背景:体力活动(PA)与情感幸福感(AWB)的相互作用对于健康行为和健康结果都至关重要。当前的突出理论认为AWB对PA维护至关重要,PA被证明可以促进心理健康。然而,到目前为止,PA-AWB协会主要在实验室环境和介入设计中进行了研究,但是日常生活的观点并没有被关注,主要是由于技术限制。在数字化的过程中,在生态有效条件下,使用基于设备的方法研究身体活动和情感幸福感(PA-AWB)的受试者内关联的研究数量迅速增加,但是最近对人群证据的全面系统审查,年龄组,和不同的AWB组件仍然没有定论。
目标:因此,我们的目标是首先回顾评估基于密集纵向设备的日常生活研究(例如,电子智能手机日记和加速计)和实时PA-AWB数据,第二,开发和应用适用于这些研究的质量评估工具,第三,讨论发现并得出对研究和实践的启示。
方法:为此,在三个数据库中搜索了文献(WebofScience,PubMed,Scopus)至2022年11月。系统评价遵循PRISMA指南并已预先注册(PROSPEROid:CRD42021277327)。开发了一种改进的质量评估工具来说明纳入研究的偏倚风险。
结果:对研究结果的回顾表明,总的来说,日常生活中已经很短的PA回合,这显然不同于结构化的锻炼会议,与AWB呈正相关。特别是,能量感与偶然(非运动和非结构化)活动有关,和PA-AWB关联取决于人口特征。质量评估显示总体中等研究质量;然而,所应用的方法在调查之间很大程度上是不同的。总的来说,关于日常生活中PA-AWB协会的审查证据是模棱两可的;例如,根据PA和AWB分量(如强度,情感,影响,心情)出现了。
结论:所审查的证据可以推动关于世界卫生组织“一举一动”的概念是否可以扩展到日常生活AWB的讨论。同时,PA-AWB关系调查结果支持突出的理论,强调AWB在日常PA参与和维护中的关键作用。然而,审查还明确强调,需要推进和协调方法方法,以便对PA/AWB的具体特点进行更细粒度的调查,上下文因素,和生物学决定因素是日常生活中PA-AWB关联的基础。这将使该领域能够应对紧迫的挑战,例如PA-AWB协会的因果关系问题,这将有助于塑造和完善现有的理论,最终预测和改善健康行为,从而为精准医学提供方法。
BACKGROUND: The interplay of physical activity (PA) with affective well-being (AWB) is highly critical to both health behaviors and health outcomes. Current prominent theories presume AWB to be crucial for PA maintenance, and PA is evidenced to foster mental health. However, thus far, PA-AWB associations have mainly been researched in laboratory settings and with interventional designs, but the everyday life perspective had not been focused on, mostly due to technological limitations. In the course of digitization, the number of studies using device-based methods to research the within-subject association of physical activity and affective well-being (PA-AWB) under ecological valid conditions increased rapidly, but a recent comprehensive systematic
review of evidence across populations, age groups, and distinct AWB components remained inconclusive.
OBJECTIVE: Therefore, we aimed to firstly
review daily-life studies that assessed intensive longitudinal device-based (e.g., electronic smartphone diaries and accelerometry) and real-time PA-AWB data, secondly to develop and apply a quality assessment tool applicable to those studies, and thirdly to discuss findings and draw implications for research and practice.
METHODS: To this end, the literature was searched in three databases (Web of Science, PubMed, Scopus) up to November 2022. The systematic review followed the PRISMA guidelines and had been pre-registered (PROSPERO id: CRD42021277327). A modified quality assessment tool was developed to illustrate the risk of bias of included studies.
RESULTS: The
review of findings showed that, in general, already short PA bouts in everyday life, which clearly differ from structured exercise sessions, are positively associated with AWB. In particular, feelings of energy relate to incidental (non-exercise and unstructured) activity, and PA-AWB associations depend on population characteristics. The quality assessment revealed overall moderate study quality; however, the methods applied were largely heterogeneous between investigations. Overall, the reviewed evidence on PA-AWB associations in everyday life is ambiguous; for example, no clear patterns of directions and strengths of PA-AWB relationships depending on PA and AWB components (such as intensity, emotions,
affect, mood) emerged.
CONCLUSIONS: The reviewed evidence can fuel discussions on whether the World Health Organization\'s notion \"every move counts\" may be extended to everyday life AWB. Concurrently, the PA-AWB relationship findings endorse prominent theories highlighting the critical role of AWB in everyday PA engagement and maintenance. However, the
review also clearly highlights the need to advance and harmonize methodological approaches for more fine-grained investigations on which specific PA/AWB characteristics, contextual factors, and biological determinants underly PA-AWB associations in everyday life. This will enable the field to tackle pressing challenges such as the issue of causality of PA-AWB associations, which will help to shape and refine existing theories to ultimately predict and improve health behavior, thereby feeding into precision medicine approaches.