上海城区居民运动锻炼与静坐行为对代谢综合征的影响  

The effects of sedentary habits and physical exercise on metabolic syndrome in urban residents of Shanghai

作　　者：吴金贵[1] 刘小祥[1] 唐传喜[1] 金蓓[1] 顾萍[1] 戴恒玮[1] 

机构地区：[1]上海市长宁区疾病预防控制中心公共卫生监测管理科,上海200051

出　　处：《中国慢性病预防与控制》2013年第1期18-21,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的探讨上海城区居民闲暇时间运动锻炼与静坐行为对代谢综合征的影响。方法研究对象为上海某区2010年中国居民营养与健康状况调查样本人群，共抽取1238名居民，231名学生。采用全国统一调查问卷，问卷内容包括社会人口特征、个人健康状况、身体活动情况、主要慢性病家族史以及个人吸烟、饮酒情况等。同时测量身高、体重、腰围、血压、血脂、血糖。成人代谢综合征采用美国国家胆固醇教育计划指南（NCEP—ATPⅢ）修订标准，儿童与青少年代谢综合征则采用国际糖尿病联合会（IDF）定义标准。应用多因素非条件logistic回归分析闲暇时间运动锻炼与静坐对代谢综合征患病的影响。结果居民代谢综合征的患病率为18．2％，男性、女性患病率分别为17．0％和19．2％。调整性别、年龄、父或母亲高血压史、父或母亲糖尿病史、吸烟、饮酒、受教育程度7个潜在混杂因素后，与闲暇时间从不进行中、高强度运动者比较，每周闲暇时间中、高强度运动锻炼≥150min可降低代谢综合征患病风险，OR值（95％CI）为0．41（95％CI：0．25-0．66）；与每天静坐〈1h者比较，每天静坐3～、94h者，患代谢综合征的OR值（95％C1）分别为1．88（95％CI：1．11-3．18）和2．17（95％CI：1．19，3．94）。结论静坐时间每周长可能增高居民患代谢综合征的风险，闲暇时间每周参加中、高强度的体育锻炼≥150min则可低降代谢综合征患病。Objective To explore the effects of sedentary habit and physical exercise on metabolic syndrome in Shanghai urban residents. Methods The health investigation of Shanghai urban residents （7-90 years old） in 2010 was conducted with questionnaire, which includes demographic data, health condition, physical activity, family history of chronic diseases, smoking and drinking and so on. The height, weight, waistline, blood pressure, blood glucose and blood lipid were detected. The adult treatment panel （NCEP-ATP Ⅲ ） criteria and International Diabetes Federation （IDF） consensus definition of METs were used to diagnose the metabolic syndrome for adults and adolescents, respectively. The non-condition logistic regression was utilized to analyze the effects of sedentary habit and physical exercise on patients with metabolic syndrome. Results The morbidity of metabolic syndrome in Shanghai urban residents was 18.2%. The morbidities of metabolic syndrome in males and females were 17.0% and 19.2 %, respectively. After adjusting 7 potential confusion factors （sex, age, histories of parents with hypertension and diabetes, smoking, drinking and education level）, as compared with residents without middle and strong exercise, the risk of metabolic syndrome in residents with strong exercise （ ≥ 150 min a week） obviously decreased （OR ： 0.41, 95% CI： 0.25~0.66）. As compared with residents with sedentary habit （〈1 h a day）, the risk of metabolic syndrome in residents with sedentary habit （3-,≥4 h a day） significantly increased （OR： 1.88, 95% CI： 1.11-3.18 and OR： 2.17, 95% CI： 1.19-3.94, respectively）. Conclusion The long sedentary inhabit can enhance the risk of metabolic syndrome in Shanghai urban residents. The middle and strong exercise（ ≥ 150 min a week） can reduce the morbidity of metabolic syndrome.

关 键 词：代谢综合征 静坐 运动锻炼 生活方式 

分 类 号：R589[医药卫生—内分泌]