中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2010年
10期
908-912
,共5页
左惠娟%姚崇华%胡以松%孔灵芝
左惠娟%姚崇華%鬍以鬆%孔靈芝
좌혜연%요숭화%호이송%공령지
代谢综合征X%运动活动%身体锻炼
代謝綜閤徵X%運動活動%身體鍛煉
대사종합정X%운동활동%신체단련
Metabolic syndrome X%Motor activity%Exercise movement techniques
目的 分析低到中等强度体力活动与代谢综合征(MS)的关系.方法 资料来源于中国居民2002年营养与健康调查,采用多阶段分层整群随机抽样方法在我国内地31个省、自治区、直辖市进行.调查方法包括询问调查、医学体检、实验室检查和膳食调查.共完成了26 477名18岁以上调查对象的体力活动调查.将低到中等强度体力活动时间分为0～、90～、151～、301～、＞420 min/周5个级别.检查诊断MS患病情况.分析年龄(分为18～、35～、45～、≥60岁4个年龄组)和体力活动时间与MS的关系.结果 我国18岁以上人群MS患病率为9.4%(2490/26 477),男、女患病率分别为10.3%(1191/11 516)和8.7%(1299/14 961)(x2=21.035,P=0.000);18～岁MS患病率为2.1%(127/6070),≥60岁MS患病率达15.0%(1012/6734),随着年龄增加,MS患病率增加(x2=776.768,P=0.000).81.2%(21 499/26 477)的调查对象进行低到中等强度体力活动,每周活动时间＞420 min者所占比例最高,为43.7%(11 561/26 477).运动0～、90～、151～、301～、＞420 min/周者MS患病率分别为13.8%(166/1203)、13.2%(64/485)、11.8%(153/1298)、10.1%(124/1225)和12.5%(512/4090)(x2=9.58,P=0.047).logistic回归分析结果显示,与每周低到中等强度体力活动时间90～min相比,活动时间301～min/周者MS患病危险降低具有统计学意义,OR=0.844(95% CI:0.675～0.968);＞420 min/周者MS患病危险的差异无统计学意义,OR=0.936(95% CI:0.769～1.136).结论 我国18岁以上成年人多数进行低到中等强度体力活动,每周低到中等强度体力活动时间301～min/周与MS的患病危险降低有关,但活动时间＞420 min/周与MS患病危险降低无关.
目的 分析低到中等彊度體力活動與代謝綜閤徵(MS)的關繫.方法 資料來源于中國居民2002年營養與健康調查,採用多階段分層整群隨機抽樣方法在我國內地31箇省、自治區、直轄市進行.調查方法包括詢問調查、醫學體檢、實驗室檢查和膳食調查.共完成瞭26 477名18歲以上調查對象的體力活動調查.將低到中等彊度體力活動時間分為0～、90～、151～、301～、＞420 min/週5箇級彆.檢查診斷MS患病情況.分析年齡(分為18～、35～、45～、≥60歲4箇年齡組)和體力活動時間與MS的關繫.結果 我國18歲以上人群MS患病率為9.4%(2490/26 477),男、女患病率分彆為10.3%(1191/11 516)和8.7%(1299/14 961)(x2=21.035,P=0.000);18～歲MS患病率為2.1%(127/6070),≥60歲MS患病率達15.0%(1012/6734),隨著年齡增加,MS患病率增加(x2=776.768,P=0.000).81.2%(21 499/26 477)的調查對象進行低到中等彊度體力活動,每週活動時間＞420 min者所佔比例最高,為43.7%(11 561/26 477).運動0～、90～、151～、301～、＞420 min/週者MS患病率分彆為13.8%(166/1203)、13.2%(64/485)、11.8%(153/1298)、10.1%(124/1225)和12.5%(512/4090)(x2=9.58,P=0.047).logistic迴歸分析結果顯示,與每週低到中等彊度體力活動時間90～min相比,活動時間301～min/週者MS患病危險降低具有統計學意義,OR=0.844(95% CI:0.675～0.968);＞420 min/週者MS患病危險的差異無統計學意義,OR=0.936(95% CI:0.769～1.136).結論 我國18歲以上成年人多數進行低到中等彊度體力活動,每週低到中等彊度體力活動時間301～min/週與MS的患病危險降低有關,但活動時間＞420 min/週與MS患病危險降低無關.
목적 분석저도중등강도체력활동여대사종합정(MS)적관계.방법 자료래원우중국거민2002년영양여건강조사,채용다계단분층정군수궤추양방법재아국내지31개성、자치구、직할시진행.조사방법포괄순문조사、의학체검、실험실검사화선식조사.공완성료26 477명18세이상조사대상적체력활동조사.장저도중등강도체력활동시간분위0～、90～、151～、301～、＞420 min/주5개급별.검사진단MS환병정황.분석년령(분위18～、35～、45～、≥60세4개년령조)화체력활동시간여MS적관계.결과 아국18세이상인군MS환병솔위9.4%(2490/26 477),남、녀환병솔분별위10.3%(1191/11 516)화8.7%(1299/14 961)(x2=21.035,P=0.000);18～세MS환병솔위2.1%(127/6070),≥60세MS환병솔체15.0%(1012/6734),수착년령증가,MS환병솔증가(x2=776.768,P=0.000).81.2%(21 499/26 477)적조사대상진행저도중등강도체력활동,매주활동시간＞420 min자소점비례최고,위43.7%(11 561/26 477).운동0～、90～、151～、301～、＞420 min/주자MS환병솔분별위13.8%(166/1203)、13.2%(64/485)、11.8%(153/1298)、10.1%(124/1225)화12.5%(512/4090)(x2=9.58,P=0.047).logistic회귀분석결과현시,여매주저도중등강도체력활동시간90～min상비,활동시간301～min/주자MS환병위험강저구유통계학의의,OR=0.844(95% CI:0.675～0.968);＞420 min/주자MS환병위험적차이무통계학의의,OR=0.936(95% CI:0.769～1.136).결론 아국18세이상성년인다수진행저도중등강도체력활동,매주저도중등강도체력활동시간301～min/주여MS적환병위험강저유관,단활동시간＞420 min/주여MS환병위험강저무관.
Objective To analyze the relationship between low to moderate physical activity and the prevalence of metabolic syndrome (MS). Methods A multi-stage stratified cluster sampling was conducted in 31 provinces,autonomous regions,and municipalities in the interior of China according to the program of the National Nutrition and Health Survey in 2002. Questionnaire survey, interview, physical examination,measurement of biochemical indices and dietary investigation were done. In total, the physical activity of 26 477 persons aged 18 or above were investigated. The duration of low to moderate physical activity was divided into five grades: 0- min/week ,90- min/week ,151 - min/week,301 - min/week ,over 420 min/week,and the MS prevalence were investigated respectively. The relationship between MS and age ( including four age groups 18 - ,35 - ,45 - ,60 or above) or the duration of physical time were investigated. Results The MS prevalence among persons aged 18 or above was 9.4% (2490/26 477 ). And the prevalence was 10.3% ( 1191/11 516) in man and 8.7% ( 1299/14 961 ) in women, respectively ( x2 = 21.035, P = 0.000). The MS prevalence was 2.1% ( 127/6070)in 18 - years old group and 15.0% (1012/6734) in over 60 years old group. The MS prevalence increased with increasing age ( x2 = 776.768, P = 0.000 ) . 81.2% (21 499/26 477) of subjects engaged in low to moderate intensity physical activity. The percentage of spending time on physical activity over 420 min/week was dominant and as high as 43.7% ( 11 561/26 477). The MS prevalence was 13.8% ( 166/1203 ) for 0 - min grade, 13.2% ( 64/485 ) for 90 - min grade, 11.8 % ( 153/1298 ) for 151 - min grade, 10.1% ( 124/1225 ) for 301 - min grade and 12.5% ( 512/4090 ) for over 420 min grade ( x2 = 9.58, P = 0.047 ). Logistic regression analysis results showed,the MS risk of subjects spending 301 - min per week on low to moderate intensity physical activity was significantly low than the MS prevalence among subjects of 90 - min grade, OR = 0.844 ( 95% CI:0.675-0.968),and no statistical difference was found in people spending over 420 min per week OR =0.936( 95% CI:0.769 - 1.136). Conclusion Most of people aged 18 or above engaged in low to moderate intensity physical activity. MS prevalence may be decreased by low to moderate intensity physical activity for 301 - min per week, but the decrease was not significant while the duration of time was longer than 420 min per week.
