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Use of physical activity as a coping strategy mediates the association between adolescent team sports participation and emerging adult mental health 将体育锻炼作为一种应对策略,可调节青少年团队运动参与与新成人心理健康之间的关系
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-06-08 DOI: 10.1016/j.mhpa.2024.100612
Jean-Francois Clément , François Gallant , Catherine Hudon , Corentin Montiel , Teodora Riglea , Djamal Berbiche , Isabelle Doré , Marie-Pierre Sylvestre , Jennifer O'Loughlin , Mathieu Bélanger

Purpose

We explored how team sport participation during adolescence may have prepared emerging adults to use physical activity (PA) as a coping strategy during the COVID-19 pandemic and therefore protect their mental health.

Methods

MATCH study participants reported their involvement in team sports from age 11 to 18. At age 20, in the context of the COVID-19 pandemic, they reported their level of positive mental health, strategies to cope with stress, and perception of how helpful these are. Mediation analyses were used to estimate the natural direct effect of number of years of team sport participation during adolescence on emerging adults’ mental health, and the natural indirect effect through using PA as a coping strategy.

Results

Data from 454 participants were available. PA was the most prevalent coping strategy reported (51.5%) and 74% of those using this strategy reported it helped a lot. More years of team sport participation during adolescence was associated with higher odds of reporting PA as a coping strategy (OR [95% CI] = 1.012 [1.007; 1.017]) and with higher level of mental health during emerging adulthood (β [95% CI] = 0.059 [0.024; 0.095]). The natural indirect effect suggests that the use of PA as a coping strategy partially explained the association between team sport participation in adolescence and mental health in emerging adulthood (NIE [95% CI] = 0.038 [0.002;0.074]).

Discussion

More team sports participation during adolescence is associated with better mental health during emerging adulthood. This association may operate through using PA to cope with stress.

目的我们探讨了青少年时期参加团队运动如何帮助新成人在 COVID-19 大流行期间将体育活动(PA)作为一种应对策略,从而保护他们的心理健康。方法MATCH 研究的参与者报告了他们在 11 至 18 岁期间参加团队运动的情况。20岁时,在COVID-19大流行的背景下,他们报告了自己积极的心理健康水平、应对压力的策略以及对这些策略有多大帮助的看法。通过中介分析,我们估算了青少年时期参加团队运动的年数对新兴成年人心理健康的自然直接影响,以及通过将体育锻炼作为一种应对策略所产生的自然间接影响。据报告,体育锻炼是最普遍的应对策略(51.5%),74%的人表示这种策略帮助很大。青少年时期参加团队运动的年数越多,报告将体育锻炼作为应对策略的几率就越高(OR [95% CI] = 1.012 [1.007; 1.017]),并且与成年期较高的心理健康水平相关(β [95% CI] = 0.059 [0.024; 0.095])。自然间接效应表明,将体育锻炼作为一种应对策略可以部分解释青少年时期参加团队运动与成年后心理健康之间的关系(NIE [95% CI] = 0.038 [0.002; 0.074])。这种关联可能是通过利用体育锻炼来应对压力。
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引用次数: 0
Cardiovascular health profile is favorably associated with brain health and neurocognitive development in adolescents 心血管健康状况与青少年的大脑健康和神经认知发展密切相关
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-06-03 DOI: 10.1016/j.mhpa.2024.100611
Augusto César F. De Moraes , Marcus V. Nascimento-Ferreira , Ethan H. Hunt , Gregory Knell , John Virostko , Susan S. Tapert , Harold W. Kohl (In Memoriam)

Background and aims

Poor cardiovascular health has been linked to a higher risk of cognitive decline in adults, however this relation is not well established among adolescents. The purpose of this analysis was to test the associations of cardiovascular health behaviors (diet, physical activity, nicotine use, and sleep health) and health indicators (body mass index, blood lipids, blood glucose, blood pressure) with adolescents' brain development and executive and cognitive function.

Methods

We included 978 individuals from the Adolescent Brain and Cognitive Development (ABCD) Study who completed the year 2 follow-up assessment. Analysis was limited to those with complete data on cardiovascular health behaviors and health indicators which were used to compute composite cardiovascular health scores. Outcomes included estimates of general cognitive ability, executive function, and learning/memory through the NIH Toolbox neurocognitive battery, and MRI-derived brain morphometry. Associations were estimated by multilevel linear regression models using random effects.

Results

The mean (SD) age was 11.9 (0.2) years, 44.9% were girls, and 53.4% were white race/ethnicity. Individuals with more favorable cardiovascular health behaviors showed higher executive cognitive function scores (β = 0.170; CI 95%, 0.076 to 0.265; p = 00.001). Overall cardiovascular health was associated with a higher measure of executive cognitive function (β = 0.209; CI 95%, 0.067 to 0.351; p = 00.002) and total whole brain cortical volume (β = 480.1; CI 95%, 4.7 to 955.6; p = 00.003). r

Conclusion

Our findings reveal positive associations between adolescents' cardiovascular health behaviors and overall cardiovascular health with cognitive and executive function and brain cortical volume. Although our study is cross-sectional, the findings from a representative group of early adolescents add to the existing evidence suggesting a relationship between cardiovascular and brain health.

背景和目的心血管健康状况不佳与成年人认知能力下降的风险较高有关,但这种关系在青少年中尚未得到很好的证实。本分析的目的是检验心血管健康行为(饮食、体育锻炼、尼古丁使用和睡眠健康)和健康指标(体重指数、血脂、血糖和血压)与青少年大脑发育及执行和认知功能的关系。分析仅限于心血管健康行为和健康指标数据完整的人,这些数据用于计算心血管健康综合评分。研究结果包括通过美国国立卫生研究院工具箱神经认知测试对一般认知能力、执行功能和学习/记忆能力的评估,以及核磁共振成像衍生脑形态测量。结果平均(标清)年龄为 11.9 (0.2) 岁,44.9% 为女孩,53.4% 为白人种族/人种。心血管健康行为较好的人执行认知功能得分较高(β = 0.170;CI 95%,0.076 至 0.265;P = 00.001)。总体心血管健康与较高的执行认知功能(β = 0.209;CI 95%,0.067 至 0.351;p = 00.002)和全脑皮质体积(β = 480.1;CI 95%,4.7 至 955.6;p = 00.003)相关。虽然我们的研究是横断面的,但从一组有代表性的青少年身上得出的结果,为现有证据表明心血管与大脑健康之间的关系增添了新的证据。
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引用次数: 0
Effect of interactive exergame training on physical fitness and executive function among men with substance use disorder in rehabilitation center 互动式电子游戏训练对康复中心药物使用障碍男性患者体能和执行功能的影响
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100598
Jiawei Guo, Longhai Zhang, Ling Zhang, Yanbing Li, Shutong Yang, Yixuan Sun, Ruoqi Zhang, Wenfei Zhu

Background

Substance use disorder (SUD) is a chronic disease characterized by drug seeking and use that is compulsive or difficult to control despite harmful consequences. Researchers have found treatments to help people recover from SUD and lead productive lives. Exercise therapies have been approved to be effective on executive function, physical fitness, and cravings in men with SUD. Exergaming, which involves physical activity through interactive video games, has attracted considerable interest due to its ability to provide a fun and engaging aerobic workout while stimulating cognitive functions. However, despite its popularity in recreational settings and its potential to promote physical fitness and cognitive well-being, the use of exergaming as a therapeutic modality for SUD remains relatively underexplored. This study aimed to investigate the effects of exergame on physical fitness and executive function in men with SUD.

Methods

The 44 compulsory men in a rehabilitation center (mean age = 39.7 ± 9.2 years) were divided to either an exergame training (ET) or a control group. The ET group underwent a moderate-intensity (65%–75% of maximum heart rate) exergame training intervention (Fitness Boxing 2 & Super Mario Party) for 50 min thrice weekly during a 12-week period. The control group maintained their original lifestyle in the rehabilitation center. Before and after the intervention, participants were evaluated for drug craving, executive function (working memory and attention bias), and physical fitness (blood biochemical, choice reaction time, and BMI et al.).

Results

The exergame training group showed a significantly positive effect in drug craving and attention bias score, relative to the control group (drug craving: F = 4.374, p = 0.043, d = − 0.51; attention bias score: F = 4.832, p = 0.034, d = − 0.357). No significant effect has been found in other variables (p > 0.05).

Conclusion

The 12-week interactive exergame training can effectively reduce drug craving and improve executive function in men with SUD in drug rehabilitation centers. This training may offer a new and alternative exercise treatment against SUD. Exercise treatment approaches tailored to men with SUD may lead to continued recovery in health and lower the risk of returning to substance use.

背景物质使用障碍(Substance use disorder,SUD)是一种慢性疾病,其特征是强迫性或难以控制地寻求和使用毒品,尽管这样做会带来有害的后果。研究人员发现了一些治疗方法,可以帮助人们从药物滥用症中恢复过来,过上富有成效的生活。运动疗法已被批准对患有药物依赖性失调症的男性患者的执行功能、体能和渴求感有效。运动游戏(Exergaming)是指通过互动视频游戏进行体育锻炼,由于其能够在刺激认知功能的同时提供有趣且引人入胜的有氧锻炼,因此引起了人们的极大兴趣。然而,尽管外格游戏在娱乐环境中很受欢迎,而且具有促进体能和认知健康的潜力,但将外格游戏作为一种治疗 SUD 的方式仍相对缺乏探索。本研究旨在探讨外显子游戏对男性 SUD 患者的体能和执行功能的影响。ET组接受中等强度(最大心率的65%-75%)的外显子游戏训练干预(健身拳击2 & 超级马里奥派对),为期12周,每周三次,每次50分钟。对照组则在康复中心保持原有的生活方式。干预前后,对参与者的药物渴求、执行功能(工作记忆和注意力偏差)和体能(血液生化指标、选择反应时间和体重指数等)进行了评估。结果相对于对照组,外部游戏训练组在药物渴求和注意力偏差得分方面表现出显著的正效应(药物渴求:F = 4.374,P = 0.05):F = 4.374,p = 0.043,d = - 0.51;注意力偏差得分:F = 4.832,p = 0.034,d = - 0.357)。结论为期 12 周的互动外显游戏训练能有效减少戒毒康复中心男性 SUD 患者对毒品的渴望,并改善其执行功能。该训练可为治疗药物依赖性失调症提供一种新的替代运动疗法。为患有药物依赖性失调症的男性患者量身定制的运动治疗方法可帮助他们持续恢复健康,并降低再次使用药物的风险。
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引用次数: 0
Enhancing young children's executive function through physical activities: A three-level meta-analysis 通过体育活动增强幼儿的执行功能:三级荟萃分析
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100592
Yonggang Wei , Lu Wang , Yi Tang , Hong Deng , Junyue Su , Qinglong Li

Background and aims

The cultivation of executive functions during early childhood establishes the fundamental underpinning for advanced cognitive development in adulthood. Presently, there remains a degree of controversy surrounding the empirical findings pertaining to the impact of physical activity on the executive functions of young children. This study aimed at elucidating the potential moderating factors influencing the relationship between physical activity and the executive functions of young children.

Methods

In this study, we have conducted a meta-analysis encompassing twenty-four experimental studies with a total of 1426 participants. The meta-analysis was conducted using Stata version 17.0 and R version 4.3.2 software, with Hedges'g serving as the chosen effect size metric.

Results

The outcomes of our investigation underscore the salient point that physical activity possesses the capacity to enhance the executive functions of young children. Furthermore, it is noteworthy that the developmental impact of physical activity on the executive functions of young children is notably contingent upon the duration of the intervention. The implementation of game-based pedagogical approaches within the realm of sports activities emerges as a particularly potent means to foster the development of executive functions in young children.

Conclusions

This meta-analysis serves to proffer quantitative evidence affirming the positive influence of physical activities on the executive functions of young children during their early developmental years. It carries substantial implications for practical application.

背景和目的 幼儿时期执行功能的培养为成年后认知能力的进一步发展奠定了基础。目前,有关体育活动对幼儿执行功能影响的实证研究结果仍存在一定程度的争议。本研究旨在阐明影响体育锻炼与幼儿执行功能之间关系的潜在调节因素。方法在本研究中,我们对 24 项实验研究进行了荟萃分析,共有 1426 人参与。荟萃分析使用 Stata 17.0 版和 R 4.3.2 版软件进行,并选择 Hedges'g 作为效应大小指标。此外,值得注意的是,体育活动对幼儿执行功能的发展影响明显取决于干预的持续时间。在体育活动领域实施游戏教学法是促进幼儿执行功能发展的一种特别有效的手段。 结论 这项荟萃分析提供了量化证据,证实了体育活动对幼儿早期发展时期执行功能的积极影响。它对实际应用具有重大意义。
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引用次数: 0
Finding the balance: The influence of movement behaviours on childhood behaviour problems 寻找平衡:运动行为对儿童行为问题的影响
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100593
Devyn Rorem , Victor E. Ezeugwu , Vannesa J. Joly , Carmen Rasmussen , Valerie Carson , Sukhpreet K. Tamana , Joyce Chikuma , Elinor Simons , Stuart Turvey , Piushkumar J. Mandhane , Jacqueline Pei

Background and aims

The Canadian 24-h movement guidelines have led to an increased focus on movement behaviours (sleep, screen, sedentary, and physical activity) throughout the day.

Methods

We examined the cross-sectional and longitudinal associations between 24-h movement behaviours and parent-reported levels of internalizing, externalizing, and total behaviour problems in a subset of the CHILD birth cohort study at ages 3 (N Age 3 = 541, 48.1% girls) through 5 (N Age 5 = 575, 49.6% girls). Physical activity, sedentary time, and sleep were measured using an accelerometer worn on the non-dominant wrist for seven days following a 24-h protocol. Screen time was measured via parent-report and date-matched to daily accelerometer recordings. Compositional isotemporal substitution models predicted change in behaviour problems with reallocating time between movement behaviours.

Results

Cross-sectional analysis indicated that screen time relative to other movement behaviours was associated with greater externalizing behaviours at age 3 and greater internalizing and total problem behaviours at ages 3 and 5. This was supported in the longitudinal analysis, where increased screen time at 3 was associated with increased internalizing, externalizing, and total problem behaviours at 5. Cross-sectional reallocation from screen to non-screen sedentary time was associated with reductions in internalizing and total behaviour problems at 3 and 5 years and reductions in externalizing at 3. Contrary to previous findings, cross-sectional proportional increases in moderate-to-vigorous-intensity physical activity were associated with increased externalizing and total problem behaviours at 5.

Conclusions

Clinicians should prioritize supporting families to find a balanced approach rather than promoting specific movement behaviours.

加拿大 24 小时运动指南促使人们更加关注全天的运动行为(睡眠、屏幕、久坐和体育活动)。我们研究了[研究名称]出生队列研究的一个子集在 3 岁(3 岁=541 人,48.1% 为女孩)至 5 岁(5 岁=575 人,49.6% 为女孩)期间的 24 小时运动行为与家长报告的内化、外化和总体行为问题水平之间的横向和纵向关联。体力活动、久坐时间和睡眠是通过佩戴在非惯用腕部的加速度计进行测量的,测量时间为 7 天,按照 24 小时协议进行。屏幕时间通过家长报告进行测量,并与每天的加速度计记录进行日期匹配。组成等时替代模型预测了在运动行为之间重新分配时间所带来的行为问题的变化。横向分析表明,相对于其他运动行为,屏幕时间与 3 岁时更多的外化行为以及 3 岁和 5 岁时更多的内化行为和总体问题行为有关。纵向分析也证实了这一点,即 3 岁时屏幕时间的增加与 5 岁时内化、外化和总问题行为的增加有关。将屏幕时间重新分配为非屏幕久坐时间与 3 岁和 5 岁时内化和总行为问题的减少以及 3 岁时外化问题的减少有关。与之前的研究结果相反,横断面上中强度到高强度体育活动比例的增加与5岁时外化行为和总问题行为的增加有关。 临床医生应优先支持家庭找到一种平衡的方法,而不是推广特定的运动行为。
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引用次数: 0
Long-term protective effects of physical activity and self-control on problematic smartphone use in adolescents: A longitudinal mediation analysis 体育锻炼和自我控制对青少年使用问题智能手机的长期保护作用:纵向中介分析
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100585
Xinmei Zhao , Xiaoxiong Lai , Shunsen Huang , Yajun Li , Xinran Dai , Huanlei Wang , Ying He , Yun Wang

Background and aims

Adolescents are more likely to experience problematic smartphone use (PSU) due to developmental immaturity. As most previous studies have focused on cross-sectional relationships between PSU, self-control, and physical activity, it is difficult to make valid inferences about their causal relationships and long-term effects. This study aims to investigate the interrelationships between these three variables through a mediation analysis based on a cross-lagged model in a longitudinal design.

Methods

A total of 2131 participants (Mage = 12.14, SD = 2.29, 51.5% female) were surveyed at three time points with 1-year intervals. Smartphone Addiction Proneness Scale (SAPS) and revised Self-Control Scale were used to assess PSU and self-control respectively. Physical activity was measured with an item questioning frequency of physical activity.

Results

Cross-lagged model showed that both self-control and physical activity were negatively and bidirectionally associated with PSU. Self-control had a positive predictive effect on physical activity at the next time point. Additionally, self-control positively predicted subsequent physical activity, which in turn negatively predicted subsequent PSU, indicating a mediating effect of physical activity between self-control and PSU.

Conclusion

Self-control and physical activity had a long-term effect on reducing the propensity for PSU. Because of the accessibility and operability of physical activity interventions, the public and policy-makers need to prioritize physical activity as an intervention to prevent PSU in adolescents.

背景和目的青少年由于发育不成熟,更有可能出现智能手机使用问题(PSU)。由于以往的研究大多集中于 PSU、自我控制和体育锻炼之间的横截面关系,因此很难对它们之间的因果关系和长期影响做出有效的推断。本研究旨在通过纵向设计中基于交叉滞后模型的中介分析,研究这三个变量之间的相互关系。方法共对2131名参与者(年龄=12.14,SD=2.29,51.5%为女性)进行了调查,调查分为三个时间点,每点间隔1年。智能手机成瘾倾向量表(SAPS)和修订版自控力量表分别用于评估PSU和自控力。结果交叉滞后模型显示,自控力和体育锻炼与 PSU 负相关且呈双向关系。自我控制对下一个时间点的体力活动有积极的预测作用。此外,自我控制对随后的体育锻炼有正向预测作用,而体育锻炼又对随后的 PSU 有负向预测作用,这表明体育锻炼在自我控制和 PSU 之间具有中介作用。由于体育锻炼干预措施的可及性和可操作性,公众和政策制定者需要优先考虑将体育锻炼作为预防青少年PSU的干预措施。
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引用次数: 0
Moderating effect of leisure-time physical activity on the relationship between bullying victimisation and self-esteem in young Finnish men 闲暇时间体育活动对芬兰年轻男性遭受欺凌与自尊之间关系的调节作用
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100595
Kaija Appelqvist-Schmidlechner , Risto Heikkinen , Tommi Vasankari , Toni Virtanen , Kai Pihlainen , Tuomas Honkanen , Heikki Kyröläinen , Jani P. Vaara

Background and aims

The links between bullying victimisation and low self-esteem are well established. However, the relationship between physical activity (PA), bullying victimisation and self-esteem is still rather unexplored. The present study aims to investigate the moderating effect of PA on the relationship between bullying victimisation and self-esteem among young men.

Methods

The sample used for this study is based on registers of the Finnish Defence Forces and consists of questionnaire-based data collected from young healthy men (n = 146 767, aged 18–29 years, mean age 19 years) who started their conscript service during 2015–2021. Self-esteem was measured with the Rosenberg Self-esteem Scale and bullying victimisation and leisure-time PA (LTPA) with single questions. Unadjusted and adjusted linear regression models and the aligned rank transform Anova model were calculated.

Results

The findings showed that there is a dose-response association of self-esteem with bullying victimisation and LTPA. Furthermore, a significant moderating effect of LTPA was found in the relationship between bullying victimisation and self-esteem. Vigorous LTPA at least once a week seems to lessen the negative effects of bullying victimisation on self-esteem.

Conclusions

LTPA may have the potential to buffer against negative mental health outcomes resulting from past experiences of bullying victimisation on a young person's self-esteem. More opportunities for LTPA to support self-esteem among young people should be provided, especially for vulnerable groups and those with limited resources and possibilities to engage with PA.

背景和目的受欺凌与自卑之间的关系已得到公认。然而,体育锻炼(PA)、欺凌受害与自尊之间的关系仍未得到深入探讨。本研究旨在探讨体育锻炼对欺凌受害与年轻男性自尊之间关系的调节作用。研究方法本研究使用的样本基于芬兰国防军的登记册,包括从 2015-2021 年期间开始服兵役的年轻健康男性(n = 146 767,年龄在 18-29 岁之间,平均年龄为 19 岁)收集的问卷数据。自尊通过罗森伯格自尊量表进行测量,欺凌受害情况和闲暇时间活动量(LTPA)通过单个问题进行测量。结果研究结果表明,自尊与欺凌受害和休闲时间PA存在剂量-反应关系。此外,在欺凌受害与自尊之间的关系中,LTPA 有明显的调节作用。每周至少一次剧烈的LTPA似乎可以减轻欺凌受害对自尊的负面影响。结论LTPA可能具有缓冲过去的欺凌受害经历对青少年自尊造成的负面心理健康结果的潜力。应为青少年提供更多的机会,尤其是为弱势群体和那些资源和机会有限的青少年提供LTPA,以支持他们的自尊。
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引用次数: 0
The effects of mind body exercise on anxiety: A systematic review and meta-analysis of randomized controlled trials 身心锻炼对焦虑的影响:随机对照试验的系统回顾和荟萃分析
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100587
Xuan Lin , Jiaxin Zheng , Qian Zhang , Youfa Li

Objective

To make a comprehensive evaluation of the anxiolytic effects of Mind body exercise (MBE) therapy and potential variations in demographic and intervention characteristics.

Methods

Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, the Web of Science, PsycINFO, PubMed, and Google Scholar databases were systematically searched for randomized controlled trials (RCTs) published before 1 May 2023. Pooled standardized mean differences (SMDs) and moderator analysis were used.

Results

A total of 61 studies (k = 76) were included in the meta-analysis. Compared with the control groups (n = 2972), the MBE intervention groups (n = 2984) had significantly reduced anxiety with a small effect (SMD = 0.454, 95% CI: 0.353 to 0.556, p < 0.001, I2 = 73.949%). Moderator analysis showed that research area, sex, age, health status, session duration, and research quality played moderating roles. Interventions lasting over 60 min were most effective in reducing anxiety.

Conclusion

MBE is an effective alternative or adjuvant intervention for anxiety across participant characteristics and research area. Future research should improve the quality and design and compare the anxiolytic effects between different types of MBE interventions or between MBE interventions and other intervention types. It is also necessary to analyze the dose effects of MBE interventions.

全面评估心身锻炼(MBE)疗法的抗焦虑效果以及人口统计学和干预特征的潜在变化。根据系统综述和荟萃分析首选报告项目(PRISMA)指南,在Web of Science、PsycINFO、PubMed和Google Scholar数据库中系统检索了2023年5月1日前发表的随机对照试验(RCT)。采用了汇总标准化均值差异(SMDs)和调节因子分析。共有 61 项研究(k = 76)被纳入荟萃分析。与对照组(= 2972)相比,MBE 干预组(= 2984)的焦虑明显减少,但影响较小(SMD = 0.454,95% CI:0.353 至 0.556,< 0.001,= 73.949%)。调节因素分析表明,研究领域、性别、年龄、健康状况、疗程持续时间和研究质量起到了调节作用。持续时间超过 60 分钟的干预对减轻焦虑最有效。在不同的参与者特征和研究领域中,MBE 都是一种有效的焦虑替代或辅助干预方法。未来的研究应改进质量和设计,并比较不同类型的MBE干预或MBE干预与其他干预类型之间的抗焦虑效果。此外,还有必要分析MBE干预措施的剂量效应。
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引用次数: 0
Physical activity levels and sedentary behavior in people who have experienced gender-based violence: A systematic review 经历过性别暴力的人的体育活动水平和久坐行为:系统回顾
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100596
Lauren Wheatley , Chiara Mastrogiovanni , Michelle Pebole , Grace McKeon , Simon Rosenbaum , Susan Rees , Scott B. Teasdale

Background and aims

Experiencing gender-based violence (GBV) is a risk factor for numerous noncommunicable diseases, many of which are associated with physical inactivity. This systematic review aims to determine if physical activity levels and sedentary behavior differ between people who have experienced GBV and people who have not been exposed to GBV.

Methods

Five databases were searched from inception to May 2023. Eligible studies were original research publications that reported a quantitative measure of physical activity and/or sedentary behavior for people who have experienced GBV and a comparator group. Synthesis without meta-analysis was performed due to inconsistent measures of physical activity.

Results

Eleven studies with 38,679 people who have experienced GBV and 159,103 comparators were included. Most studies were conducted in the United States (k = 9, 82%) with exclusively female participants (k = 9, 82%). All studies reported on mean time in physical activity or proportion of people engaging in certain levels of physical activity and sedentary behavior. No study used a validated tool to measure physical activity levels. Nineteen comparisons between a GBV population group and comparator were identified in the 11 studies. Findings were mixed, with 10 comparisons (52.5%) finding no significant difference, six comparisons (32%) finding lower physical activity engagement in the GBV-exposed population group, and three comparisons (15.5%) reporting similar values in both groups (without a between group test). The overall quality of studies was poor-fair.

Conclusion

There is mixed evidence for whether physical activity levels differ among people who have experienced GBV compared to individuals who have not. High quality studies using validated assessment methods are needed.

背景和目的经历过基于性别的暴力(GBV)是许多非传染性疾病的风险因素,其中许多疾病与缺乏运动有关。本系统综述旨在确定经历过性别暴力的人与未经历过性别暴力的人之间的体力活动水平和久坐行为是否存在差异。符合条件的研究均为原创性研究出版物,这些出版物报告了对遭受过基于性别的暴力的人群和参照组的体育锻炼和/或久坐行为的定量测量结果。由于对身体活动的测量结果不一致,因此未进行荟萃分析而进行了综合分析。结果共纳入了 7 项研究,涉及 38,679 名遭受过基于性别的暴力的人群和 159,103 名参照人群。大多数研究在美国进行(k = 9,82%),参与者全部为女性(k = 9,82%)。所有研究都报告了体育活动的平均时间或参与一定程度体育活动和久坐行为的人数比例。没有一项研究使用经过验证的工具来测量体力活动水平。在这 11 项研究中,有 19 项研究对基于性别的暴力行为人群和参照人群进行了比较。研究结果好坏参半,其中 10 项比较(52.5%)发现无显著差异,6 项比较(32%)发现遭受性别暴力人群的体力活动参与度较低,3 项比较(15.5%)报告两组的数值相似(未进行组间检验)。研究的总体质量为 "差-一般"。结论关于遭受过基于性别的暴力的人群与未遭受过基于性别的暴力的人群相比,其体育锻炼水平是否存在差异,目前的证据不一。需要使用经过验证的评估方法进行高质量的研究。
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引用次数: 0
The longitudinal reciprocal association between depression and physical activity in old age: The role of lifetime cumulative adversity 老年抑郁与体育锻炼之间的纵向相互关系:终生累积性逆境的作用
IF 4.7 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-01 DOI: 10.1016/j.mhpa.2024.100591
Michal Levinsky

Objective

This study investigated the reciprocal nature of the depression–physical activity relationship with reference to lifetime cumulative adversity (LCA), over a period of 8 years across 5 time points in aging.

Method

Based on data from the Survey of Health Ageing and Retirement in Europe (SHARE), the sample included 21,996 participants between the ages of 50 and 100 years (M = 65.5, SD = 9.1). The analysis was designed as a random intercept cross-lagged panel model. The trajectories measured were depression and physical activity. The independent variable, LCA, was created by the sum of stressful events, and the analyses controlled for background characteristics.

Results

The findings revealed that physical activity significantly reduced the risk for depression at two time points along the study, whereas depression significantly reduced future physical activity during the entire period examined. Further, a higher level of LCA was associated with lower baseline levels of physical activity and higher levels of depression (β = −0.04, p < 0.001; β = 0.12, p < 0.001; respectively).

Conclusions

The results support a bidirectional relation between physical activity and depression, with stronger evidence for depression to physical activity. Interventions targeting the vulnerable population with a history of cumulative adversity, and utilizing techniques to mitigate depressive symptoms, may help to decrease the risk for physical inactivity and other health consequences in this population.

本研究参照终生累积逆境(LCA),对抑郁与体育锻炼之间的相互关系进行了调查,调查时间跨度为8年,跨越了老龄化过程中的5个时间点。根据欧洲健康老龄化和退休调查(SHARE)的数据,样本包括 21996 名年龄在 50 岁至 100 岁之间的参与者(男 = 65.5,女 = 9.1)。分析设计为随机截距交叉滞后面板模型。测量的轨迹是抑郁和体育锻炼。自变量 LCA 是由压力事件的总和创建的,分析控制了背景特征。研究结果表明,在研究的两个时间点上,体育锻炼能显著降低抑郁风险,而在整个研究期间,抑郁会显著降低未来的体育锻炼。此外,较高的 LCA 水平与较低的体育锻炼基线水平和较高的抑郁水平相关(分别为 = -0.04,p < 0.001;=0.12,p < 0.001;)。研究结果表明,体育锻炼与抑郁之间存在双向关系,抑郁与体育锻炼之间的关系证据更充分。针对有累积逆境史的弱势人群采取干预措施,并利用缓解抑郁症状的技术,可能有助于降低该人群缺乏体育活动的风险和其他健康后果。
{"title":"The longitudinal reciprocal association between depression and physical activity in old age: The role of lifetime cumulative adversity","authors":"Michal Levinsky","doi":"10.1016/j.mhpa.2024.100591","DOIUrl":"10.1016/j.mhpa.2024.100591","url":null,"abstract":"<div><h3>Objective</h3><p>This study investigated the reciprocal nature of the depression–physical activity relationship with reference to lifetime cumulative adversity (LCA), over a period of 8 years across 5 time points in aging.</p></div><div><h3>Method</h3><p>Based on data from the Survey of Health Ageing and Retirement in Europe (SHARE), the sample included 21,996 participants between the ages of 50 and 100 years (M = 65.5, SD = 9.1). The analysis was designed as a random intercept cross-lagged panel model. The trajectories measured were depression and physical activity. The independent variable, LCA, was created by the sum of stressful events, and the analyses controlled for background characteristics.</p></div><div><h3>Results</h3><p>The findings revealed that physical activity significantly reduced the risk for depression at two time points along the study, whereas depression significantly reduced future physical activity during the entire period examined. Further, a higher level of LCA was associated with lower baseline levels of physical activity and higher levels of depression (<em>β</em> = −0.04, p &lt; 0.001; <em>β</em> = 0.12, p &lt; 0.001; respectively).</p></div><div><h3>Conclusions</h3><p>The results support a bidirectional relation between physical activity and depression, with stronger evidence for depression to physical activity. Interventions targeting the vulnerable population with a history of cumulative adversity, and utilizing techniques to mitigate depressive symptoms, may help to decrease the risk for physical inactivity and other health consequences in this population.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100591"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140098711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Mental Health and Physical Activity
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