坐着时间和体力活动对西班牙所有原因死亡率的独立和综合影响:基于人口的前性研究
Beatriz Granero-Melcón1, Miguel Ángel de la Cámara2, Cristina Ortiz3
1National School of Health, Instituto de Salud Carlos III, Madrid, Spain.
European journal of public health
|March 7, 2025
概括
身体活动 (PA) 可以帮助抵消长时间坐着 (ST) 的风险. 高的PA降低了死亡风险,而高的ST增加了死亡风险,但PA可以减轻久坐的行为.
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:
- 久坐不动行为是一个日益严重的公共卫生问题,与增加的死亡率有关.
- 身体活动和久坐时间之间影响健康结果的相互作用需要进一步研究.
- 了解这些关系对于制定有效的公共卫生战略至关重要.
研究的目的:
- 评估体育活动和坐着时间对所有原因死亡率的独立和联合影响.
- 为了评估这些影响在西班牙人口.
- 为了确定身体活动是否可以减轻与久坐行为相关的死亡风险.
主要方法:
- 一项前性研究,涉及31,200名18-69岁的西班牙成年人.
- 从国家健康调查 (2011-2012,2017) 中收集的数据,并与死亡记录联系在一起.
- 坐着时间分类 (≤4h/day,>4-6h/day,>6h/day);体力活动通过IPAQ进行评估,并根据强度和世卫组织建议进行分类;使用波桑回归估计的相对风险.
主要成果:
- 高坐时间 (>6小时/天) 与全因死亡风险增加1.60倍有关.
- 高度体力活动与0.63倍降低风险有关,符合世卫组织建议的0.60倍降低风险.
- 身体活动部分抵消了与久坐行为相关的死亡风险,特别是在那些不符合建议的人群中.
结论:
- 无论是体力活动还是坐着的时间,都与全因死亡率有着独立的关联.
- 参与体育活动可以部分抵消长时间坐着对健康有害的影响.
- 公共卫生倡议应促进身体活动,以减轻久坐不动的生活方式带来的风险.
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