳入体育锻炼实施研究。

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引用次数: 0

Acute effect of different types of moderate intensity physical exercise on affective response and mood state in individuals with substance use disorder 不同类型的中等强度体育锻炼对药物使用障碍患者的情感反应和情绪状态的急性影响

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100634

Bruno Marson Malagodi , Marcia Greguol , Vagner Deuel de Oliveira Tavares , Attilio Carraro , Helio Serassuelo Júnior

Substance use disorder (SUD) affects a significant percentage of people around the world, negatively influencing aspects of physical and mental health. Physical exercise can promote acute and chronic effects on the affective response and mood of individuals and has shown promising effects in all phases of rehabilitation. The objective of this study was to verify the acute effects of two types of physical exercises at moderate intensity on the mood state and on the affective response of individuals hospitalized for the treatment of SUD. For this purpose, 43 individuals (31 men and 12 women) underwent two physical exercise sessions (one aerobic and one functional) and a control session. Before and immediately after the sessions, subjects answered questionnaires about mood, affective valence, and perceived arousal. Generalized estimating equations (GEE) followed by the Bonferroni post hoc test were used to assess the effect of timing and session on the variables. The results showed significant improvements after both physical exercise sessions in mood (reduction in levels of tension, depression, anger, fatigue, and confusion) and in affective valences (feeling of pleasure and arousal perception), with no changes after the control session. It is observed that different types of physical exercises can positively impact the mental health of individuals undergoing treatment for SUD and should be used as a non-pharmacological strategy in the rehabilitation process.

药物使用失调症（SUD）影响着全世界相当大比例的人，对身心健康造成了负面影响。体育锻炼可以促进个人情感反应和情绪的急性和慢性效应，并在康复的各个阶段显示出良好的效果。本研究的目的是验证两种中等强度的体育锻炼对住院治疗精神分裂症患者的情绪状态和情感反应的急性影响。为此，43 名受试者（31 名男性和 12 名女性）进行了两次体育锻炼（一次有氧运动，一次功能运动）和一次对照运动。在运动前后，受试者回答了有关情绪、情感价位和知觉唤醒的问卷。研究人员使用了广义估计方程（GEE）和 Bonferroni 事后检验来评估运动时间和运动次数对变量的影响。结果显示，两次体育锻炼后，情绪（紧张、抑郁、愤怒、疲劳和困惑程度的降低）和情感价值（愉悦感和唤醒感）都有明显改善，而对照组锻炼后没有变化。据观察，不同类型的体育锻炼可对接受药物滥用治疗者的心理健康产生积极影响，应作为康复过程中的一种非药物策略。

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引用次数: 0

Examining the longitudinal effect of depressive symptoms on physical activity in persons with type 2 diabetes during the COVID-19 pandemic 研究 COVID-19 大流行期间抑郁症状对 2 型糖尿病患者体育锻炼的纵向影响

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100647

Emmanuel Ekpor , Samuel Akyirem , Precious Adade Duodu , Jonathan Bayuo , Veronica Brady

Background and aims

The American Diabetes Association recommends that individuals with type 2 diabetes (T2D) engage in at least 150 min of physical activity per week for optimal health. However, depressive symptoms, prevalent in this population, may hinder the ability to follow this recommendation, particularly during stressful events like the COVID-19 pandemic. This longitudinal study aimed at investigating the impact of depressive symptoms on physical activity levels among individuals with T2D during the COVID-19 pandemic.

Methods

We analyzed data from 5348 individuals with T2D participating in the All of Us Research Program's COVID-19 Participant Experience (COPE) survey. Depressive symptoms and physical activity levels were measured using the Patient Health Questionnaire (PHQ-9) and the International Physical Activity Questionnaire (IPAQ), respectively. Stabilized inverse probability weights (sIPW)-weighted mixed-effect logistic regression models evaluated the association between depressive symptoms and physical activity across three time points: May, June, and July 2020.

Results

Participants had a mean age of 61.43 (11.63) years, with majority being female (56.49%) and non-Hispanic White (76.25%). At baseline, 50% of the participants had moderate-to-severe depressive symptoms, and 20% were physically active. The predicted probability of being physically active decreased with increasing depressive symptoms (aOR = 0.66; 95%CI: 0.60, 0.73). The inverse association between depressive symptoms and physical activity was strongest among non-Hispanic White.

Conclusions

Depressive symptoms were significantly associated with lower odds of engaging in physical activity among individuals with T2D during the COVID-19 period. Further studies capturing pre- and post-pandemic data are needed to clarify the pandemic's impact on these associations.

背景和目的美国糖尿病协会建议 2 型糖尿病（T2D）患者每周至少进行 150 分钟的体育锻炼，以获得最佳健康状态。然而，在这一人群中普遍存在的抑郁症状可能会妨碍他们遵守这一建议，尤其是在 COVID-19 大流行等压力事件期间。这项纵向研究旨在调查 COVID-19 大流行期间抑郁症状对 T2D 患者体育锻炼水平的影响。抑郁症状和体力活动水平分别采用患者健康问卷（PHQ-9）和国际体力活动问卷（IPAQ）进行测量。稳定逆概率权重（sIPW）加权混合效应逻辑回归模型评估了三个时间点上抑郁症状与体力活动之间的关联：结果参与者的平均年龄为 61.43 (11.63) 岁，大多数为女性（56.49%）和非西班牙裔白人（76.25%）。基线时，50%的参与者有中度至重度抑郁症状，20%的参与者积极参加体育锻炼。随着抑郁症状的加重，参加体育锻炼的预测概率降低（aOR = 0.66；95%CI：0.60, 0.73）。结论在 COVID-19 期间，抑郁症状与 T2D 患者参加体育锻炼的几率较低密切相关。需要对大流行前后的数据进行进一步研究，以明确大流行对这些关联的影响。

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引用次数: 0

Green exercise versus indoor urban exercise: Related frontal brain thickness and cognitive performance 绿色运动与城市室内运动：相关的大脑额叶厚度和认知能力

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100649

Antonio Baena-Extremera , Cristina Martín-Pérez , Andrés Catena , Julio Fuentesal-García

Background and aims

This study compared, for the first time, cognitive function, and the cortical thickness of frontal areas in healthy adults who exercise regularly in outdoor green spaces ("green exercise group," GEG; n = 22, mean age = 39.91 years, females = 11) with those who exercise in indoor urban settings ("urban exercise group," UEG; n = 25, mean age = 40 years, females = 11). We further explored the associations between frontal brain thickness and cognitive measures in each group separately.

Method

Forty-seven healthy adults participated. All underwent a neuropsychological evaluation for short-term memory, working memory, and attention. High-resolution T1-weighted 3D magnetic resonance imaging (MRI) scans were acquired for each participant. The thickness of frontal brain regions was extracted and exported to JASP software for statistical analyses.

Results

The GEG performed better on working memory and short-term memory tasks compared to the UEG. Additionally, the GEG exhibited increased thickness in the right anterior cingulate cortex (rACC) and the right superior frontal sulcus (rSFS). These areas were associated with short-term memory within the GEG. Fisher's test and Zou's intervals revealed that only the correlation between the rSFS and short-term memory was significantly different between the UEG and GEG.

Conclusion

These findings suggest that exercising in outdoor natural areas might be related to better cognitive function and greater brain thickness in frontal areas. This study will contribute to the growing body of evidence linking brain, cognition and exercising in natural areas. Further research is needed to confirm these findings and explore the underlying mechanisms.

背景和目的本研究首次比较了经常在室外绿地锻炼的健康成年人（"绿色锻炼组"，GEG；n = 22，平均年龄 = 39.91 岁，女性 = 11）与在室内城市环境中锻炼的健康成年人（"城市锻炼组"，UEG；n = 25，平均年龄 = 40 岁，女性 = 11）的认知功能和额叶皮质厚度。我们还分别探讨了每个组别中大脑额叶厚度与认知测量之间的关联。所有人都接受了短期记忆、工作记忆和注意力的神经心理学评估。每位参与者都接受了高分辨率 T1 加权三维磁共振成像（MRI）扫描。结果与 UEG 相比，GEG 在工作记忆和短期记忆任务中表现更好。此外，GEG 表现出右前扣带回皮层（rACC）和右上额沟（rSFS）厚度增加。这些区域与 GEG 中的短时记忆有关。费舍尔检验和邹氏区间检验显示，只有 rSFS 与短期记忆的相关性在 UEG 和 GEG 之间存在显著差异。这项研究将为越来越多的证据证明大脑、认知和在自然区域锻炼之间的联系做出贡献。还需要进一步的研究来证实这些发现并探索其潜在机制。

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引用次数: 0

Is there a need for mental health informed goal setting in physical activity? 是否有必要在体育活动中制定心理健康目标？

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100648

Christian Swann , Darren Wagner , Melanie M. Clarke , Scott G. Goddard , Grace McKeon , Simon Rosenbaum , Stewart A. Vella , Megan Teychenne

Goals are standard practice when promoting physical activity for mental health and wellbeing and for the management of mental health disorders. While there are benefits of setting physical activity goals, there are also known risks, side-effects, and detrimental outcomes. We illustrate how these can potentially exacerbate mental health symptoms. Given the high rates of mental health disorders worldwide, we argue that mental health informed goal setting is needed in physical activity and may be relevant to hundreds of millions of people worldwide. We present recommendations for setting mental health informed physical activity goals to minimise/avoid the risks of exacerbating mental health symptoms as well as maximising benefits for both physical and mental health.

目标是促进体育锻炼、增进心理健康和福祉以及控制心理健康疾病的标准做法。设定体育锻炼目标固然有其益处，但也存在已知的风险、副作用和有害结果。我们将说明这些风险、副作用和不利结果如何可能加剧精神健康症状。鉴于全球心理健康疾病的高发率，我们认为在体育锻炼中需要制定有心理健康指导的目标，这可能与全球数亿人息息相关。我们提出了制定心理健康体育活动目标的建议，以尽量减少/避免加剧心理健康症状的风险，并最大限度地提高身心健康的益处。

引用次数: 0

Exercising with virtual reality is potentially better for the working memory and positive mood than cycling alone 与单独骑自行车相比，利用虚拟现实技术进行锻炼可能更有利于工作记忆和积极情绪的形成

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100641

Genta Ochi , Ken Ohno , Ryuta Kuwamizu , Koya Yamashiro , Tomomi Fujimoto , Koyuki Ikarashi , Naoki Kodama , Hideaki Onishi , Daisuke Sato

Background and aims

Although virtual reality (VR) exercise has attracted attention as a factor in exercise habituation due to its mood-enhancing effects, its impact on brain function remains unclear. This study aimed to explore how VR exercise affects working memory, a key executive function, and its underlying neural mechanisms.

Methods

The study involved 23 healthy university students who engaged in exercise in a VR environment. Outcomes included cardiorespiratory and psychological assessments, as well as functional magnetic resonance imaging (fMRI).

Results

Our findings indicate that a 10-min VR exercise session improved mood (vitality level) and working memory task performance (3-back task) more effectively than exercise or rest alone. Furthermore, the results confirmed that increased vitality from both exercise and VR exercise interventions was associated with improved 3-back task performance. However, specific brain regions contributing to this enhancement remain unidentified.

Conclusion

These results highlight VR exercise as an optimal exercise program for enhancing working memory function by increasing vitality levels. These insights underscore the potential of VR as a novel exercise modality, with benefits extending beyond exercise adherence to potentially prevent dementia and depression.

背景和目的虽然虚拟现实（VR）运动因其增强情绪的效果而作为运动习惯的一个因素引起了人们的关注，但它对大脑功能的影响仍不清楚。本研究旨在探讨 VR 运动如何影响工作记忆（一种关键的执行功能）及其潜在的神经机制。结果我们的研究结果表明，与单独运动或休息相比，10 分钟的 VR 运动能更有效地改善情绪（活力水平）和工作记忆任务表现（3-back 任务）。此外，研究结果还证实，运动和 VR 运动干预所带来的活力提升与 3 向后任务表现的改善有关。这些结果突出表明，VR 运动是通过提高活力水平来增强工作记忆功能的最佳运动项目。这些见解强调了 VR 作为一种新型锻炼方式的潜力，其益处不仅限于坚持锻炼，还可能预防痴呆症和抑郁症。

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引用次数: 0

Identification of relevant mental health indicators for European community-based health enhancing physical activity initiatives: An adapted Delphi study 为欧洲以社区为基础的健康促进体育活动倡议确定相关的心理健康指标：经调整的德尔菲研究

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100638

Aisling McGrath , Evan Matthews , Niamh Murphy , Ilse Oostveen , Annemarie Wagemakers , Kirsten Verkooijen

Health enhancing physical activity (HEPA) initiatives can improve mental health; however there is a lack of standardised measures to evaluate mental health impact. This study aimed to identify the relevant indicators of mental health and well-being in community-based HEPA initiatives in Europe as determined by specialists and practitioners in the field, and understand assessment methods commonly used.

An adapted, two round, Delphi method was conducted with N = 20 specialists (practitioners and academics) in the field of mental health and physical activity from Denmark, the Netherlands, the UK, and Ireland. Specialists selected the most important indicators and agreed consensus on definitions and operationalisation, where consensus ≥50% signified important indicators.

Specialists compiled 66 (n = 21 outcome, n = 45 determinant) indicators. Top rated indicators for the evaluation of HEPA initiatives were self-rated mental health (69.2%), physical activity (69.2%) life satisfaction (53.8%), stress (53.8%), loneliness (53.8%), social participation, network, connection and support (53.8%). Consensus on definition and application of the nine indicators varied (44.4%–100%), with no consensus on a standardised measurement tool reached, although specialists pointed to the need for culturally sensitive measurement tools.

While this study highlights a lack of conformity for evaluating mental health and wellbeing outcomes, it suggests utility in an agreed definition and application of nine indicators for the evaluation of HEPA initiatives, with social determinants of particularly high importance across the relevant contexts. Further research is recommended to develop guidance on pragmatic measurement tools that can be utilised across other (European) countries and their implementation tested.

增进健康的体育活动（HEPA）计划可以改善心理健康；但目前还缺乏评估心理健康影响的标准化措施。这项研究的目的是确定由该领域的专家和从业人员确定的欧洲基于社区的 HEPA 活动中心理健康和幸福感的相关指标，并了解常用的评估方法。来自丹麦、荷兰、英国和爱尔兰的心理健康和体育活动领域的 N = 20 名专家（从业人员和学者）采用了经过调整的两轮德尔菲法。专家们选出了最重要的指标，并就定义和可操作性达成了共识，其中共识度≥50%的指标为重要指标。专家们编制了 66 个指标（结果指标 21 个，决定性指标 45 个）。在评估 HEPA 行动时，得分最高的指标是自评心理健康（69.2%）、体育活动（69.2%）、生活满意度（53.8%）、压力（53.8%）、孤独（53.8%）、社会参与、网络、联系和支持（53.8%）。虽然这项研究强调了在评估心理健康和幸福结果方面缺乏一致性，但它表明，在评估 HEPA 行动时，对九个指标的定义和应用达成一致是有用的，社会决定因素在相关背景下具有特别重要的意义。建议开展进一步研究，以制定可在其他（欧洲）国家使用的实用衡量工具指南，并对其实施情况进行测试。

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引用次数: 0

Linking social determinants of health to mental health, movement behaviors, and cognitive function among U.S. youth 将健康的社会决定因素与美国青少年的心理健康、运动行为和认知功能联系起来

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100639

Zhongting Liu , Yanxia Chen , Fabian Herold , Boris Cheval , Ryan S. Falck , Arthur F. Kramer , Markus Gerber , André O. Werneck , Ruopeng An , Megan Teychenne , Neville Owen , Liye Zou

Background

Few studies have focused on a comprehensive view of social determinants of health (SDOH) domains as influences on the health of young people. This study aimed to investigate the associations between the Healthy people 2030 SDOH-related domains (i.e., economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context) with mental health, movement behaviors, and cognitive function among U.S. youth.

Methods

This cross-sectional study used nationally representative data from the 2020–2021 National Survey of Children's Health, covering 54,595 youth aged 6–17 years. The associations of indicators of SDOH-related domains with mental health (depression and anxiety), movement behaviors (physical activity and screen-based sedentary behavior), and cognitive function were estimated using multivariable logistic regression models, adjusting for age, sex, and race.

Results

Economic stability, education access and quality, health care access and quality, and social and community context were associated with at least one outcome measure of mental health, movement behaviors, and cognitive function, while neighborhood and built environment was associated with mental health and movement behaviors. The social and community context domain stood out, with friendship difficulty and household-based adverse childhood experiences being associated with poorer outcomes on most health indicators.

Conclusion

All five SDOH-related domains are related to aspects of youth health, with the social and community context domain showing the most associations, highlighting the need for interventions to improve social connection and address adverse childhood experiences, which may be more impactful in ameliorating many health-related challenges.

背景很少有研究关注健康的社会决定因素（SDOH）领域对青少年健康的全面影响。本研究旨在调查 "健康 2030 "中与 SDOH 相关的领域（即经济稳定性、教育机会和质量、医疗保健机会和质量、邻里和建筑环境以及社会和社区背景）与美国青少年的心理健康、运动行为和认知功能之间的关联。结果经济稳定性、教育机会和质量、医疗保健机会和质量以及社会和社区环境与心理健康、运动行为和认知功能的至少一项结果测量相关，而邻里和建筑环境与心理健康和运动行为相关。结论所有五个与 SDOH 相关的领域都与青少年健康的各个方面有关，其中社会和社区环境领域显示出最大的关联性，这突出表明需要采取干预措施来改善社会联系和解决不良童年经历问题，这可能会对改善许多与健康相关的挑战产生更大的影响。

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引用次数: 0

Prospective associations between physical activity and internalizing/externalizing problems in preterm youth across 7 years 早产青少年 7 年间体育活动与内化/外化问题之间的前瞻性联系

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100646

Zhihui Cheng , Fabian Herold , Kaiqi Guan , Yanping Gao , Markus Gerber , André Oliveira Werneck , Fred Paas , Peter A. Hall , Yanxia Chen , Liye Zou

Objectives

Physical activity (PA) is associated with better mental health in youth. However, most studies involving preterm-born youth and studying the associations between PA and mental health used a cross-sectional design, which limits our understanding of the long-term, dynamic associations between PA and internalizing/externalizing problems in this age group. To address this knowledge gap, this study aims to examine the prospective associations between the time spent in different PA intensity levels and internalizing/externalizing problems in preterm youth.

Methods

In this study, a total of 349 children and adolescents from the Millennium Cohort Study were followed at 7, 11, and 14 years. PA levels were measured using accelerometers at 7 years, and internalizing/externalizing problems were measured at 7 years, 11 years, and 14 years. To determine the associations between the time spent in different PA intensity levels and later internalizing/externalizing problems in preterm youth, linear regression models were performed after adjusting for confounding variables such as gender, ethnicity, and sedentary behavior.

Results

Significant associations between moderate-to-vigorous-intensity PA (MVPA) at 7 years and lower internalizing problems at 11 years (β = −0.024, 95% CI: 0.037, −0.010, p = 0.001) and at 14 years (β = −0.023, 95% CI: 0.037, −0.009, p = 0.001], p = 0.001) were observed.

Conclusions

Among preterm youth, MVPA is prospectively associated with lower internalizing problems, whereas no significant association was found between MVPA and externalizing problems. Thus, future research should investigate how early PA interventions can influence trajectories of internalizing problems in preterm youth.

目标体力活动（PA）与青少年心理健康的改善有关。然而，大多数涉及早产青少年并研究 PA 与心理健康之间关系的研究都采用了横断面设计，这限制了我们对该年龄组中 PA 与内化/外化问题之间长期、动态关系的了解。为了填补这一知识空白，本研究旨在探讨早产青少年不同强度的活动时间与内化/外化问题之间的前瞻性关联。方法在本研究中，我们对千禧年队列研究（Millennium Cohort Study）中的 349 名儿童和青少年进行了 7、11 和 14 年的跟踪调查。在 7 岁时使用加速度计测量 PA 水平，在 7 岁、11 岁和 14 岁时测量内化/外化问题。为了确定不同强度 PA 所花费的时间与早产青少年日后的内化/外化问题之间的关系，在调整了性别、种族和久坐行为等混杂变量后，建立了线性回归模型。结论在早产青少年中，MVPA 与较低的内化问题有前瞻性关联，而 MVPA 与外化问题之间没有发现显著关联。因此，未来的研究应探讨早期 PA 干预如何影响早产青少年的内化问题轨迹。

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