甘肃榆中农村居民体力活动与其他心血管病危险因素关系研究.docVIP

甘肃榆中农村居民体力活动与其他心血管病危险因素关系研究 　　[摘要]目的探讨农村体力活动与其他心血管病危险因素的关系。方法利用甘肃榆中农村心血管病及危险因素的流行病学调查资料进行统计分析。体力活动量采用梅脱-小时（MET_hr）为定量单位。结果本次研究有效问卷1087份。男女间文化程度和年收入差异有统计学意义（P0.01）。调整人口学特征后，劳作活动量和日均体力活动总量的增加对中心性肥胖有保护作用，运动量越大保护作用越强（P0.05）；同时高强度的劳作或增加日均活动总量对超重/肥胖有保护作用（P0.05）。结论我国不同社会人口学特征的居民运动情况不同，国内应针对不同人群的体力活动特点制定指南，引导我国居民积极参加体力活动。 　　[关键词]体力活动；心血管病；危险因素 　　中图分类号：R181；R54文献标识码：A文章编号：1009_816X（2014）06_0464_04 　　[Abstract] Objective To analyze the relationship between physical activity （PA） and other risk factors of cardiovascular disease. Methods By using data of cardiovascular disease and its risk factors from epidemiological study which was carried out in Yuzhong Country in Gansu. Using the quantitative unit MET_hr to measure the energy expenditure of PA. Results There are 1087 valid questionnaires of the study. Education levels and annual income between male and female had a significant difference（P0.05）. After adjusting for demographic characteristics， the increase of work PA or daily total PA energy expenditure can protect people from central obesity， more PA energy expenditure makes more protective effect（P0.05）.In the meantime， the high_strength work or increase of daily total PA energy expenditure can protect people from overweight/obesity（P0.05）. Conclusions Chinese residents with different social demographic distribution have different PA characters， a PA guideline for different crowds should be formulated to guide Chinese residents to take part in physical activities positively. 　　[Key words] Physical activity； Cardiovascular disease； Risk factors 　　大量研究统计表明，体力活动（Physical Activity，PA）是影响心血管病（Cardiovascular Disease，CVD）的重要因素之一。缺乏体力活动可降低动脉血管弹性导致血压升高[1]，同时可引起血糖升高、超重肥胖、血脂异常等，增加心血管病的发生危险[2]。另有研究[3]表明，体力活动量与心血管病风险或死亡率之间存在线性量效关系，即随着体力活动量的减少，心血管病风险或死亡率升高。多项研究表明我国居民的体力活动水平较低，同时呈现下降趋势，存在的问题包括缺乏锻炼场地及设施、缺乏有效的科学指导、体育活动类型少、缺乏吸引力、城乡差异和区域差异的存在等[4]。提示国内亟需加强对体力活动参加情况的宣传和引导，提高居民的身体活动水平，积极预防心血管病等慢性疾病。本研究对甘肃榆中农村地区的心血管病及危险因素开展调查，探讨体力活动与其他心血管病危险因素（高血压、超重/肥胖、中心性肥胖、糖尿病、吸烟）的关系，为有针对性地开展干预提供参考和依据