锻炼频率对老年人实验室健康指标影响的分析  

Influences of frequency of physical activity on laboratory health indexes among elderly

作　　者：段海平[1] 薛晓蕾[2] 刘艳[1] 王炳玲[1] 李善鹏[1] 逄增昌[1] DUAN Hai- ping;XUE Xiao- lei;LIU Yan;WANG Bing- ling;LI Shan- peng;PANG Zeng- chang(Qingdao Center for Disease Control and Prevention , Qingdao ,Shandong 266033,China;Medical College , Qingdao University)

机构地区：[1]青岛市疾病预防控制中心,山东青岛266033 [2]青岛大学医学院

出　　处：《中国公共卫生管理》2018年第1期134-137,共4页Chinese Journal of Public Health Management

摘　　要：目的探讨横断面设计下,锻炼频率对老年人实验室健康指标的影响。方法以青岛市某区某街道全年自愿参加体检的64岁以上共6 889名老年人为研究对象,实验室检测其血常规、血脂、肝功能、肾功能的相关指标和空腹血糖,同时收集其锻炼频率及其他生活习惯如饮食、吸烟、饮酒情况。结果无锻炼的老年人占75.9%,荤素均衡饮食习惯为主的老年人占99.2%,有不良的吸烟行为或经常或每天饮酒的低于10%。调整年龄和性别及饮食、吸烟和饮酒情况后,腰围、谷丙转氨酶、谷草转氨酶、总胆红素、总胆固醇、甘油三酯和低密度脂蛋白胆固醇随着锻炼频率的增加而升高(β=-0.186~0.030,P<0.05),而血小板、血清肌酐、高密度脂蛋白胆固醇和空腹血糖则随着锻炼频率的增加而降低(β=0.027~0.085,P<0.05)。即使调整每次的锻炼时间和坚持锻炼的年限,上述趋势仍没有改变。结论在横断面设计的调查研究中,锻炼频率不宜作为评价老年人运动与其健康效应关联的指标,更多的可能反映了因健康效应而被动选择了运动频率的增加。Objective To explore the influences of the frequency of physical activity on the laboratory health indexes among the elderly in a cross-sectional investigation. Methods Totally 6 889 elderly people aged over 64 years old in one community of one district of Qingdao were chosen who volunteered for the physical examination. The blood routine test and the blood markers of liver and kidney function,the profile of the lipids,and the fasting blood glucose were measured. The information of the physical activity,dietary,smoking and alcohol drinking was collected. Results 75. 9% of the elder population had no physical activity,and 99. 2% of the elderly had balanced diet,and less than 10% of the elder population had smoking or alcohol drinking unhealthy living habits. After adjusted for age,sex,diet,smoking and alcohol drinking,activity frequency indicated positive association with waist circumference,aspartate aminotransferase,alanine aminotransferase,total bile acid,cholesterol,triglyceride,and low density lipid cholesterol with β from-0. 186 to-0. 030,P 0. 05; negative association was found for platelet,serum creatinine,high density lipid cholesterol and fasting blood glucose with β from 0. 027 to 0. 085,P 0. 05.Even activity time and lasting years were adjusted,the association was remained. Conclusion The frequency of physical activity seems unfitted for the assessment of the association between physical activity and health effects for the elder population in the cross-sectional investigation,and more possibly reflects passively increased because of the health status.

关 键 词：老年人 锻炼频率 健康指标 横断面研究 

分 类 号：C913.6[经济管理]