目的研究社区老年人罹患慢性躯体疾病及参加休闲活动情况与抑郁情绪存在的交互影响。方法通过横断面调查研究,以2014年6月20日至8月20日完成社区老年心理状况调查的3007名社区老年人(年龄≥60岁)为研究对象,采用老年抑郁问卷(Geriatric ...目的研究社区老年人罹患慢性躯体疾病及参加休闲活动情况与抑郁情绪存在的交互影响。方法通过横断面调查研究,以2014年6月20日至8月20日完成社区老年心理状况调查的3007名社区老年人(年龄≥60岁)为研究对象,采用老年抑郁问卷(Geriatric Depression Inventory,GDI)评价抑郁情绪,采用休闲活动问卷评估休闲活动参与情况。通过Logistic回归分析慢性躯体疾病和休闲活动与抑郁情绪之间的关系,并分析两者之间的交互作用。结果(1)社区调查老年人抑郁情绪检出率为35.78%(1076/3007)。(2)Logistic回归分析显示,糖尿病(OR=1.42,95%CI:1.14-1.76)、高脂血症(OR=1.27,95%CI:1.09-1.56)、冠心病(OR=1.31,95%CI:1.04-1.63)、短暂性脑缺血发作(OR=1.31,95%CI:1.04-1.63)与抑郁情绪发生风险增加有关(均P<0.05);伸展弹性运动(OR=0.79,95%CI:0.68-0.92)与抑郁情绪发生风险降低有关(P<0.05)。(3)糖尿病和不参加伸展弹性运动作为抑郁情绪发生的危险因素具有交互作用[交互作用归因比(attributable proportion due to interaction,AP)=41.75%]。结论社区老年人抑郁情绪较常见,慢性躯体疾病可能增加社区老年人抑郁障碍发生风险,尤其是糖尿病、高脂血症、冠心病、短暂性脑缺血发作等疾病;积极参加伸展弹性运动,可能对于减少抑郁情绪的发生具有一定意义。展开更多
BACKGROUND： Dysmenorrhea is a common gynecologic problem. In some cases, non-medical treatments are considered to be more effective, with fewer side effects. Ginger and exercise are alternative treatments for dysmeno...BACKGROUND： Dysmenorrhea is a common gynecologic problem. In some cases, non-medical treatments are considered to be more effective, with fewer side effects. Ginger and exercise are alternative treatments for dysmenorrhea, but in the present study they were not combined. OBJECTIVE： In this study, the effects of ginger and exercise on primary dysmenorrhea were compared. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： This randomized controlled tdal was performed in Mazandaran University of Medical Sciences, Iran. Two groups of female students were recruited by simple random allocation. In each group, 61 students with moderate to severe primary dysmenorrhea with regular menstrual cycles and without a history of regular exercise were assessed. The ginger group received 250 mg ginger capsules from the onset of menstruation. In the exercise group, belly and pelvic stretching exercises were performed for 10 min, 3 times per week. MAIN OUTCOME MEASURES： Intensity of pain was assessed according to a visual analogue scale after the first and the second month. RESULTS： Exercise was significantly more effective than ginger for pain relief （31.57± 16.03 vs 38.19 ± 20.47, P = 0.02）, severity of dysmenorrhea （63.9% vs 44.3% mild dysmenorrhea, P = 0.02） and decrease in menstrual duration （6.08 ± 1.22 vs 6.67± 1.24, P = 0.006）, in the second cycle. CONCLUSION： Stretching exercises, as a safe and low-cost treatment, are more effective than ginger for pain relief in primary dysmenorrhea.展开更多
文摘目的研究社区老年人罹患慢性躯体疾病及参加休闲活动情况与抑郁情绪存在的交互影响。方法通过横断面调查研究,以2014年6月20日至8月20日完成社区老年心理状况调查的3007名社区老年人(年龄≥60岁)为研究对象,采用老年抑郁问卷(Geriatric Depression Inventory,GDI)评价抑郁情绪,采用休闲活动问卷评估休闲活动参与情况。通过Logistic回归分析慢性躯体疾病和休闲活动与抑郁情绪之间的关系,并分析两者之间的交互作用。结果(1)社区调查老年人抑郁情绪检出率为35.78%(1076/3007)。(2)Logistic回归分析显示,糖尿病(OR=1.42,95%CI:1.14-1.76)、高脂血症(OR=1.27,95%CI:1.09-1.56)、冠心病(OR=1.31,95%CI:1.04-1.63)、短暂性脑缺血发作(OR=1.31,95%CI:1.04-1.63)与抑郁情绪发生风险增加有关(均P<0.05);伸展弹性运动(OR=0.79,95%CI:0.68-0.92)与抑郁情绪发生风险降低有关(P<0.05)。(3)糖尿病和不参加伸展弹性运动作为抑郁情绪发生的危险因素具有交互作用[交互作用归因比(attributable proportion due to interaction,AP)=41.75%]。结论社区老年人抑郁情绪较常见,慢性躯体疾病可能增加社区老年人抑郁障碍发生风险,尤其是糖尿病、高脂血症、冠心病、短暂性脑缺血发作等疾病;积极参加伸展弹性运动,可能对于减少抑郁情绪的发生具有一定意义。
基金supported by a grant from theResearch Deputy of Mazandaran University of Medical Sciences(grant number:H-92-24),Iran
文摘BACKGROUND： Dysmenorrhea is a common gynecologic problem. In some cases, non-medical treatments are considered to be more effective, with fewer side effects. Ginger and exercise are alternative treatments for dysmenorrhea, but in the present study they were not combined. OBJECTIVE： In this study, the effects of ginger and exercise on primary dysmenorrhea were compared. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： This randomized controlled tdal was performed in Mazandaran University of Medical Sciences, Iran. Two groups of female students were recruited by simple random allocation. In each group, 61 students with moderate to severe primary dysmenorrhea with regular menstrual cycles and without a history of regular exercise were assessed. The ginger group received 250 mg ginger capsules from the onset of menstruation. In the exercise group, belly and pelvic stretching exercises were performed for 10 min, 3 times per week. MAIN OUTCOME MEASURES： Intensity of pain was assessed according to a visual analogue scale after the first and the second month. RESULTS： Exercise was significantly more effective than ginger for pain relief （31.57± 16.03 vs 38.19 ± 20.47, P = 0.02）, severity of dysmenorrhea （63.9% vs 44.3% mild dysmenorrhea, P = 0.02） and decrease in menstrual duration （6.08 ± 1.22 vs 6.67± 1.24, P = 0.006）, in the second cycle. CONCLUSION： Stretching exercises, as a safe and low-cost treatment, are more effective than ginger for pain relief in primary dysmenorrhea.
