遵守24小时运动指南与中国成年人非传染性疾病风险之间的关联:前性队列研究
Siyi Huang1, Yuxuan Gu2, Shahmir H Ali3
1Department of Sports Science, College of Education, Zhejiang University, Hangzhou, China.
JMIR public health and surveillance
|March 27, 2024
概括
遵守加拿大24小时运动指南 (24HGs) 显著降低非传染性慢性病 (NCD) 的风险,特别是在超重和肥胖的成年人中. 在这些人群中,满足哪怕一个指南组件也能提供对非传染性疾病的实质性保护.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 流行病学 流行病学
背景情况:
- 非传染性慢性病 (NCD) 是全球死亡的主要原因.
- 健康的生活方式行为,包括体力活动,睡眠和减少久坐,对于预防NCD至关重要.
- 加拿大24小时运动指南 (24HGs) 对非传染性疾病风险的具体影响,特别是与体重相关的影响,仍未得到充分研究.
研究的目的:
- 展望性地研究24HG的坚持与发展重大非传染性疾病的风险之间的关联.
- 调查这种关联是否在中国的超重/肥胖成年人和正常/体重不足的成年人之间有所不同.
主要方法:
- 一项十年前性研究 (2004-2015) 涉及9227名35岁以上的中国成年人,没有先前的非传染性疾病.
- 暴露:基于自我报告的24HG (0-3分) 的整体合规得分.
- 结果:主要非传染性疾病 (高血压,中风,糖尿病,癌症,心肌梗塞) 的发生率.
- 分析:采用了日志双项回归模型.
主要成果:
- 在超重和肥胖的参与者中,遵守1,2,或3个24HGs成分与显著降低NCD风险相关 (RR 0.37-0.32).
- 在正常/体重不足的参与者中,遵守1或3个24HGs组件显示了NCD风险的显著降低 (RR 0.49,0.40).
- 满足至少一个24HG成分的保护作用在超重和肥胖个体中更为明显.
结论:
- 遵守加拿大24小时运动指南与降低NCD风险有关.
- 超重和肥胖的个体在遵守24HG时,与正常/体重不足的个体相比,会获得更大的保护性益处.
- 满足24HG中的哪怕一个组成部分,在超重和肥胖人群中可显著降低NCD风险.
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