| 刘江美,刘韫宁,曾新颖,赵振平,张梅,王丽敏,殷鹏,齐金蕾,由金玲,王黎君,周脉耕.2013年中国25岁及以上人群身体活动不足归因死亡和对期望寿命的影响[J].Chinese journal of Epidemiology,2017,38(8):1033-1037 |
| 2013年中国25岁及以上人群身体活动不足归因死亡和对期望寿命的影响 |
| Effects of insufficient physical activity on motality and life expectancy in adult aged 25 and above among Chinese population |
| Received:March 12, 2017 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.08.007 |
| KeyWord: 身体活动 人群监测 危险 归因死亡 期望寿命 |
| English Key Word: Physical activity Population surveillance Risk Attributed mortality Life expectancy |
| FundProject:国家科技支撑计划（2013BAI04B02） |
| Author Name | Affiliation | E-mail | | Liu Jiangmei | Division of Vital Statistics and Death Surveillance, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Liu Yunning | Division of Vital Statistics and Death Surveillance, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zeng Xinying | Division of Integrated Prevention and Evaluation, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhao Zhenping | Division of Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Mei | Division of Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Limin | Division of Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Yin Peng | Division of Vital Statistics and Death Surveillance, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Qi Jinlei | Division of Vital Statistics and Death Surveillance, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | You Jinling | Division of Vital Statistics and Death Surveillance, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Lijun | Division of Vital Statistics and Death Surveillance, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhou Maigeng | National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | maigengzhou@126.com |
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| Abstract: |
| 目的 探讨中国≥ 25岁人群不同性别、不同地区身体活动不足归因死亡和对期望寿命的影响。方法 利用中国死因监测数据、慢性病危险因素调查数据以及全球疾病负担研究中身体活动相关健康结局及其相对危险度的数据，计算中国≥ 25岁人群身体活动相关不同健康结局的归因分值以及身体活动不足造成的归因死亡数和期望寿命的影响。结果 全死因死亡中，≥ 25岁人群归因于身体活动的死亡为4.24%，其中女性为4.86%，男性为3.82%。身体活动的疾病健康结局包括乳腺癌、直肠癌、缺血性心脏病、缺血性脑卒中和糖尿病，其归因分值分别为9.04%、13.96%、14.96%、17.80%和16.92%。身体活动归因死亡总数为388 954人，导致死亡最多的疾病为缺血性心脏病，其次为缺血性脑卒中。身体活动不足共造成人群的期望寿命损失0.43岁，其中女性损失0.47岁，男性损失0.39岁。结论 增加身体活动可以获得健康效益，降低慢性病疾病负担和延长期望寿命。 |
| English Abstract: |
| Objective To analyze the attribution of mortality and impact on life expectancy caused by insufficient physical activity in different gender and areas in adults aged ≥ 25 years among Chinese people. Methods Data from the programs related to Chinese death surveillence, risk factors of chronic survey, health outcomes of physical activity as well as relative risk (RR) on Global Burden of Disease (GBD) study were used. Population attributable fraction (PAF) of different health outcomes attributable to deaths that caused physical activity and the influence of life expectancy in adults aged ≥ 25 years in Chinese people were calculated. Results The overall PAF for all cause of death due to physical activity in adults aged ≥ 25 years was 4.24%, with 4.86% in females and 3.82% in males. The health outcomes of inadequate physical activity would include breast cancer, colorectal cancer, ischemic heart disease, ischemic stroke and diabetes with relative PAFs as 9.04%, 13.96%, 14.96%, 17.80% and 16.92%, respectively. The attribution of death on Physical activity was 388 954. The most attributed death was ischemic heart disease, followed by ischemic stroke. With the elimination of physical inactivity, the total life expectancy was expected to lose by 0.43 years, with 0.47 years in women, and 0.39 years in men. Conclusion The increase of physical activity may benefit on health condition so to reduce the burden of chronic diseases and increase the life expectancy. |
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