休闲体力活动降低我国中老年人严重心理困扰的发病风险

The Reduce of Serious Psychological Distress Risk through Leisure Physical Exercise

目的:采用大样本、纵向研究数据探讨我国中老年人休闲体力活动与严重心理困扰的关系。方法:采用中国家庭跟踪研究(CFPS)数据,纳入分析对象为2010年基线调查及2014年跟踪调查中50岁以上老年人9220人,平均年龄为60. 54±7. 61岁.其中男性占50. 6%。用凯斯勒心理困扰量表(K6)评定心理困扰程度,得分≥13认定为严重心理困扰。休闲体力活动水平采用受访者报告工作日和休息日的体力活动时间评价。结果:在控制人口学、生活方式以及社会关系等变量条件下,休闲体力活动水平与2010年严重心理困扰显著相关(校正OR=0. 819,95%可信区间(CI:0. 717,0. 936),并降低2014年新发严重心理困扰的相对危险度(校正OR=0. 919,95%CI:0. 815,1. 307)。结论:休闲体力活动是我国中老年人严重心理困扰的保护性因素,是重要的健康促进方法。

Objective:This study uses a large sample and longitudinal data to explore the relationship between leisure-time physical activity and psychological distress in middle and old aged people in China.Methods:Using Chinese Family Panel Study(CFPS)data,the objects were 9220 people aged 50 and over in 2010 baseline survey and follow-up survey in 2014,among which 50.6%were male.Kessler psychological distress scale(K6)was used for assessment of the degree of psychological distress,those who scored more than 13 was identified as serious psychological distress.Leisure-time physical activity levels were measured by respondents reported physical activity hours on weekdays and rest days.Results:Under the control of demographic,lifestyle and social relationship variables,the relations between leisure-time physical activity and serious psychological distress in 2010 are marginally significant(adjusted OR=0.819,95%confidence interval(CI:0.717,0.936).Physical activity in 2010 was protective for subsequent serious psychological distress in 2014(adjusted OR=0.919,95%CI:0.815,1.307).Conclusion:Leisure-time physical activity was protective factor for serious psychological distress in middle and old aged people,and was one of the important methods for health promotion.