Physical and mental health

身心健康
  • 文章类型: Journal Article
    儿童和青少年久坐行为(SB)的增加是对全球公共卫生的主要威胁之一,体力活动(PA)和SB之间的关系一直是一个关键的话题。
    文献检索通过PubMed,WebofScience,CNKI,万方,还有Scopus,在筛选和评估后,121篇文献被纳入本研究。
    (1)由手机和电视等屏幕时间引起的SB对肥胖有不同程度的负面影响,心血管代谢,骨骼肌发育,和认知,以及儿童和青少年的心理障碍。(2)有规律的体力活动可以有效预防,偏移,或改善SB对儿童和青少年身心健康的危害,主要是通过减少肥胖的发生率,心血管和代谢风险,促进骨骼肌发育,改善认知功能和心理健康。(3)体力活动预防或减轻SB危害的机制比较复杂,主要涉及神经生物分子的抑制或激活,改善血液和细胞代谢因子,以及大脑功能连通性的增强。
    儿童和青少年应该避免过度的SB,并通过各种中等至剧烈的体力活动(MVPA)来替代或间歇性的SB,能有效预防或改善SB对身心健康的危害。
    UNASSIGNED: The increase in sedentary behavior (SB) in children and adolescents is one of the major threats to global public health, and the relationship between physical activity (PA) and SB has always been a key topic.
    UNASSIGNED: The literature search was conducted through PubMed, Web of Science, CNKI, Wanfang, and Scopus, and 121 pieces of literature were included in this study after screening and evaluation.
    UNASSIGNED: (1) SB caused by screen time such as mobile phones and TVs has varying degrees of negative impact on obesity, cardiovascular metabolism, skeletal muscle development, and cognitive, and psychological disorders in children and adolescents. (2) Regular physical activity could effectively prevent, offset, or improve the harm of SB to the physical and mental health of children and adolescents, mainly by reducing the incidence of obesity, and cardiovascular and metabolic risks, promoting skeletal muscle development, and improving cognitive function and mental health. (3) The mechanism of physical activity to prevent or ameliorate the harm of SB was relatively complex, mainly involving the inhibition or activation of neurobiomolecules, the improvement of blood and cell metabolic factors, and the enhancement of brain functional connectivity.
    UNASSIGNED: Children and adolescents should avoid excessive SB, and through a variety of moderate to vigorous physical activity (MVPA) to replace or intermittent SB, which could effectively prevent or improve the harm of SB to physical and mental health.
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  • 文章类型: Journal Article
    我们进行了范围审查,以确定当前胎儿酒精谱系障碍(FASD)诊断标准之外的因素,作为整体评估过程的一部分。这包括物理,社会,文化,心理健康和福祉因素,以提供有针对性的建议和支持,以改善FASD患者的预后。此次审查的证据将用于为《澳大利亚FASD诊断指南》的修订提供信息。搜索了六个电子数据库。如果研究包括涵盖形态学畸形的诊断标准之外的因素,生长限制,神经发育障碍。进行了数据图表和内容分析以综合结果。纳入了121项研究,涉及12个关键领域,包括身体健康,睡眠,不良的产后经历,物质使用/其他冒险行为,与刑事司法系统的联系,心理健康,第一民族的文化考虑,过渡到成人角色,参与家庭外护理系统,喂养和进食,优势/兴趣/外部资源和失禁。被视为整体评估和诊断过程的一部分的领域跨越个人,家庭,和系统级因素。结果为临床医生提供了可能影响长期健康的广泛因素的指导。发展,以及产前酒精暴露和FASD患者的健康。在实践中,本指南可用于为个性化评估过程提供信息,以促进量身定制的建议和支持,从而最好地满足与FASD生活在一起的个人及其家人的复杂需求。
    We undertook a scoping review to identify the factors outside of current fetal alcohol spectrum disorder (FASD) diagnostic criteria to be considered as part of a holistic assessment process. This included physical, social, cultural, mental health and wellbeing factors to inform targeted recommendations and supports to improve outcomes for individuals with FASD. Evidence from this review will be used to inform the revision of the Australian Guide to the Diagnosis of FASD. Six electronic databases were searched. Studies were eligible if they included factors outside of the diagnostic criteria that cover dysmorphology, growth restriction, neurodevelopmental impairments. Data charting and content analysis were performed to synthesize the results. One hundred twenty-one studies were included that spanned 12 key areas These included physical health, sleep, adverse postnatal experiences, substance use/other risk-taking behaviors, contact with the criminal justice system, mental health, First Nations cultural considerations, transition to adult roles, involvement with the out-of-home care system, feeding and eating, strengths/interests/external resources and incontinence. Areas to be considered as part of a holistic assessment and diagnostic process spanned individual, family, and system level factors. Results provide guidance for clinicians on the wide range of factors that could influence long-term health, development, and wellbeing for individuals with prenatal alcohol exposure and FASD. In practice, this guidance can be used to inform an individualized assessment process to facilitate tailored recommendations and supports to best meet the complex needs of individuals living with FASD and their families.
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    文章类型: Review
    The article provides a review of research literature on the social and psychological peculiarities of working and non-working pensioners with additional new data on their life quality. Six psychographic profiles of pensioners based on their post-retirement activities and motivations for new life path choices were described and examined, enabling identification of the subjects\' personality types. These data are essential for psychologists and social workers consulting people approaching retirement age and recent retirees on their retirement lifestyle, ways to organize their working life and effective (creative) pastime, including career development later in life, without sacrificing their physical and mental health. The article looks at the main reasons behind continuing work after retirement thereby supplementing the existing knowledge on post-retirement work motivations. It is important to consider the data obtained when designing public policies on post-retirement work promotion. In its psychological aspect, the process of settling into retirement is similar to the emotional phases associated with the transitional periods of human life. After quitting work, almost all retirees face them in one form or another. Their ability to navigate the process is what will eventually determine how they will spend this stage of their lives. The article analyzes five stages of retirement.
    Представлен обзор научной литературы о социально-психологических особенностях работающих и неработающих пенсионеров с дополнением новых знаний о качестве их жизни. Описаны и проанализированы шесть психографических профилей пенсионеров в зависимости от их деятельности после выхода на пенсию или отправных точек выбора нового жизненного пути, что позволяет сформировать тип личности. Данные сведения необходимы психологам и специалистам по социальной работе для консультаций лиц предпенсионного возраста и новоиспеченных пенсионеров по вопросам их жизни на пенсии, правильного построения трудовой деятельности или эффективного (творческого) времяпрепровождения, включая развитие карьеры в позднем возрасте, без ущерба для физического и психического здоровья. Проанализированы основные причины продолжения трудовой деятельности пожилых людей на пенсии, которые позволяют дополнить знания о мотивации пенсионеров к труду. Полученные данные также важно учитывать при разработке государственной политики по активному вовлечению пожилых людей к работе на пенсии. Психологически процесс выхода на пенсию по своей природе аналогичен эмоциональным фазам, сопровождающим переходные периоды жизни человека. В той или иной форме с ними сталкиваются практически все пенсионеры после того как перестают работать. Их способность сориентироваться в этом процессе в конечном итоге определит, как они проживут этот этап жизни. В статье проанализировано пять стадий выхода на пенсию.
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  • 文章类型: Systematic Review
    UNASSIGNED:关于体力活动(PA)是否与儿科人群的身心健康有关,迄今尚未达成共识。为了进一步探索他们的联系,我们的研究通过系统评价和随机对照研究(RCTs)的荟萃分析评估了PA对儿童和青少年身心健康的影响.
    未经评估:几个数据库(Webofscience,PubMed,Embase,Cochrane中央对照试验登记册,CINAHL)从开始到第一次进行搜索,2020年12月没有语言限制。
    UNASSIGNED:初步确定了38,236条记录,有1,255名参与者的31项纳入研究最终符合我们的纳入标准。所有这些都表现出总体质量偏倚的相对低-中等风险.关于心理健康,PA的管理,与对照组相比,导致儿童和青少年自闭症谱系障碍(ASD)[标准平均差(SMD)=-0.50,置信区间(CI):-0.87,-0.14)]和抑郁症(SMD=-0.68,CI:-0.98,-0.38)的中度改善。同样,在肥胖中观察到显著结果(SMD=-0.58,CI:-0.80,-0.36).注意缺陷多动障碍(ADHD)没有显着差异(SMD=-0.29,CI:-0.59,0.01)。
    未经评估:总而言之,PA可能对患有ASD的儿童和青少年有有益的影响,抑郁和肥胖;尽管如此,没有足够的证据证实其在ADHD中的疗效.需要更大规模的基于人群的随机对照试验来探索它们之间更可靠的证据。
    UNASSIGNED: No consensus on whether physical activity (PA) is related to physical and mental health among pediatric population remains has been reached to date. To further explore their association, our study assessed the effect of PA on physical and mental health of children and adolescents through a systematic review and meta-analysis of randomized controlled studies (RCTs).
    UNASSIGNED: Several databases(Web of science, PubMed, Embase, Cochrane Central register of controlled trials, CINAHL) were searched from inception to 1st, December 2020 without language restrictions.
    UNASSIGNED: 38,236 records were identified primitively and 31 included studies with 1,255 participants eventually met our inclusion criteria, all of which exhibited a relatively low-moderate risk of bias of overall quality. In regard to mental health, the administration of PA, compared with the control group, led to moderate improvements in Autism Spectrum Disorder(ASD)[Standard mean difference (SMD) = -0.50, Confidence interval(CI): -0.87, -0.14)] and depression(SMD = -0.68, CI: -0.98, -0.38) among children and adolescents. Similarly, significant result was observed in obesity (SMD = -0.58, CI: -0.80, -0.36). No significant differences were observed in Attention deficit hyperactivity disorder (ADHD) (SMD = -0.29, CI: -0.59, 0.01).
    UNASSIGNED: Altogether, PA may have a beneficial effect on children and adolescents with ASD, depression and obesity; nevertheless, there is insufficient evidence to confirm its efficacy in ADHD. More large-scale population based randomized controlled trials are needed to explore more reliable evidence between them.
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  • 文章类型: Journal Article
    过度饮酒不仅会对饮酒者的健康产生负面影响,还会对周围的人产生负面影响。先前的研究表明,过度饮酒可能与年龄等因素有关,家庭背景,宗教信仰,等。调查和澄清饮酒的根源至关重要,以便以特定和有针对性的方式设计正确的干预措施。
    这项工作是作为系统评价进行的,目的是揭示与饮酒相关的因素,并提高对不同社区和人口群体在饮酒方面差异的理解。
    对WebofScience的系统搜索,PubMed,ScienceDirect,谷歌学者被执行。
    在排除不相关记录和重复项之后,将45项研究纳入审查。
    酒精消费模式可能与社区和个人相关的几个因素有关,我们的审查揭示了人口因素,包括年龄和靠近酒精场所,以及社会因素,包括家庭背景,社会经济背景,和宗教影响。这些发现可用于建立进一步研究的指南,以根据个人特征和社会文化背景了解个人之间的饮酒模式。
    Excessive alcohol consumption has negative effects not only on the drinkers\' health but also on others around them. Previous studies suggest that excessive alcohol consumption can be related to a combination of factors such as age, family background, religiosity, etc. Investigating and clarifying these roots of alcohol consumption is crucial so that the right type of interventions can be designed in a specific and targeted manner.
    This work was conducted as a systematic review to reveal the factors associated with alcohol consumption and to heighten the understanding of the differences among various communities and segments of the population regarding their usage of alcohol.
    A systematic search of Web of Science, PubMed, ScienceDirect, and Google Scholar was performed.
    Forty-five studies were included in the review after excluding irrelevant records and duplicates.
    Alcohol consumption patterns can be associated with several factors related to communities and individuals, and our review revealed demographic factors, including age and proximity to alcohol outlets, as well as social factors, including family background, socioeconomic background, and religious influence. These findings can be used to establish a guideline for further studies in understanding alcohol consumption patterns among individuals according to their personal characteristics and sociocultural backgrounds.
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  • 文章类型: Journal Article
    UNASSIGNED: To systematically review the effects of Tai Chi exercise as a nonpharmacological therapeutic strategy on the physical and mental health in individuals with knee osteoarthritis.
    UNASSIGNED: A systematic literature retrieval has been conducted in PubMed, Web of Science, EMbase, CENTRAL, OVID, CINAHL, Physiotherapy Evidence Database, Chinese Biomedical Database and China National Knowledge Infrastructure up to June 2020 to identify the relevant randomised controlled trials (RCTs).
    UNASSIGNED: Two authors assessed independently the risk of bias using the Cochrane Collaboration\'s tool. Standardised mean difference (SMD) and 95% CI were calculated and data were combined using the fixed or random-effect model. The strength of evidence was rated with Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.
    UNASSIGNED: A total of 16 RCTs involving 986 patients with knee osteoarthritis met the established inclusion criteria. The strength of evidence for the main outcomes was low or moderate. The systematic review illustrated the efficacy of Tai Chi exercise in treating and managing knee osteoarthritis. Patients\' outcomes practising Tai Chi exercise were improved significantly, including pain (SMD = ‒0.69, 95%CI: ‒0.95 to ‒0.44, P < 0.001), stiffness (SMD = ‒0.59, 95%CI: ‒0.91 to ‒0.27, P < 0.001), physical function (SMD = ‒0.92, 95%CI: -1.16 to ‒0.69, P < 0.001), dynamic balance (SMD = 0.69, 95%CI: 0.38 to 0.99, P < 0.001), physiological and psychological health (SF-36 PCS: SMD = 0.48, 95%CI: 0.28 to 0.68, P < 0.001; SF-36 MCS: SMD = 0.26, 95%CI: 0.06 to 0.45, P = 0.01). No adverse events associated with Tai Chi exercise were reported.
    UNASSIGNED: Tai Chi exercise was beneficial for ameliorating physical and mental health of patients with knee osteoarthritis and should be available as an alternative non-pharmacological therapy in rehabilitation programmes.
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  • 文章类型: Journal Article
    虽然人们对照顾负担及其对照顾者和照顾者的后果了解很多,缺乏关于痴呆症患者(PWD)家庭照顾者之间可能存在的性别和性别差异的报告.对这些性别和性别差异的关注和综合对该人群的卫生服务的规划和发展具有直接影响。当前的协议概述了对当前证据进行系统审查的策略,以识别和综合PWD家庭护理人员在护理负担中的性别和性别差异。
    与一所大学的信息专家合作,制定了一项全面的研究搜索策略,以研究护理影响和经验中的性别和性别差异。所有关于PWD成人家庭照顾者的同行评审英语语言研究,2007年1月至2017年9月,通过Medline找到,Embase,PsycINFO,护理和相关健康文献的累积指数和已识别文章的参考书目,将被视为合格。将使用关键评估技能计划清单评估研究质量。
    作为第一篇关注护理负担中性别和性别差异的系统评价,研究结果将与医疗保健从业人员和研究人员相关,他们可以更好地开出处方并开发干预措施和技术,以更好地解决PWD的男性和女性家庭护理人员所面临的具体挑战和负担。此外,考虑到一半以上的家庭照顾者是女性;在评估和规划我们的医疗保健系统以更好地满足这一人群的需求时,这些性别和性别差异也将与决策者相关。
    CRD42018070032。
    While much is known about caregiving burden and its consequences on both caregivers and care recipients, reports on the sex and gender differences that may be present among family caregivers of persons with dementia (PWD) are lacking. Attention to and a synthesis of these sex and gender distinctions have direct implications on the planning and development of health services for this population. The current protocol outlines a strategy for a systematic review of the current evidence to identify and synthesise sex and gender distinctions in caregiving burden experienced by family caregivers of PWD.
    A comprehensive search strategy for studies that examine the sex and gender differences in caregiving impacts and experiences has been developed in collaboration with an information specialist at a university. All peer-reviewed English language studies on adult family caregivers of PWD, published from January 2007 to September 2017, found through Medline, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature and bibliographies of identified articles, will be considered eligible. Study quality will be assessed using the Critical Appraisal Skills Programme checklists.
    As the first systematic review of its kind that focus on sex and gender differences in caregiving burden, findings will be relevant for healthcare practitioners and researchers who can better prescribe and develop interventions and technologies to better address the specific challenges and burden experienced by male and female family caregivers of PWD. Moreover, given that more than half of family caregivers are females; these sex and gender differences will also be pertinent to policy-makers when evaluating and planning of our healthcare systems to better meet the needs of this population.
    CRD42018070032.
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  • 文章类型: Journal Article
    基于滥用酒精会导致多种疾病和死亡率上升的知识,本系统综述研究了在减害方法中,减少个体饮酒是否有助于将健康风险降至最低.事实上,审查的63项研究表明,旨在减少酒精的干预措施(包括完全禁欲作为一种可能的治疗目的)确实导致或与有害的积极影响相关,危险或酒精依赖的饮酒者。观察到减少酒精相关伤害的主要益处,酒精性心肌病心室心功能的恢复,降低血压,生化参数的归一化,减轻体重,肝硬化前酒精相关性肝病的组织学改善和减缓已经存在的酒精引起的肝纤维化的进展。此外,减少戒断症状,精神病发作的患病率和住院天数,改善焦虑和抑郁症状,自信,身心生活质量,酒精摄入减少可以减少与酒精相关的不良后果,降低心理社会压力水平和改善社会功能。回顾的文献表明,在医疗保健系统或劳动力生产力等领域,具有显着的社会经济成本效益。具有高度脆弱性的个体进一步从酒精减少中显著受益(例如高血压,丙型肝炎,精神病合并症,怀孕,而且在青少年和年轻人中也是如此)。Concluding,经审查的研究强烈支持并强调了对有问题的酒精使用进行早期初始筛查的重要性和益处,然后在首次接触医疗保健机构中进行简短和其他干预,以减少酒精摄入.
    Based on the knowledge that alcohol misuse causes a multitude of diseases and increased mortality, this systematic review examines whether a reduction of the individual alcohol consumption can contribute to a minimization of health risks within a harm reduction approach. In fact, the reviewed 63 studies indicate that interventions aiming at alcohol reduction (including total abstinence as one possible therapeutic aim) indeed resulted in or were associated with positive effects in harmful, hazardous or alcohol-dependent drinkers. Major benefits were observed for reducing alcohol-associated injuries, recovery of ventricular heart function in alcoholic cardiomyopathy, blood pressure lowering, normalization of biochemical parameter, body weight reduction, histological improvement in pre-cirrhotic alcohol-related liver disease and slowed progression of an already existing alcohol-attributable liver fibrosis. Furthermore, reduced withdrawal symptoms, prevalence of psychiatric episodes and duration of in-patient hospital days, improvement of anxiety and depression symptoms, self-confidence, physical and mental quality of life, fewer alcohol-related adverse consequences as well as lower psychosocial stress levels and better social functioning can result from reduced alcohol intake. The reviewed literature demonstrated remarkable socioeconomic cost benefits in areas such as the medical health-care system or workforce productivity. Individuals with heightened vulnerability further benefit significantly from alcohol reduction (e.g. hypertension, hepatitis C, psychiatric co-morbidities, pregnancy, but also among adolescents and young adults). Concluding, the reviewed studies strongly support and emphasize the importance and benefits of early initial screening for problematic alcohol use followed by brief and other interventions in first contact medical health-care facilities to reduce alcohol intake.
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  • 文章类型: Journal Article
    Occupational determinants of ill health in dentists were systematically reviewed in literature. The methodological quality of the studies was evaluated. Studies were included if they evaluated health-related risk factors in dental practice by means of quantitative methods and statistical analysis of collected data. Despite all the factors affecting dentists\' physical and mental health, evidence of the predictive value of all these risk factors remains scarce. More than one-third (37%) of the studies appraised were found to be low quality research (weak or invalid). Results from studies investigating the factors associated with ill health in dentists do not allow for conclusions at the meta-level. More prospective and retrospective case-control studies should be conducted and attention should be paid to measuring outcomes with validated instruments to enable comparative studies and statistical summation of findings.
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