| 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].Chinese journal of Epidemiology,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 |
| Received:November 25, 2022 |
| DOI：10.3760/cma.j.cn112338-20221125-01000 |
| KeyWord: 成年人 身体活动不足 身体活动时间 影响因素 |
| English Key Word: Adults Insufficient physical activity Physical activity time Influencing factors |
| FundProject:国家重点研发计划（2018YFC1311702） |
| Author Name | Affiliation | E-mail | | Gao Xingxing | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
School of Public Health, Baotou Medical College, Baotou 014040, China | | | Wang Limin | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Xiao | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhao Zhenping | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Li Chun | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Huang Zhengjing | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Liu Chenyi | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
School of Public Health, Baotou Medical College, Baotou 014040, China | | | Xue Taotao | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Jiang Bo | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Guan Yunqi | Department of Chronic and Non-communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China | | | Zhang Mei | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | zhangmei@ncncd.chinacdc.cn |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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