文章摘要
樊萌语,吕筠,郭彧,卞铮,余灿清,杜怀东,周汇燕,谭云龙,陈君石,陈铮鸣,李立明.中国慢性病前瞻性研究: 10 个项目地区成人体力活动和休闲静坐时间特征差异的分析[J].中华流行病学杂志,2015,36(8):779-785
中国慢性病前瞻性研究: 10 个项目地区成人体力活动和休闲静坐时间特征差异的分析
Regional differences on patterns of physical activity and leisure sedentary time: findings from the China Kadoorie Biobank study, including a million people from 10 regions
投稿时间:2015-01-09  
DOI:10.3760/cma.j.issn.0254-6450.2015.08.002
中文关键词: 体力活动;静坐行为;活动类型;活动强度;地区差异
英文关键词: Physical activity;Sedentary behavior;Activity type;Actiyity intensity;Regional difference
基金项目:国家自然科学基金(81390541, 81390544);香港Kadoorie Charitable 基金;英国Wellcome Trust(088158/Z/09/Z);国家科技支撑项目(2011BAI09B01)
作者单位E-mail
樊萌语 100191 北京大学公共卫生学院流行病与卫生统计学系  
吕筠 100191 北京大学公共卫生学院流行病与卫生统计学系  
郭彧 中国医学科学院  
卞铮 中国医学科学院  
余灿清 100191 北京大学公共卫生学院流行病与卫生统计学系  
杜怀东 英国牛津大学  
周汇燕 中国医学科学院  
谭云龙 中国医学科学院  
陈君石 国家食品安全风险评估中心  
陈铮鸣 英国牛津大学  
李立明 100191 北京大学公共卫生学院流行病与卫生统计学系
中国医学科学院 
lmlee@pumc.edu.cn 
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中文摘要:
      目的 描述中国慢性病前瞻性研究(CKB)10个项目点健康人群体力活动和静坐行为特征的地区差异。方法 剔除自报患有冠心病、卒中和肿瘤等慢性疾病的个体后, 研究分析10个项目地区中486 514名30~79岁队列成员体力活动和每周休闲静坐时间的基线信息, 重点描述地区差异。结果 男性总体力活动水平(22.9 MET-h/d)高于女性(20.6 MET-h/d), 休闲静坐时间(3.1 h/d)多于女性(2.9 h/d)。浙江项目点个体每天总体力活动水平最高(男31.3 MET-h/d, 女 30.2 MET-h/d)且静坐时间最少(男2.0 h/d, 女 1.6 h/d)。工作相关活动所占比例, 男性以浙江(86.5%)和河南(85.2%)项目点最高, 海口(69.4%)最低;女性以浙江(74.8%)最高, 河南(40.9%)最低。甘肃项目点(男17.8%, 女18.1%)交通活动所占比例明显高于其他地区。家务活动所占比例, 男性以湖南项目点(18.0%)最高, 女性以河南(54.0%)和湖南(39.1%)最高。城市项目点的休闲相关活动所占比例高于农村, 其中柳州(男9.5%, 女10.4%)最高。甘肃(男36.8%, 女29.8%)、四川(男34.1%, 女33.8%)和浙江(男20.0%, 女19.2%)3个农村项目点的高强度活动所占比例明显高于其他项目点。结论 CKB 10个项目地区的研究人群在总体力活动水平、活动类型、活动强度和休闲静坐时间等特征上存在明显的地区差异。
英文摘要:
      Objective To describe the gender and regional differences in patterns of physical activity and sedentary behavior across 10 study areas through data from the China Kadoorie Biobank (CKB) that involving half a million adults. Methods The baseline survey of CKB took place in 5 urban and 5 rural areas across China during 2004-2008. After excluding those who had a prior history of heart disease, stroke and/or cancer, 486 514 participants (age: 30-79 y) were included in the analyses. MET-h/d was calculated for each one of the participant, based on the type, duration and intensity of self-reported physical activity, along with time spent on sedentary activity. These data were compared, after standardization for age between sex and study areas. Results The mean total physical activity was 22.9 MET-h/d among men, 20.6 MET-h/d among women, and the mean sedentary leisure time appeared 3.1 h/d in men and 2.9 h/d in women. In men, the total physical activity ranged from 13.3 MET-h/d in Haikou to 31.3 MET-h/d in Zhejiang, while in women it ranged from 14.7 MET-h/d to 30.2 MET-h/d across the 10 areas. For sedentary leisure time, it ranged from 2.0 h/d in Zhejiang to 3.8 h/d in Sichuan in men and 1.6 h/d to 3.7 h/d in women. In both men and women, occupational physical activities (77.6% and 59.8% respectively) accounted for most of the daily activities, while leisure time physical activities accounted for the least (3.1% in both men and women). Among men, the proportion of occupational physical activity ranged from 86.5% in Zhejiang to 69.4% in Haikou (69.4%), while in women it ranged from 74.8% in Zhejiang to 40.9% in Henan. Gansu(men 17.8%, women 18.1%) reported the highest proportion of transportation physical activities. Among women, areas reporting the highest proportion of physical activity at home would include Henan (54.0%) and Hunan (39.1%), whereas adults in Zhejiang (20.0%) reported the lowest proportion. Among men, Hunan (18.0%) reported the highest proportion of physical activity at home. Compared with rural areas, male and female participants from urban areas tended to have more leisure time for physical activity and less vigorous-intensity physical activity. Conclusion The patterns of physical activity and sedentary behavior including the levels of physical activity, domains and intensity of physical activities. Sedentary leisure time appeared all various greatly across different regions in China.
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