军队干部疗养员运动情况与代谢综合征危险因素的调查研究  

Survey on exercise status and risk factors for metabolic syndrome in convalescents from a military sanatorium

作　　者：尹戴佳佳 李良红[2] 祝春华[1] 金鑫[1] 高玉洁[1] 张严高[1] 

机构地区：[1]南京军区杭州疗养院疗养一科,杭州310007 [2]南京军区杭州疗养院疗养三科,杭州310007

出　　处：《第三军医大学学报》2014年第21期2225-2227,共3页Journal of Third Military Medical University

摘　　要：目的通过对军队疗养干部运动锻炼情况及代谢综合征危险因素的调查分析,探讨运动与代谢综合征之间的相关联系。方法选取2012年1-12月在杭州疗养院疗养的军队在职或离退休干部800例[男性538例,女性262例,年龄（67±5）岁]为研究对象,通过问卷调查其运动方式、运动频率、每次运动时间、每日累计运动时间等,测量血压、腰围、空腹血糖值（FBS）、总胆固醇（TC）、甘油三酯（TG）、尿酸（UA）等指标。并按是否运动及坚持时间分为运动组（n=486）与非运动组（n=314）,再按运动时间、频次、自感运动强度、坚持运动时间等进行分组统计分析。结果非运动组收缩压、舒张压、腰围、FBS、TC及TG水平均显著高于运动组（P〈0.05）。每日运动时间≥60 min组代谢危险因素异常率明显低于〈60 min组（30.51%vs 43.37%,P〈0.05）;自感运动强度11-15组的异常率明显低于〈11组（33.99%vs 43.11%,P〈0.05）;长期保持每周高频次运动者的异常率明显低于偶尔运动者（20.83%vs 38.61%,P〈0.05）。结论长期坚持每日至少运动60 min、自感运动强度达11-15、每周运动3次以上,有助于降低代谢综合征患病风险。Objective To investigate the relationship of exercise and metabolic syndrome by surveying the exercise status and analyzing risk factors of metabolic syndrome in the convalescents of a military sanatorium. Methods A total of 800 military cadres on the job or retired in our sanatorium from January to December 2012 were enrolled as survey subjects in this study. They were 538 males and 262 females,with an average age of 67 ± 5. Questionnaires were used to survey their mode of exercise,exercise frequency,exercise duration at each time and total exercise time in a day. The relative factors of metabolic syndrome,such as blood pressure,waistline,fasting blood glucose（ FBS）,total cholesterol（ TC）,triglyceride（ TG）,high density lipoprotein cholesterol（ HDL-C）,low density lipoprotein cholesterol（ LDL-C） and uric acid were measured.The cohort was divided into exercise group（ n = 486,60. 75%） and non-exercise group（ n = 314,39. 25%）according to their exercise duration,frequency and intensity were analyzed respectively. Results The systolic blood pressure,diastolic blood pressure,waistline,FBS,TC and TG were significantly higher in the nonexercise group than in the exercise group（ P〈 0.05）. Abnormal rate of risk factors for metabolic syndrome was significantly lower in subjects who took exercise ≥60 min in a day than those 60 min（ 30. 51% vs 43. 37%,P〈 0.05）,in subjects whose exercise intensity with Borg rating of perceived exertion（ RPE） scale of 11 to 15 than those of RPE 11（ 33. 99% vs 43. 11%,P〈 0.05）,and in the subjects who exercised with high frequency every week than those exercised occasionally（ 20. 83% vs 38. 61%,P〈 0.05）. Conclusion Taking exercise≥60 min/d,with RPE of 11 to 15,exercise frequency 3 times/week and long-time persistence are helpful to decrease the risk of metabolic syndrome in middle-aged and aged people.

关 键 词：运动 代谢综合征 危险因素 

分 类 号：R195.4[医药卫生—卫生统计学] R54[医药卫生—卫生事业管理]