CAJ | 학술논문

目的：探讨农村体力活动与其他心血管病危险因素的关系。方法利用甘肃榆中农村心血管病及危险因素的流行病学调查资料进行统计分析。体力活动量采用梅脱－小时（MET_hr）为定量单位。结果本次研究有效问卷1087份。男女间文化程度和年收入差异有统计学意义（ P＜0.01），肥胖率和吸烟率有显著差异（ P＜0.01）。劳作、家务、运动和交通体力活动中，农民的劳作日均活动量最高。高血压人群及中心性肥胖人群的劳作和日均活动总量分别低于非患病人群，差异有统计学意义（ P＜0.01），交通和休闲运动量与各类心血管病危险因素之间的差异均无统计学意义（ P＞0.01）。调整人口学特征后，劳作活动量和日均体力活动总量的增加对中心性肥胖有保护作用，运动量越大保护作用越强（P＜0.05）；同时高强度的劳作或增加日均活动总量对超重／肥胖有保护作用（P＜0.05）。结论我国不同社会人口学特征的居民运动情况不同，国内应针对不同人群的体力活动特点制定指南，引导我国居民积极参加体力活动。
목적：탐토농촌체력활동여기타심혈관병위험인소적관계。방법이용감숙유중농촌심혈관병급위험인소적류행병학조사자료진행통계분석。체력활동량채용매탈－소시（MET_hr）위정량단위。결과본차연구유효문권1087빈。남녀간문화정도화년수입차이유통계학의의（ P＜0.01），비반솔화흡연솔유현저차이（ P＜0.01）。노작、가무、운동화교통체력활동중，농민적노작일균활동량최고。고혈압인군급중심성비반인군적노작화일균활동총량분별저우비환병인군，차이유통계학의의（ P＜0.01），교통화휴한운동량여각류심혈관병위험인소지간적차이균무통계학의의（ P＞0.01）。조정인구학특정후，노작활동량화일균체력활동총량적증가대중심성비반유보호작용，운동량월대보호작용월강（P＜0.05）；동시고강도적노작혹증가일균활동총량대초중／비반유보호작용（P＜0.05）。결론아국불동사회인구학특정적거민운동정황불동，국내응침대불동인군적체력활동특점제정지남，인도아국거민적겁삼가체력활동。
Objective To analyze the relationship between physical activity (PA ) and other risk factors of cardiovascular disease.Methods By using data of cardiovascular disease and its risk factors from epidemiological study which was carried out in Yuzhong Country in Gansu.Using the quantitative unit MET_hr to measure the energy expenditure of PA.Results There are 1087 valid ques-tionnaires of the study.Education levels and annual income between male and female had a significant difference ( P<0.01) ,so did obesity rates and smoking rates.During toil ,housework ,excises and traffic of PA ,the average daily energy expenditure of farmers reached highest.Work PA and daily total PA energy expenditure of hypertension group and central obesity group were lower than peo-ple who were not sick ,there was a statistical significance ( P<0.01 ).The difference between the traffic and leisure_time PA energy expenditure and the risk factors of cardiovascular disease had no statistical significance ( P>0.05 ).After adjusting for demographic characteristics ,the increase of work PA or daily total PA energy expenditure can protect people from central obesity ,more PA energy expenditure makes more protective effect ( P<0.05 ).In the meantime ,the high_strength work or increase of daily total PA energy ex-penditure can protect people from overweight/obesity ( P<0.05 ). Conclusions Chinese residents with different social demographic distribution have different PA characters ,a PA guideline for different crowds should be formulated to guide Chinese residents to take part in physical activities positively.