美国社区的休时间缺乏体育活动和心血管死亡率的变化:综合县级分析 (2011-2019)
Shady Abohashem1,2, Khurram Nasir3, Malak Munir4
1Cardiovascular Research Center and Cardiology Division, Massachusetts General Hospital - Harvard Medical School, Boston, Massachusetts, USA Sabohashem@mgh.harvard.edu Shady.Abohashem@gmail.com.
British journal of sports medicine
|January 11, 2024
概括
不从事休时间体育活动 (LTPA) 的成年人的高比例与心血管死亡率的增加密切相关. 中年女性和老年非西班牙裔黑人人群体面临风险最大,这凸显了针对性公共卫生干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 心血管疾病仍然是美国主要的死亡原因.
- 久坐不动的生活方式,定义为没有休时间的体力活动 (LTPA),是一个重要的公共卫生问题.
- 了解身体活动的地理和人口差异对于有效的干预至关重要.
研究的目的:
- 调查休时间没有体育活动 (LTPA) 的县级流行率与年龄调整的心血管死亡率 (AACVM) 之间的关联.
- 确定与较高心血管死亡率相关的人口群体和县特征.
- 为旨在增加身体活动和减少心血管疾病死亡的有针对性的公共卫生战略提供信息.
主要方法:
- 2011年至2019年间,利用CDC数据库,对来自美国2900个县的数据进行分析.
- 使用多层次回归和分层后建模计算县特定的无LTPA率.
- 应用多重回归和Poisson通用线性混合模型来评估与死亡率的关联,并确定风险因素.
主要成果:
- 在较高的无LTPA率和人口统计学范围内的AACVM增加之间发现了显著的积极关联.
- 中年成年人,特别是女性和年长的非西班牙裔黑人个人表现出最高的风险.
- 县级的社会经济,环境,临床和医疗保健准入因素解释了没有LTPA率的差异的很大一部分.
结论:
- 没有LTPA的患病率是高AACVM的强有力的预测指标,独立于其他社会决定因素.
- 需要有针对性的干预措施来解决高风险社区的身体不活动问题,特别关注中年女性和老年非西班牙裔黑人人口.
- 社区层面的特点显著影响LTPA率,强调了基于地方的公共卫生倡议的重要性.
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