随着时间的推移,身体活动根据社会经济地位的变化:EPIC-意大利队列研究的结果
Matteo Franco1, Luigi Facchini2, Carlotta Sacerdote3
1Department of Clinical and Biological Sciences, University of Turin, Orbassano, Turin, Italy.
BMJ open sport & exercise medicine
|September 3, 2024
概括
具有较低社会经济地位 (SEP) 的个人随着时间的推移,身体活动 (PA) 减少的风险更高. 这包括较少的娱乐和家庭活动,特别是对于妇女和即将退休的体力劳动者来说.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 社会经济地位 (SEP) 显著影响健康行为,包括体力活动 (PA).
- 了解如何PA变化与SEP接近退休对于有针对性的健康干预至关重要.
- 需要对SEP中不同类型的PA进行长度研究.
研究的目的:
- 在接近退休的成年人中,调查11年时间内的身体活动 (PA) 与社会经济地位 (SEP) 相关的变化.
- 分析不同类型的体育活动,包括娱乐和家庭PA,跨越各种SEP层.
主要方法:
- 利用了EPIC-意大利队列的数据,通过剑桥身体活动指数 (CPAI) 和代谢对应任务 (METs) 来评估PA.
- 评估社会经济地位 (SEP) 使用教育水平 (相对不平等指数) 和职业阶级.
- 采用后勤回归来分析与SEP相关的PA水平和随时间变化,并对性别进行单独分析.
主要成果:
- 更受过高等教育的个人在基线和随访时显示出更高的娱乐性PA患病率.
- 受教育程度较低的个人和体力劳动者在随访时面临身体不活跃的风险更大.
- 受教育程度较低的个人和体力劳动者,特别是休性PA的女性和CPAI的男性,随着时间的推移,PA下降的风险更高.
结论:
- 处于劣势的社会经济地位 (SEP) 与随着时间的推移减少体力活动 (PA) 的风险增加有关.
- 这些发现突出了接近退休的不同SEP群体在PA维护方面的差异.
- 干预措施应考虑基于SEP的策略,以促进持续的PA.
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