绝经后妇女体育活动与死亡率之间的关联:来自NHANES 2007-2018年的证据
Baixiang Zhang1, Mu Yang2,3, Gareth Ambler4
1Department of Rehabilitation, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, 364099, China.
BMC women's health
|February 9, 2026
概括
身体活动 (PA) 显著降低了绝经后妇女的死亡风险. 参与总PA (TPA) 和休时间PA (LTPA) 降低了所有原因和非心血管疾病 (CVD) 死亡率的风险.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 绝经后妇女体力活动 (PA) 水平与死亡率之间的关系尚不清楚.
- 绝经后的女性代表着一个具有独特健康考虑的显著人口统计学.
研究的目的:
- 调查不同类型的体力活动 (PA) 与大量绝经后妇女的死亡结果之间的关联.
- 确定总PA (TPA),休时间PA (LTPA) 和职业PA (OPA) 是否影响所有原因,心血管疾病 (CVD) 和非心血管疾病死亡率.
主要方法:
- 从NHANES (2007-2018) 对5880名绝经后妇女的分析,随访时间中位数为77个月.
- 使用全球体力活动问卷 (MET-分钟/周) 评估并对PA进行分类.
- 采用了加权的Cox比例危险模型和受限立方线 (RCS) 分析.
主要成果:
- 较高的TPA和LTPA水平与所有原因,心血管疾病和非心血管疾病死亡率的风险降低有关.
- 低OPA也与所有原因和非心血管疾病死亡率的降低有关.
- RCS分析揭示了TPA与死亡率的线性反向关联和LTPA的非线性,而OPA显示没有显著的关联.
结论:
- 增加的总血压和休时间的血压与更低的全因和非心血管疾病死亡率有关.
- 鼓励身体活动,特别是从不活动过渡到中等水平,可以促进这个人口的健康衰老.
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