身体活动与中国的发病率和死亡率风险的全现象关联:一项前性队列研究
Yalei Ke1, Yuxuan Zhao1, Derrick A Bennett2
1Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing 100191, China.
Innovation (Cambridge (Mass.))
|July 23, 2025
概括
身体活动 (PA) 在中国显著降低疾病风险和死亡率. 较高的PA水平与14%的疾病发病率下降和40%的全因死亡率下降有关,强调需要促进PA.
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:
- 在像中国这样的低收入和中等收入国家,身体活动 (PA) 对健康益处的证据有限.
- 以前的研究往往集中在特定疾病上,而不是PA的广泛影响.
- 中国的PA模式与高收入国家不同.
研究的目的:
- 调查身体活动与一系列疾病和死亡原因之间的关联,在一个大规模的中国人群中.
- 评估不同类型的PA和健康结果之间的剂量反应关系.
- 量化中国体育不活动的负担.
主要方法:
- 利用来自中国Kadoorie生物库的511,088名参与者 (30-79岁) 的数据.
- 通过问卷评估基线和通常的体力活动水平.
- 采用了考克斯回归分析,平均随访时间为12年,以检查与425种疾病和53种死亡原因 (ICD-10) 的关联.
主要成果:
- 总体身体活动与14个ICD-10章节,65种疾病和19种死亡原因相反相关.
- 与最低的PA五分位数组相比,最高的PA五分位数组的疾病发病率降低了14%,全因死亡率降低了40%.
- 身体不活动与12.8%的PA相关死亡有关;54种已识别的疾病以前没有被世卫组织PA指南强调.
结论:
- 身体活动在中国人口的多个身体系统中提供了广泛的健康益处.
- 身体不活动在中国是一个严重的疾病负担,需要紧急的公共卫生干预措施.
- 促进体育活动对于减少中国的疾病发病率和死亡率至关重要.
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