低到中等强度体力活动时间与代谢综合征的关联  

Relationship between duration of low to moderate intensity physical activity and the prevalence of metabolic syndrome

作　　者：左惠娟[1] 姚崇华[1] 胡以松[2] 孔灵芝[3] 

机构地区：[1]心肺血管疾病研究所人群防治研究室,首都医科大学附属北京安贞医院100029 [2]中国疾病预防控制中心公共卫生监测与信息服务中心 [3]卫生部疾病控制局

出　　处：《中华预防医学杂志》2010年第10期908-912,共5页Chinese Journal of Preventive Medicine

摘　　要：目的 分析低到中等强度体力活动与代谢综合征（MS）的关系.方法 资料来源于中国居民2002年营养与健康调查,采用多阶段分层整群随机抽样方法在我国内地31个省、自治区、直辖市进行.调查方法包括询问调查、医学体检、实验室检查和膳食调查.共完成了26 477名18岁以上调查对象的体力活动调查.将低到中等强度体力活动时间分为0～、90～、151～、301～、＞420 min/周5个级别.检查诊断MS患病情况.分析年龄（分为18～、35～、45～、≥60岁4个年龄组）和体力活动时间与MS的关系.结果 我国18岁以上人群MS患病率为9.4%（2490/26 477）,男、女患病率分别为10.3%（1191/11 516）和8.7%（1299/14 961）（x2=21.035,P=0.000）;18～岁MS患病率为2.1%（127/6070）,≥60岁MS患病率达15.0%（1012/6734）,随着年龄增加,MS患病率增加（x2=776.768,P=0.000）.81.2%（21 499/26 477）的调查对象进行低到中等强度体力活动,每周活动时间＞420 min者所占比例最高,为43.7%（11 561/26 477）.运动0～、90～、151～、301～、＞420 min/周者MS患病率分别为13.8%（166/1203）、13.2%（64/485）、11.8%（153/1298）、10.1%（124/1225）和12.5%（512/4090）（x2=9.58,P=0.047）.logistic回归分析结果显示,与每周低到中等强度体力活动时间90～min相比,活动时间301～min/周者MS患病危险降低具有统计学意义,OR=0.844（95% CI：0.675～0.968）;＞420 min/周者MS患病危险的差异无统计学意义,OR=0.936（95% CI：0.769～1.136）.结论 我国18岁以上成年人多数进行低到中等强度体力活动,每周低到中等强度体力活动时间301～min/周与MS的患病危险降低有关,但活动时间＞420 min/周与MS患病危险降低无关.Objective To analyze the relationship between low to moderate physical activity and the prevalence of metabolic syndrome （MS）. Methods A multi-stage stratified cluster sampling was conducted in 31 provinces,autonomous regions,and municipalities in the interior of China according to the program of the National Nutrition and Health Survey in 2002. Questionnaire survey, interview, physical examination,measurement of biochemical indices and dietary investigation were done. In total, the physical activity of 26 477 persons aged 18 or above were investigated. The duration of low to moderate physical activity was divided into five grades： 0- min/week ,90- min/week ,151 - min/week,301 - min/week ,over 420 min/week,and the MS prevalence were investigated respectively. The relationship between MS and age （ including four age groups 18 - ,35 - ,45 - ,60 or above） or the duration of physical time were investigated. Results The MS prevalence among persons aged 18 or above was 9.4% （2490/26 477 ）. And the prevalence was 10.3% （ 1191/11 516） in man and 8.7% （ 1299/14 961 ） in women, respectively （ x2 = 21.035, P = 0.000）. The MS prevalence was 2.1% （ 127/6070）in 18 - years old group and 15.0% （1012/6734） in over 60 years old group. The MS prevalence increased with increasing age （ x2 = 776.768, P = 0.000 ） . 81.2% （21 499/26 477） of subjects engaged in low to moderate intensity physical activity. The percentage of spending time on physical activity over 420 min/week was dominant and as high as 43.7% （ 11 561/26 477）. The MS prevalence was 13.8% （ 166/1203 ） for 0 - min grade, 13.2% （ 64/485 ） for 90 - min grade, 11.8 % （ 153/1298 ） for 151 - min grade, 10.1% （ 124/1225 ） for 301 - min grade and 12.5% （ 512/4090 ） for over 420 min grade （ x2 = 9.58, P = 0.047 ）. Logistic regression analysis results showed,the MS risk of subjects spending 301 - min per week on low to moderate intensity physical activity was significantly low than the MS prevalence among subject

关 键 词：代谢综合征X 运动活动 身体锻炼 

分 类 号：R686[医药卫生—骨科学]