我国老年人体力活动与抑郁症发生率的关系
Relationship between physical activity and incidence of depression in Chinese older adults
胡中华 1赵红艳 2姜秀荣 3奚迎雪 1沈丽娟 1叶天 1卢春凤1
作者信息
- 1. 湖州师范学院医学院(护理学院),浙江 313000
- 2. 湖州市中心医院
- 3. 湖州师范学院医学院(护理学院),浙江 313000;湖州市重大慢性疾病精准防控重点实验室
- 折叠
摘要
目的:了解我国老年人不同强度体力活动的分布现状,并探讨其总体力活动剂量对抑郁症发生率的影响.方法:基于2020年中国健康与养老追踪调查(CHARLS)数据库筛选8 235个样本.使用代谢当量(METs)计算体力活动,采用流调中心抑郁水平评定10条量表(CESD-10)判断是否存在抑郁症,使用Logistic回归分析探讨总体力活动剂量与抑郁症发生率之间的关系.结果:在老年人群中,参与体力活动低强度者占78.0%、中等强度者占53.1%、重强度者占32.2%,抑郁症发生率为40.9%.总体力活动剂量为最低体力活动推荐量(600 METs-min/week)的1～3倍(600～1 800 METs-min/week)时,与抑郁症的发生率呈负相关(P<0.05);总体力活动剂量≥12 000 METs-min/week时,与抑郁症发生率呈正相关(P<0.01).结论:我国大部分老年人以低强度体力活动为主,当总体力活动剂量为600～1 800 METs-min/week范围内时,可能会降低抑郁症发生率.然而,当每周总体力活动剂量达到或超过12 000 METs-min/week时,可能会导致抑郁发生率增高.
Abstract
Objective:To understand the current distribution of physical activity of different intensities among older adults in China and to explore the impact of overall physical activity dose on the incidence of depression.Methods:A total of 8 235 samples were selected from the 2020 China Health and Retirement Longitudinal Study(CHARLS)database.Physical activity was calculated using metabolic equivalents(METs).The Center for Epidemiologic Studies Depression Scale(CESD-10)was used to assess the presence of depression.Logistic regression analysis was employed to determine the relationship between the overall dose of physical activity and the incidence of depression.Results:Among the older adults,78.0% engaged in low-intensity physical activity,53.1% engaged in moderate-intensity physical activity,and 32.2% engaged in high-intensity physical activity,the incidence of depression was 40.9% .The overall dose of physical activity,ranging from 1 to 3 times(600 to 1 800 METs-min/week)the minimum recommended level(600 METs-min/week),showed a negative correlation with the incidence of depression(P<0.05).However,when the overall dose of physical activity was equal to or exceeded 12 000 METs-min/week,it showed a positive correlation with the incidence of depression(P<0.01).Conclusion:The majority of older adults in China engage in low-intensity physical activity.When the overall dose of physical activity ranges from(600 to 1 800 METs-min/week),it may potentially reduce the incidence of depression.However,when the overall dose of physical activity reaches or exceeds 12 000 METs-min/week,it may lead to an increased incidence of depression.
关键词
老年人/体力活动/抑郁/剂量-效应/影响因素Key words
older adults/physical activity/depression/dose-effect/influencing factor引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
万方数据