社区体育活动设施与心血管疾病事件的关联
Yulin Huang1,2,3,4,5, Huimin Zhao6, Qiuju Deng1,2,3,4,5
1Center for Clinical and Epidemiologic Research, Beijing Anzhen Hospital, Capital Medical University, 100029, Beijing, China.
International journal of health geographics
|July 29, 2023
概括
靠近体育活动设施的生活降低了心血管疾病 (CVD) 的风险. 增加这些空间的可用性与心血管疾病和中风的发病率降低有关,突出城市规划.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 城市规划 城市规划
背景情况:
- 关于社区体育活动 (PA) 设施与心血管疾病 (CVD) 风险之间的联系,从个人层面的长期研究中获得的证据有限.
- 社区环境可能会影响健康行为和结果,包括心血管疾病发病率.
研究的目的:
- 调查社区体育活动 (PA) 设施的可用性与心血管疾病 (CVD),冠心病 (CHD) 和中风的发病率之间的联系.
- 评估500米半径内PA设施的存在和密度如何影响心血管疾病风险.
主要方法:
- 利用了来自中国多省份队列研究的4658名参与者的数据,不包括先前患有心血管疾病的参与者.
- 采用时间依赖的考克斯回归模型来分析PA设施可用性 (存在和密度) 与发生心血管疾病,心血管疾病和中风之间的关系,平均随访时间为12.1年.
主要成果:
- 居住在PA设施附近的参与者显示,心血管疾病 (HR 0.80) 和中风 (HR 0.76) 的风险显著降低.
- 更高的PA设施密度 (2或≥3个设施) 与心血管疾病风险 (分别降低35%和28%) 和中风风险 (分别降低40%和38%) 的大幅降低有关.
- 在PA设施的可用性和中风高血压史以及心血管疾病和中风糖尿病史之间观察到显著的效果修改.
结论:
- 拥有更多体育活动 (PA) 设施的社区与发生心血管疾病 (CVD) 的风险降低有关.
- 旨在增加PA设施接入的城市规划策略可以成为预防心血管疾病的公共卫生倡议的有价值组成部分.
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