休时间和职业体力活动,整体和心血管死亡率:OPERA研究中的24年随访
Asla Suutari-Jääskö1, Karri Parkkila1, Juha Perkiömäki1
1Research Unit of Biomedicine and Internal Medicine, Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland.
Annals of medicine
|August 16, 2023
概括
职业体育活动 (OPA) 与休时间体育活动 (LTPA) 不同地影响健康. 沉重的OPA可能需要更少的LTPA以获得最佳的心血管健康,建议量身定制的运动指南.
科学领域:
- 心血管健康 心血管健康
- 职业医学 职业医学是专业的.
- 公共卫生 公共卫生
背景情况:
- 之前的研究仅将体育活动的好处与休时间体育活动 (LTPA) 联系起来.
- 高度的职业体力活动 (OPA) 有潜在的危害.
- 目前的体育活动指南没有区分OPA和LTPA.
研究的目的:
- 调查LTPA和OPA对心血管疾病发病率和死亡率的不同影响.
- 检查职业体力需求如何影响休时间运动所带来的健康益处.
主要方法:
- 对1044名受试者进行了长度研究 (1991-2020年).
- 基于自我报告的LTPA (没有,不规则,常规,重常规) 和OPA (没有,轻度,重度) 的分类.
- 使用Kaplan-Meier曲线和Cox比例危险模型进行生存分析,用于死亡率,心血管事件和心力衰竭.
主要成果:
- 患有严重OPA和不规则LTPA的个体的整体死亡率最低.
- 在轻度OPA组观察到整体死亡率增加 (p=0.002).
- 在重量OPA组 (p=0.005) 发现心血管疾病 (CVD) 死亡率增加.
- 在没有LTPA的组中,心力衰竭发病率相比于常规的重型LTPA增加 (p=0.015).
结论:
- 身体要求高的工作人员 (重型OPA) 可能会受益于比目前建议的更低的LTPA金额.
- 建议需要基于个人的OPA水平进行差异化的LTPA建议.
- 突出了职业和休体育活动对健康结果的复杂相互作用.
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