总体,特定领域和强度特定的体力活动与中国所有原因和特定原因死亡率的关联:基于人口的队列研究
Yalei Ke1, Kexiang Shi2, Derrick A Bennett3,4
1Department of Epidemiology & Biostatistics, School of Public Health, Peking University Health Science Center, Beijing 100191, China.
Chinese medical journal
|February 19, 2025
概括
身体活动 (PA) 显著降低了因各种原因和特定疾病死亡的风险. 参与任何形式的PA,无论强度或领域,提供长期的健康益处.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防医学 预防医学
背景情况:
- 之前关于体力活动 (PA) 和死亡率的研究主要集中在休时间的PA (LTPA) 和中度至强度的PA (MVPA).
- 不同类型和强度的PA与死亡率之间的关联需要进一步调查.
研究的目的:
- 检查总,域特定和强度特定PA与所有原因和特定原因死亡率的关联.
- 提供关于不同体育活动模式对健康的好处的全面见解.
主要方法:
- 利用来自中国Kadoorie生物库的基线PA数据 (482,067名参与者,年龄在30-79岁之间).
- 使用自我报告 (MET-小时/天) 的量化PA,涵盖职业,通勤,家庭和休时间领域.
- 采用考克斯回归和竞争性风险分析来评估PA五分位数与死亡风险之间的关联,并对混因素进行调整.
主要成果:
- 在最高五分位数中,总PA与全因死亡率 (HR:0.69;95%CI:0.67-0.71) 有显著的反向关联.
- 肺炎与心血管疾病,癌症,呼吸道疾病,糖尿病和神经系统疾病的死亡风险降低有关.
- 职业,非职业,低强度和MVPA在最高五分位数中显示出所有原因死亡风险的显著降低 (分别为34%,13%,17%和30%).
结论:
- 身体活动与所有原因和特定原因死亡率相反相关,无论其领域或强度如何.
- 任何水平的体力活动都会带来长期的健康益处,这凸显了在所有人群中促进PA的重要性.
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