美国1988-2019年职业体育活动和心血管疾病死亡率
Tong Xia1, Liwei Chen1, Jian Li2,3,4,5
1Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, 90095, USA.
BMC public health
|January 8, 2025
概括
劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力劳动力 这种U形的关联在社会经济地位较低 (SES) 的个人中更为明显.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管流行病学心血管流行病学
- 公共卫生 公共卫生
背景情况:
- 休时间体育活动 (LTPA) 对心血管健康有好处,但职业体育活动 (OPA) 对心血管疾病 (CVD) 死亡率的影响仍然不清楚.
- 需要进行研究来了解OPA和心血管疾病死亡率之间的关系,特别是考虑到社会经济地位 (SES).
研究的目的:
- 调查职业体力活动 (OPA) 与心血管疾病 (CVD) 死亡率在美国大量工人群中之间的潜在关联.
- 探索社会经济地位 (SES) 对OPA-CVD死亡率关系的影响.
主要方法:
- 一项队列研究利用了1988年美国国民健康访谈调查 (NHIS) 的数据,对美国工人 (18岁以上) 进行了调查.
- 职业体力活动 (OPA) 根据劳累性活动所花费的时间进行分类. 心血管疾病 (CVD) 死亡率通过国家死亡指数追踪到2019年.
- 使用多变量Cox比例危险回归,控制人口,社会经济和健康因素.
主要成果:
- 在艰苦的OPA和心血管疾病死亡率之间观察到U形关联:高OPA和没有OPA都与低OPA相比增加风险有关.
- 心血管疾病死亡率的危险比为1.39 对于没有,1.00 对于低 (参考),1.18 对于中等,和1.58 对于高OPA.
- 这些关联在教育水平较低,年家庭收入较低 (<30,000美元) 的工人中得到了放大.
结论:
- 无论是高职业体力活动 (OPA) 还是没有劳累性职业体力活动 (OPA),都与美国工人心血管疾病 (CVD) 死亡率的增加有关.
- OPA和心血管疾病死亡率之间的U形关系在社会经济地位较低 (SES) 的个人中更为明显.
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