Relationships between depressive symptoms and self-reported unintentional injuries: the cross-sectional population–based FIN-D2D survey

BMC Public Health

Mauno Vanhala⁴  Heikki Oksa⁶  Olli Kampman⁸  Pekka Mäntyselkä⁴  Markku Peltonen⁵  Salme Järvenpää³  Hannu Kautiainen¹  Hannu J Koponen²  Arja Häkkinen⁷  Katariina Korniloff⁷ 

[1] Unit of Primary Health Care, Kuopio University Hospital, PO Box 1777, Kuopio FI-70211, Finland;University of Eastern Finland, Kuopio, FI-70210, Finland;Medcare foundation, Jyväskylä, Finland;Unit of Primary Health Care, University of Eastern Finland, PO Box 1627, Kuopio Campus FI-70211, Finland;Chronic Disease Epidemiology and Prevention Unit, National Institute for Health and Welfare, P.O. Box 30, Helsinki FI-00271, Finland;Tampere University Hospital, Teiskontie 35, Tampere, FI-33521, Finland;Department of Physical and Rehabilitation Medicine, Central Finland Central Hospital, Keskussairaalantie 19, FI-40620, Jyväskylä, Finland;Department of Psychiatry, Seinäjoki Hospital District and Medical School, University of Tampere, Tampere FI-33014, Finland

关键词: Physical activity;    Injury;    Depressive symptoms;    Beck depression inventory;   

Others  :  1163459
DOI  :  10.1186/1471-2458-12-516

 received in 2012-04-03, accepted in 2012-06-25,  发布年份 2012

【 摘 要 】

Background

There is a lack of knowledge on the influence of different levels of physical activity (PA) on unintentional injuries among those with depressive symptoms (DS). The aim of this study was to evaluate the relationship between PA categories and unintentional injuries among participants with and without DS based on a cross-sectional population–based FIN-D2D survey conducted in 2007.

Methods

Out of 4500, 2682 participants (60%) aged 45–74 years attended in this study. The unintentional injuries over the past year were captured in a questionnaire. DS were determined with the Beck Depression Inventory (≥ 10 points) and PA with the International Physical Activity Questionnaire. The statistical significance between DS and unintentional injury categories was evaluated by using t-test, chi-square test, or permutation test, analysis of covariance, or regression models. The factors related to unintentional injuries were estimated by univariate and multivariate logistic regression models.

Results

The proportion of subjects with unintentional injuries was higher among those with DS (17%) compared to those without DS (10%) (age- and gender-adjusted p = 0.023). The median (range) number of activity-loss days after injury was 22 (0–365) in participants with DS and 7 (0–120) in participants without DS ( p = 0.009). The percentage of subjects with unintentional injuries was not significantly different between PA categories in participants with DS and without DS. A stepwise multivariate logistic regression analysis showed that DS, functional ability, and musculoskeletal diseases were related to unintentional injuries.

Conclusions

PA level was not related to unintentional injuries, whereas those with DS had a higher prevalence of unintentional injuries and prolonged activity-loss after injury. These results underline the importance of injury prevention, especially among those who have DS and additional risk factors.

【 授权许可】

   
2012 Korniloff et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1 .

【 参考文献 】

• [1]Nordstrom DL, Zwerling C, Stromquist AM, Burmeister LF, Merchant JA: Epidemiology of unintentional adult injury in a rural population. J Trauma 2001, 51:758-766.
• [2]Patten SB, Williams JV, Lavorato DH, Eliasziw M: Major depression and injury risk. Can J Psychiatry 2010, 55:313-318.
• [3]Poole GV, Lewis JL, Devidas M, Hauser CJ, Martin RW, Thomae KR: Psychopathologic risk factors for intentional and nonintentional injury. J Trauma 1997, 42:711-715.
• [4]Tiesman HM, Peek-Asa C, Whitten P, Sprince NL, Stromquist A, Zwerling C: Depressive symptoms as a risk factor for unintentional injury: a cohort study in a rural county. Inj Prev 2006, 12:172-177.
• [5]Scaf‒Klomp W, Sanderman R, Ormel J, Kempen GIJM: Depression in older people after fall‒related injuries: a prospective study. Age and Ageing 2003, 32:88-94.
• [6]Vikhireva O, Pikhart H, Pajak A, Kubinova R, Malyutina S, Peasey A, Topor-Madry R, Nikitin Y, Marmot M, Bobak M: Non-fatal injuries in three Central and Eastern European urban population samples: the HAPIEE study. The Eur J Publ Health 2010, 20:695-701.
• [7]Sethi D, Racioppi F, Baumgarten I, Bertollini R: Reducing inequalities from injuries in Europe. Lancet 2006, 368:2243-2250.
• [8]Yearbook of Alcohol and Drug Statistics 2010: Official Statistics of Finland, Social Protection. Helsinki: National Institute for Health and Welfare; 2010.
• [9]Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J: Prevention of falls and consequent injuries in elderly people. Lancet 2005, 366:1885-1893.
• [10]Warburton DE, Nicol CW, Bredin SS: Health benefits of physical activity: the evidence. CMAJ 2006, 174:801-809.
• [11]Hootman JM, Macera CA, Ainsworth BE, Martin M, Addy CL, Blair SN: Association among physical activity level, cardiorespiratory fitness, and risk of musculoskeletal injury. Am J Epidemiol 2001, 154:251-258.
• [12]Hillsdon MM, Brunner EJ, Guralnik JM, Marmot MG: Prospective study of physical activity and physical function in early old age. Am J Prev Med 2005, 28:245-250.
• [13]Manini TM, Pahor M: Physical activity and maintaining physical function in older adults. British J Sports Med 2009, 43:28-31.
• [14]Saaristo T, Peltonen M, Keinänen-Kiukaanniemi S, Vanhala M, Saltevo J, Niskanen L, Oksa H, Korpi-Hyövälti E, Tuomilehto J: FIN-D2D Study Group: National type 2 diabetes prevention programme in Finland: FIN-D2D. Int J Circumpolar Health 2007, 66:101-112.
• [15]Saaristo TE, Barengo NC, Korpi-Hyovalti E, Oksa H, Puolijoki H, Saltevo JT, Vanhala M, Sundvall J, Saarikoski L, Peltonen M, Tuomilehto J: High prevalence of obesity, central obesity and abnormal glucose tolerance in the middle-aged Finnish population. BMC Publ Health 2008, 8:423. BioMed Central Full Text
• [16]World Health Organization: The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. WHO MONICA Project Principal Investigators. J Clin Epidemiol 1988, 41:105-114.
• [17]Katz S, Downs TD, Cash HR, Grotz RC: Progress in development of the index of ADL. Gerontologist 1970, 10:20-30.
• [18]Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW: Studies of Illness in the Aged. the Index of Adl: a Standardized Measure of Biological and Psychosocial Function. JAMA 1963, 185:914-919.
• [19]Lawton MP, Brody EM: Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969, 9:179-186.
• [20]McWhinnie JR: Disability assessment in population surveys: results of the O.E.C.D. Common Development Effort. Rev Epidemiol Sante Publique 1981, 29:413-419.
• [21]Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, Bowles HR, Hagstromer M, Sjostrom M, Pratt M: The IPS Group: The International Prevalence Study on Physical Activity: results from 20 countries. Int J Behav Nutr Phys Act 2009, 6:21. BioMed Central Full Text
• [22]Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003, 35:1381-1395.
• [23]Hallal PC, Victora CG: Reliability and validity of the International Physical Activity Questionnaire (IPAQ). Med Sci Sports Exerc 2004, 36:556.
• [24]Fogelholm M, Malmberg J, Suni J, Santtila M, Kyrolainen H, Mantysaari M, Oja P: International physical activity questionnaire: validity against fitness. Med Sci Sports Exerc 2006, 38:753-760.
• [25]Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J: An inventory for measuring depression. Arch Gen Psychiatry 1961, 4:561-571.
• [26]Koponen H, Jokelainen J, Keinanen-Kiukaanniemi S, Kumpusalo E, Vanhala M: Metabolic syndrome predisposes to depressive symptoms: a population-based 7-year follow-up study. J Clin Psychiatry 2008, 69:178-182.
• [27]Väänänen A, Buunk AP, Kivimäki M, Vahtera J, Koskenvuo M: Change in reciprocity as a predictor of depressive symptoms: a prospective cohort study of Finnish women and men. Soc Sci Med 2008, 67:1907-1916.
• [28]Modén B, Ohlsson H, Merlo J, Rosvall M: Psychotropic drugs and accidents in Scania. Sweden, The European Journal of Public Health; 2011, Sep 6. [Epub ahead of print]
• [29]Woolcott JC, Richardson KJ, Wiens MO, Patel B, Marin J, Khan KM, Marra CA: Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med 2009, 169:1952-1960.
• [30]Maglione JE, Ancoli-Israel S, Peters KW, Paudel ML, Yaffe K, Ensrud KE, Stone KL: Depressive symptoms and subjective and objective sleep in community-dwelling older women. J Am Geriatr Soc 2012, 60:635-643.
• [31]Roux CH, Guillemin F, Boini S, Longuetaud F, Arnault N, Hercberg S, Briancon S: Impact of musculoskeletal disorders on quality of life: an inception cohort study. Ann Rheum Dis 2005, 64:606-611.
• [32]Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: American College of Sports Medicine, American Heart Association: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007, 116:1081-1093.
• [33]Xiang H, Smith GA, Wilkins JR, Chen G, Hostetler SG, Stallones L: Obesity and risk of nonfatal unintentional injuries. Am J Prev Med 2005, 29:41-45.
• [34]Ministry of Social Affairs and Health: Safe at home and at leisure. Target programme for the prevention of home and leisure accident injuries for 2007–2012. Helsinki: Publications of the Ministry of Social Affairs and Health; 2006:20-21.
• [35]Carlson SA, Hootman JM, Powell KE, Macera CA, Heath GW, Gilchrist J, Kimsey J, Dexter C, Kohl HW: Self-reported injury and physical activity levels: United States 2000 to 2002. Ann Epidemiol 2006, 16:712-719.
• [36]Parkkari J, Kannus P, Natri A, Lapinleimu I, Palvanen M, Heiskanen M, Vuori I, Järvinen M: Active living and injury risk. Int J Sports Med 2004, 25:209-216.
• [37]Powell KE, Heath GW, Kresnow MJ, Sacks JJ, Branche CM: Injury rates from walking, gardening, weightlifting, outdoor bicycling, and aerobics. Med Sci Sports Exerc 1998, 30:1246-1249.
• [38]Martin-Diener E, Brügger O, Martin B: Physical activity promotion and injury prevention: relationship in sports and other forms of physical activity. Berne: bfu - Swiss Council for Accident Prevention 2010. bfu-report no. 64. ISBN 978-3-908192-38-1
• [39]Wan JJ, Morabito DJ, Khaw L, Knudson MM, Dicker RA: Mental illness as an independent risk factor for unintentional injury and injury recidivism. J Trauma 2006, 61:1299-1304.
• [40]Kempen GI, Sanderman R, Scaf-Klomp W, Ormel J: The role of depressive symptoms in recovery from injuries to the extremities in older persons. A prospective study. Int J Geriatr Psychiatry 2003, 18:14-22.
• [41]Elander J, West R, French D: Behavioral correlates of individual differences in road-traffic crash risk: an examination method and findings. Psychol Bull 1993, 113:279-294.
• [42]Nuevo R, Dunn G, Dowrick C, Vazquez-Barquero JL, Casey P, Dalgard OS, Lehtinen V, Ayuso-Mateos JL: Cross-cultural equivalence of the Beck Depression Inventory: a five-country analysis from the ODIN study. J Affect Disord 2009, 114:156-162.