Physical activity and anxiety: A perspective from the World Health Survey

JOURNAL OF AFFECTIVE DISORDERS

卷:208

Article

Stubbs, Brendon^1,2  Koyanagi, Ai^3,4  Hallgren, Mats⁵  Firth, Joseph⁶  Richards, Justin^7,8  Schuch, Felipe^9,10  Rosenbaum, Simon¹¹  Mugisha, James^12,13  Veronese, Nicola^14,15  Lahti, Jouni¹⁶  Vancampfort, Davy^17,18 

[1] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, Denmark Hill, London SE5 8AZ, England

[2] Kings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat Psychol & Neurosci, De Crespigny Pk,London Box, London SE5 8AF, England

[3] Univ Barcelona, Res & Dev Unit, Fundacio St Joan de Deu, Parc Sanitari St Joan de Deu,Dr Antoni Pujadas 42, Barcelona 08830, Spain

[4] Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellon 11, Madrid 28029, Spain

[5] Karolinska Inst, Div Epidemiol & Publ Hlth Intervent Res EPHIR, Dept Publ Hlth Sci, S-17177 Solna, Sweden

[6] Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester, Lancs, England

[7] Univ Sydney, Sch Publ Hlth, Sydney, NSW, Australia

[8] Univ Sydney, Charles Perkins Ctr, Sydney, NSW, Australia

[9] Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil

[10] Posgrad Ciencias Med Unilassale, Canoas, Brazil

[11] Univ New South Wales, Sch Med Sci, Dept Exercise Physiol, Sydney, NSW, Australia

[12] Kyambogo Univ, Kampala, Uganda

[13] Butabika Natl Referral & Mental Hlth Hosp, Kampala, Uganda

[14] Univ Padua, Dept Med DIMED, Div Geriatr, I-35100 Padua, Italy

[15] Inst Clin Res & Educ Med IREM, Padua, Italy

[16] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland

[17] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium

[18] Katholieke Univ Leuven, Univ Psychiat Ctr, Leuven Kortenberg, Belgium

关键词: Physical activity;    Anxiety;    Exercise;    Multi-country study;    Community-based;    Psychiatry;   

DOI  :  10.1016/j.jad.2016.10.028

来源: Elsevier

【 摘 要 】

Background: Despite the known benefits of physical activity (PA) among people with anxiety, little is known about PA levels in people with anxiety at the population level. This study explored the global prevalence of anxiety and its association with PA. Methods: Cross-sectional, community-based data from the World Health Survey was analyzed. Prevalence of anxiety was estimated for 237,964 individuals (47 countries). PA was categorized as low, moderate, and high based on the International Physical Activity Questionnaire (short form). The association between PA and anxiety was assessed by multivariable logistic regression. Results: The overall global prevalence of anxiety was 11.4% (47 countries). Across 38 countries with available data on PA, 62.5%, 20.2%, and 17.3% of the sample engaged in high, moderate, and low levels of PA respectively. The prevalence of low physical activity in those with and without anxiety was 22.9% vs. 16.6% (p < 0.001) (38 countries, n=184,920). In the pooled model adjusted for socio-demographics, depression, and country, individuals engaging in low PA (vs. high PA) had 1.32 (95% CI=1.17-1.47) times higher odds for anxiety than those with high PA. Female sex, older age, lower education and wealth, and depression were also associated with low PA. At the individual country level, there was a significant positive association between low PA and anxiety in 17 of the 38 countries. Conclusion: Low PA levels are associated with increased prevalence of anxiety. There is a need for longitudinal research to establish the directionality of the relationships observed.

【 授权许可】

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