久坐行为与成年人多种慢性疾病的关联研究  

Association between sedentary behavior and multiple chronic diseases in adults

作　　者：雷雅麟 辛军国 杨春松[3] 邹锟[1] 赵莉[1] 马骁[1] LEI Ya-lin;XIN Jun-guo;YANG Chun-song;ZOU Kun;ZHAO Li;MA Xiao(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041 [2]成都医学院公共卫生学院,四川成都610083 [3]四川大学华西第二医院药学部/循证药学中心,四川成都610041

出　　处：《现代预防医学》2020年第17期3158-3163,共6页Modern Preventive Medicine

基　　金：国家自然科学基金(71871147);青川县居民慢性病防控社会因素调查(H180722);都江堰市健康城市建设研究(H180516);健康石棉2030规划(H170911)。

摘　　要：目的了解成年人久坐行为现状,探讨久坐行为与多种慢性病之间的关系。方法2018年采用多阶段分层整群抽样方法,对四川省15394名常住居民进行问卷调查,获得人口社会学、健康及相关行为等信息,采用logistic回归模型分析久坐行为与多种慢性病的关系。结果共纳入14073人,平均年龄为(53.10±15.65)岁,日静坐时间>7 h占8.08%,5~7 h占22.51%,3~5 h占34.02%,<3 h占35.39%。日静坐时间越长的居民患高血压、糖尿病、骨关节疾病、慢性阻塞性肺病和消化系统疾病的几率更高。本研究发现在控制了社会人口学特征、体力活动及共病等因素的影响后,日静坐时长3 h以上易增加骨关节疾病(OR=1.352,95%CI:1.168~1.563)及消化系统疾病(OR=1.469,95%CI:1.144~1.887)的患病几率。日静坐时长5h以上易增加糖尿病(OR=1.302,95%CI:1.023~1.657)的患病几率。日静坐时长7 h以上易增加高血压(OR=1.293,95%CI:1.068~1.565)及慢性阻塞性肺病(OR=2.046,95%CI:1.591~2.630)的患病几率。日静坐时间越长、患多种慢性病的可能性越高。结论成年人的久坐行为与多种慢性病发生相关,减少久坐行为可能有助于降低成年人患慢性病的几率。Objective To understand the status quo of sedentary behavior among adults and explore the relationship between sedentary behavior and multiple chronic diseases.Methods A multi-stage stratified cluster sampling method was used to conduct a questionnaire survey of 15,394 permanent residents in Sichuan Province in 2018,so as to obtain demographic sociology,health and related behaviors and other information.Logistic regression model was adopted to analyze the relationship between sedentary behavior and a variety of chronic diseases.Results A total of 14,073 participants were included,with an average age of(53.10±15.65)years.Sedentary time for 7 hours per day accounted for 8.08%,22.51%for 5~7 hours,34.02%for 3-5 hours,and 35.39%for<3 hours.The longer the sitting time was,the higher the risk of hypertension,diabetes,bone and joint diseases,chronic obstructive pulmonary disease and digestive system diseases.After controlling the influence of social demographic characteristics,physical activity,comorbidity and other factors,sitting quietly for more than 3 hours a day tended to increase the odds of bone and joint diseases(OR=1.352,95%CI:1.168~1.563)and digestive system diseases(OR=1.469,95%CI:1.144~1.887).Sitting quietly for more than 5 hours per day tended to increase the odds of diabetes(OR=1.302,95%CI:1.023~1.657).Sitting quietly for more than 7 hours per day tended to increase the odds of hypertension(OR=1.293,95%CI:1.068~1.565)and chronic obstructive pulmonary disease(OR=2.046,95%CI:1.591~2.630).The longer the daily sit-in time,the higher the possibility of suffering from various chronic diseases.Conclusion Sedentary behavior among adults is associated with a variety of chronic diseases.Reducing sedentary behavior may help reduce the probability of chronic and multiple diseases among adults.

关 键 词：久坐行为 成年人 体力活动 慢性病 

分 类 号：R195.4[医药卫生—卫生统计学]