邻里可行性及其对体力活动和心脏代谢疾病的影响:在加勒比小岛屿发展中国家的跨部门研究
Kern D Rocke1, Christina Howitt1, Jenna Panter2
1George Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, The University of the West Indies, Bridgetown, BRB.
Cureus
|September 25, 2023
概括
更高的邻里可行性与增加的体力活动 (PA) 和降低心血管疾病 (CVD) 风险有关. 这凸显了城市规划对公共卫生干预和促进活跃生活方式的重要性.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 城市规划 城市规划
背景情况:
- 城市为人口健康干预提供了机会.
- 身体不活动和心脏代谢风险是严重的公共卫生问题.
- 社区设计可以影响健康行为和结果.
研究的目的:
- 检查巴巴多斯邻居可行性,体力活动 (PA) 和心脏代谢结果之间的关联.
- 调查建筑环境特征对成人健康的影响.
- 为促进健康的城市规划策略提供信息.
主要方法:
- 通过使用客观的建筑环境数据,为45个社区创建了一个可行性指数.
- 身体活动水平 (步行,活跃通勤,MVPA) 使用最近身体活动问卷进行评估.
- 心脏代谢结果包括预测的10年心血管疾病 (CVD) 风险,高血压和糖尿病.
- 使用多变量回归模型分析了可行性,PA和健康结果之间的关系.
主要成果:
- 较高的邻里可行性显示出与所有测量PA结果的积极关联 (p<0.05).
- 增加的可行性与预测的10年心血管疾病风险显著降低 (p<0.001).
- 居住在更容易步行的街区的居民患糖尿病率较低.
结论:
- 社区可行性是影响成年人身体活动和心脏代谢健康的关键因素.
- 城市规划干预,即使在微观层面,也可以在现有环境中增强PA.
- 促进可步行社区可以有助于减少心脏代谢疾病的负担.
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