| 侯珊珊,吴毅凌,罗炜,尹欣,孙中兴,赵琦,赵根明,姜永根,王娜,姜庆五.社区中老年人静坐行为与第1秒用力呼气容积下降的关联研究[J].中华流行病学杂志,2023,44(7):1092-1098 |
| 社区中老年人静坐行为与第1秒用力呼气容积下降的关联研究 |
| Association between sedentary behavior and force expiratory volume in 1 second reduction in middle-aged and elderly adults in communities |
| 收稿日期:2022-11-11 出版日期:2023-07-15 |
| DOI：10.3760/cma.j.cn112338-20221111-00963 |
| 中文关键词: 肺功能检查 中老年人 第1秒用力呼气容积下降 静坐行为 体力活动 |
| 英文关键词: Pulmonary function test Middle-aged and elderly adult Force expiratory volume in 1 second reduction Sedentary behavior Physical activity |
| 基金项目:国家自然科学基金（82073634）；国家重点研发计划精准医学重点专项（2017YFC0907000） |
| 作者 | 单位 | E-mail | | 侯珊珊 | 复旦大学公共卫生学院流行病学教研室, 上海 200032 | | | 吴毅凌 | 上海市松江区疾病预防控制中心, 上海 201620 | | | 罗炜 | 上海市松江区疾病预防控制中心, 上海 201620 | | | 尹欣 | 复旦大学公共卫生学院流行病学教研室, 上海 200032 | | | 孙中兴 | 上海市松江区疾病预防控制中心, 上海 201620 | | | 赵琦 | 复旦大学公共卫生学院流行病学教研室, 上海 200032 | | | 赵根明 | 复旦大学公共卫生学院流行病学教研室, 上海 200032 | | | 姜永根 | 上海市松江区疾病预防控制中心, 上海 201620 | | | 王娜 | 复旦大学公共卫生学院流行病学教研室, 上海 200032 | na.wang@fudan.edu.cn | | 姜庆五 | 复旦大学公共卫生学院流行病学教研室, 上海 200032 | |
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| 中文摘要: |
| 目的 分析社区≥40岁中老年人静坐行为与第1秒用力呼气容积（FEV1）下降的关联。方法 基于上海郊区自然人群队列，对其中部分≥40岁人群开展肺功能检查和国际体力活动问卷调查，采用广义加性模型分析研究人群及不同性别、年龄亚组的静坐行为特征及其与FEV1下降的关联。结果 3 121名≥40岁研究对象中，FEV1下降占14.8%，男性高于女性。完全静坐行为者占24.8%，每日静坐时间及完全静坐行为占比性别及年龄别差异均无统计学意义（P>0.05）。在<60岁女性中，完全静坐行为组与FEV1下降的关联是非完全静坐行为组的2.04（95%CI：1.11~3.72）倍。在<60岁的男性中，FEV1下降与每日静坐时间增加呈正相关（OR=1.16，95%CI：1.04~1.29）；静坐时间>5 h/d组与FEV1下降的关联强度是≤5 h/d组的3.02（95%CI：1.28~7.16）倍。上述关联在敏感性分析中仍然存在。结论 <60岁人群FEV1下降与静坐行为相关，在女性中与完全静坐行为，即中高强度体力活动水平的缺失相关；而在男性中与每日静坐时间的增加有关，且独立于体力活动。建议通过社区健康教育增加中老年人体力活动，以减少每日静坐时间，避免完全静坐行为进而提高肺功能。 |
| 英文摘要: |
| Objective To analyze the relationship between sedentary behavior and the force expiratory volume in 1 second (FEV1) reduction in middle-aged and elderly people in communities.Methods The participants aged ≥ 40 years were randomly selected from a natural population cohort in Songjiang District, Shanghai, for pulmonary function tests and survey by using international physical activity questionnaire, a generalized additive model was used to analyze the association between sedentary behavior and FEV1 reduction in the study population and different sex-age subgroups. Results A total of 3 121 study subjects aged ≥ 40 years were included. The prevalence of FEV1 reduction was 14.8%, which was higher in men than in women. There were 24.8% participants were completely sedentary. The prevalence of FEV1 reduction in women aged <60 years in complete sedentary group was 2.04 (95%CI:1.11-3.72) times higher than that in non-complete sedentary group. In men aged <60 years, the prevalence of FEV1 reduction increased with daily sedentary time (OR=1.16, 95%CI:1.04-1.29), and the prevalence of FEV1 reduction was also higher in those with sedentary time >5 hours/day than those with sedentary time ≤ 5 hours/day (OR=3.02, 95%CI:1.28-7.16). The sensitivity analysis also found such associations. Conclusions FEV1 reduction rate in age group <60 years was associated with sedentary behavior. Complete sedentary behavior or absence of moderate to vigorous physical activity played important roles in FEV1 reduction in women, while men were more likely to be affected by increased sedentary time, which had no association with physical activity. Reducing sedentary time to avoid complete sedentary behavior, along with increased physical activity, should be encouraged in middle-aged and elderly adults in communities to improve their pulmonary function. |
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