文章摘要
高星星,王丽敏,张笑,赵振平,李纯,黄正京,刘晨一,薛涛涛,姜博,关云琦,张梅.2018年中国成年居民身体活动不足流行状况及影响因素分析[J].中华流行病学杂志,2023,44(8):1190-1197
2018年中国成年居民身体活动不足流行状况及影响因素分析
The prevalence of insufficient physical activity and the influencing factors among Chinese adults in 2018
收稿日期:2022-11-25  出版日期:2023-08-18
DOI:10.3760/cma.j.cn112338-20221125-01000
中文关键词: 成年人  身体活动不足  身体活动时间  影响因素
英文关键词: Adults  Insufficient physical activity  Physical activity time  Influencing factors
基金项目:国家重点研发计划(2018YFC1311702)
作者单位E-mail
高星星 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
包头医学院公共卫生学院, 包头 014040 
 
王丽敏 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
张笑 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
赵振平 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
李纯 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
黄正京 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
刘晨一 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
包头医学院公共卫生学院, 包头 014040 
 
薛涛涛 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
姜博 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
关云琦 浙江省疾病预防控制中心慢性非传染性疾病预防控制所, 杭州 310051  
张梅 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 zhangmei@ncncd.chinacdc.cn 
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中文摘要:
      目的 了解我国 ≥ 18岁居民身体活动不足流行状况,并探讨影响因素。方法 2018年中国慢性病及危险因素监测在全国31个省(自治区、直辖市)的298个县(区),采用多阶段分层整群随机抽样方法抽取 ≥ 18岁常住居民,利用包含全球身体活动问卷的调查问卷,以面对面问卷调查和身体测量的方式收集调查对象的人口学特征、身体活动情况等相关信息。最终纳入183 769人作为研究对象。对数据经过复杂加权后,计算身体活动不足率和职业性、交通性和休闲性身体活动时间;采用多因素logistic回归模型分析身体活动不足相关的影响因素。结果 2018年我国 ≥ 18岁居民身体活动不足率为22.3%(95%CI:20.9%~23.7%),男性[24.4%(95%CI:23.0%~25.8%)]显著高于女性[20.2%(95%CI:18.6%~21.8%)], ≥ 70岁[28.4%(95%CI:26.9%~29.9%)]居民显著高于其他年龄组居民,18~29岁[26.4%(95%CI:24.4%~28.3%)]和30~39岁[23.4%(95%CI:21.5%~25.3%)]的青年居民次之,且随着文化程度和总静态行为时间的提高呈上升趋势(P<0.001);每周职业性、交通性和休闲性身体活动时间分别为958.6(95%CI:911.4~1 005.8)min、234.5(95%CI:224.7~244.2)min、88.6(95%CI:83.5~93.7)min。多因素logistic分析结果提示男性、农村、≥ 70岁、初中文化程度、家庭人均年收入<6 000元、华北地区、机关/办事/技术和总静态行为时间较长的居民与更高的身体活动不足率有关。结论 我国超过五分之一的成年居民身体活动处于较低水平。男性、青年人、文化程度较高、机关/办事/技术和总静态行为时间较长的居民是身体活动相关健康促进需要重点关注的人群。
英文摘要:
      Objective To understand the prevalence of insufficient physical activity among adults aged ≥ 18 years in China and to explore the influencing factors. Methods The China Chronic Disease and Risk Factor Surveillance was conducted in 298 counties/districts in China in 2018, covering 31 provinces (autonomous regions, municipalities). A multi-stage stratified cluster random sampling method was used to select permanent residents aged ≥ 18 years. A questionnaire including Global Physical Activity Questionnaire was used to collect information about the participants' demographic characteristics and physical activity through face-to-face interview. A total of 183 769 participants completed the survey. After complex data weighting, the prevalence of insufficient physical activity, occupation, transportation, and leisure-time physical activity time was analyzed. Multivariate logistic regression models were used to analyze the influencing factors related to insufficient physical activity. Results The prevalence of insufficient physical activity among adults aged ≥ 18 years was 22.3% (95%CI:20.9%-23.7%) in China in 2018, with males[24.4% (95%CI:23.0%-25.8%)] significantly higher than females[20.2% (95%CI:18.6%-21.8%)]. Adults aged 70 years and above[28.4% (95%CI:26.9%-29.9%)] were significantly higher than adults in other age groups, followed by adults aged 18-29 years[26.4% (95%CI:24.4%-28.3%)] and 30-39 years[23.4% (95%CI:21.5%-25.3%)], and tended to increase with increasing education and total sedentary behavior time (P<0.001). The weekly occupation, transportation, and leisure-time physical activity time appeared 958.6 (95%CI:911.4-1 005.8) minutes, 234.5 (95%CI:224.7-244.2) minutes, and 88.6 (95%CI:83.5-93.7) minutes, respectively. Multivariate logistic regression analysis showed that males, adults living in rural areas or northern China, ≥ 70 years, with junior high school education, an annual household income per capita <6 000 yuan and institutional/clerical/technical occupation and longer total sedentary behavior time were related to a higher prevalence of insufficient physical activity. Conclusions In China, over one-fifth of the adults had lower physical activity levels. Adults who are male, young adults, more educated, institutional/clerical/technical occupation, and with more extended total sedentary behavior are the populations that need to be focused on to promote physical activity-related health.
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