Associations of sedentary behaviors with mental health outcomes in a cohort of patients with minor ischemic stroke

作者全名：Zhu, Yongping; Lu, Yi; Mo, Yongbiao; Zhang, Jun; Yin, Xiang; Lin, Jie; Li, Xuelian; Liang, Hongtao; Li, Yongyong; Wang, Ying; Yang, Xiao; Shang, Tingting; Li, Haihua; Hu, Zicheng

作者地址：[Zhu, Yongping; Lu, Yi; Zhang, Jun; Yin, Xiang; Lin, Jie; Li, Xuelian; Liang, Hongtao; Li, Haihua; Hu, Zicheng] Peoples Hosp Chongqing Hechuan, Dept Neurol, Chongqing, Peoples R China; [Mo, Yongbiao] Peoples Hosp Chongqing Hechuan, Dept Emergency, Chongqing, Peoples R China; [Li, Yongyong] Chongqing Med Univ, Affiliated Hosp 2, Dept Gerontol, Chongqing, Peoples R China; [Wang, Ying] Chongqing Med Univ, Affiliated Hosp 2, Dept Rehabil Med, Chongqing, Peoples R China; [Yang, Xiao] Ningxia Med Univ, Neurosci Ctr, Diag & Treatment Engn Technol Res Ctr Nervous Syst, Gen Hosp, Yinchuan, Peoples R China; [Shang, Tingting; Hu, Zicheng] Chongqing Med Univ, Affiliated Hosp 2, Dept Ultrasound, Chongqing, Peoples R China; [Li, Haihua; Hu, Zicheng] Peoples Hosp Chongqing Hechuan PHHC, Dept Neurol, Chongqing, Peoples R China

通信作者：Li, HH; Hu, ZC (通讯作者)，Peoples Hosp Chongqing Hechuan PHHC, Dept Neurol, Chongqing, Peoples R China.

来源：JOURNAL OF PSYCHOSOMATIC RESEARCH

ESI学科分类：PSYCHIATRY/PSYCHOLOGY

WOS号：WOS:001248727100001

JCR分区：Q2

影响因子：3.5

年份：2024

卷号：183

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Sedentary behaviors; Acute ischemic stroke; Mental health

摘要：Objective: The relationship between sedentary behaviors and functional outcomes of acute ischemic stroke (AIS) has been previously reported. However, it remains unclear whether sedentary behaviors are associated with mental health outcomes in AIS patients. Therefore, the objective of this study was to investigate the mental health outcomes in patients with minor AIS one year after stroke onset. Methods: This cross-sectional study recruited 1230 patients with minor AIS (NIHSS <= 5) from three hospitals in China. One year after discharge, patients were interviewed using face-to-face questionnaires, including the PHQ9, GAD -7, and ISI, to assess symptoms of depression, anxiety, and insomnia, respectively. Participants were categorized into the long sedentary time group and the short sedentary time group based on the median sedentary time of all participants. The associations between leisure sedentary time and mental health outcomes were investigated. Results: Participants with a long leisure sedentary time had higher PHQ-9, GAD -7, and ISI scores than those with a short sedentary time. Longer sedentary time was associated with an increased risk of experiencing symptoms of major depression (RR, 95% CI: 1.79, 1.47 to 2.18), anxiety (RR, 95% CI: 3.28, 2.08 to 5.18), and insomnia (RR, 95% CI: 2.58, 2.03 to 3.28) one year after a minor AIS. Conclusion: Excessive sedentary time is associated with long-term mental health conditions after stroke. Therefore, reducing the sedentary time might be helpful for preventing poststroke depression, anxiety, and insomnia.

基金机构：National Natural Science Foundation of China [81860250]; Natural Science Foundation of Chongqing [cstc2021jcyj-bshX0157]

基金资助正文：Funding source National Natural Science Foundation of China (No.81860250) and Natural Science Foundation of Chongqing (cstc2021jcyj-bshX0157) .