城乡社区低龄老人体育锻炼与心理健康的关系

Relationship between physical exercise and mental health among the urban and rural community younger elderly

目的:探讨低龄老年人体育锻炼与心理健康的关系及城乡差异。方法:采用多阶段分层随机抽样方法,选取5486名年龄在60~74岁的老年人(城市1193人,农村4293人),使用体育活动等级量表(PARS-3)、简易心理状况评定量表Kesler10(K10)进行调查。体育锻炼量分为基本不锻炼、小锻炼量、中等锻炼量、大锻炼量4个等级;K10总分<16分为心理健康状况良好。结果:参与中等以上锻炼量的老年人2817人(51.35%),心理健康的老年人3564人(64.97%)。回归分析结果显示,中等锻炼量、大锻炼量和低龄老年人心理健康状况正向关联(OR=1.32、1.88)。在城市人群中,中等锻炼量者(OR=1.53)心理健康较好。结论:低龄老年人体育锻炼与心理健康状况关系密切,中等锻炼量与心理健康的关系存在城乡差异。

Objective:To explore the relationship between physical exercise and mental health and its urbanrural difference among the younger elderly.Methods:Totally 5486 elderly people aged 60-74 years were selected with multi-stage stratified random sampling method(1193 in urban areas and 4293 in rural areas).The investigation was conducted with the Physical Activity Rating Scale(PARS-3)and Kessler 10 Scale(K10).The amount of physical exercise was divided into 4 grades(never exercise,small exercise,middle exercise and large exercise),and a to-tal score of K10<16 was defined as good mental health.Results:Totally 2817(51.35%)of the elderly participa-ted in middle or above physical exercise,and 3564(64.97%)had good mental health.The results of regression analysis showed that moderate and large amount of physical exercise were positively associated with mental health status among the younger elderly(OR=1.32,1.88).The interaction between residence and physical exercise showed that the middle exercise(OR=1.53)in urban population had better mental health.Conclusion:There is a close relationship between physical exercise and mental health among the younger elderly,and the relationship be tween middle exercise and mental health may be different between urban and rural areas.