身体活动与肥胖成人死亡率降低有关:与元分析进行的系统性审查
Vicente Martínez-Vizcaíno1,2, Rubén Fernández-Rodríguez3,4, Sara Reina-Gutiérrez1,5
1Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
BMC public health
|July 12, 2024
概括
身体活动显著降低肥胖成年人的死亡风险. 与不活跃的同龄人相比,活跃个体的全因死亡率降低了21%,心血管死亡率降低了24%.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 运动科学 运动科学
背景情况:
- 肥胖是一种慢性疾病,与死亡率的增加有关.
- 身体活动 (PA) 对于肥胖管理和降低心血管疾病,癌症和整体死亡率的风险至关重要.
研究的目的:
- 系统地审查和元分析体育活动水平对肥胖成年人死亡率 (心血管,癌症,全因) 的影响.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Web of Science,SPORTDiscus) 进行系统搜索,截至2024年6月.
- 包括9个前性队列研究 (N=199,425) 的肥胖成年人 (BMI ≥30 kg/m2).
- 对所有原因,心血管和癌症死亡率的聚合危险比率的元分析,比较活跃与不够活跃的个体.
主要成果:
- 肥胖的活跃成年人有21%的全因死亡风险降低 (HR:0.79) 和24%的心血管死亡风险降低 (HR:0.76).
- 癌症死亡率的结果 (HR:0.91) 基于两项研究,在统计学上没有显著性,尽管趋势表明有好处.
结论:
- 适度至高的体力活动与肥胖成人所有原因和心血管死亡率显著降低有关.
- 虽然PA可能会降低癌症死亡风险,但需要进一步研究更大的样本大小来证实这一效应.
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