中国成人“周末战士”与“规律达标”身体活动模式基本特征  

Characteristics of physical activity patterns for "weekend warrior" and "regular active" in Chinese adults

作　　者：陈晓荣[1] 张梅[1] 王丽敏[1] 赵振平[1] 黄正京[1] 王薇[1] 吴静[1] CHEN Xiao-rong;ZHANG Mei;WANG Li-min;ZHAO Zhen-ping;HUANG Zheng-jing;WANG Wei;WU Jing(National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050

出　　处：《中国慢性病预防与控制》2021年第7期485-489,494,共6页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：国家重点研发课题(2018YFC1311703);中央财政转移支付地方项目“2010年中国慢性病监测”。

摘　　要：目的了解我国成人"周末战士"与"规律达标"身体活动模式的基本特征,为我国开展精准化身体活动促进提供参考。方法 2010年中国慢性病及危险因素监测在全国162个监测地区开展,采用多阶段分层随机的抽样方法,确定有效调查样本98 649人。以面对面访谈的方式采用全球体力活动问卷询问调查对象中、高强度身体活动情况,本研究仅对其中的交通及业余锻炼情况初步分析。以自报每周1~2 d累计达到中等强度身体活动150 min,或高强度身体活动75min,或二者结合,为"周末战士"模式,以每周3~7 d达到目标者为"规律达标"模式。对样本进行复杂加权,采用SAS 9.4统计软件进行Rao-Scottχ^(2)检验、Wald对数线性χ^(2)检验和方差分析。结果 2010年我国成人"规律达标"流行率为43.00%(95%CI:40.87%~45.14%)显著高于"周末战士"(1.20%,95%CI:1.01%~1.39%),差异有统计学意义(P<0.01)。"规律达标"者的活跃交通参与率(93.64%,95%CI:92.80%~94.46%)显著高于"周末战士"(69.07%,95%CI:63.80%~74.34%),差异有统计学意义(P<0.01);而业余锻炼方面,"规律达标"的参与率"(31.50%,95%CI:28.80%~34.20%)与"周末战士"(34.90%,95%CI:29.07%~40.74%)比较,差异无统计学意义(P>0.05)。"周末战士"的中高强度身体活动能量消耗中位数(M)为950.91 MET-min/周(P25~P75:941.39~1 056.78 MET-min/周),显著低于"规律达标"者(M=1 663.26 MET-min/周,P25~P75:836.87~2 515.94 MET-min/周),差异有统计学意义(P<0.01)。结论我国成人身体活动达标模式以"规律达标"为主,有必要依据相应的身体活动达标模式针对性地开展有关身体活动促进。Objective To understand the characteristics of physical activity patterns for "weekend warrior" and "regular active" in Chinese adults,and to provide the reference for developing the precision physical activity in China. Methods Data from China Chronic Disease and Risk Factor Surveillance(162 surveillance districts) in 2010 was used. The multistage stratified random sampling was used to conform 98 649 effective samples. The face to face interview was performed with Global Physical Activity Questionnaire to collect the information of moderate-intensity and vigorous-intensity high physical activity for the subjects. This present study only analyzed the data on active transportation and leisure time exercise. "Weekend warrior" pattern was classified as those meeting the recommendation through 1-2 days/week(ie,150 minutes of moderate-intensity or 75 minutes of high-intensity physical activity,or an equivalent combination),while those meeting the recommendation through 3-7 days/week was defined as "regularly active" pattern. The sample was weighted according to complex sampling scheme and post-stratification,and SAS 9.4 statistical software was used to perform Rao-scott chi-square test,Wald log-linear chi-square test and variance analysis. Results The prevalence of "weekend warrior" pattern in adults in China in 2010 was 1.20%(95%CI:1.01%-1.39%),which was significantly lower than that(43.00%,95%CI:40.87%-45.14%) of "regularly active" pattern,P<0.01. The rate of participating active transportation in "regularly active" adults was 93.64%(95%CI:92.80%-94.46%),which was significantly higher than that(69.07%,95%CI:63.80%-74.34%) in "weekend warrior" adults,P<0.01;the rate of leisure time exercise in "regularly active" adults was 31.50%(95%CI:28.80%-34.20%),the rate of leisure time exercise in "weekend warrior" adults was 34.90%(95%CI:29.07%-40.74%),there was no significant difference between two groups,P >0.05. The median of energy expenditure of "weekend warrior" was950.91 MET-min/week(P25-P75:941.39-1 056.78 MET-min/week

关 键 词：身体活动 身体活动模式 能量消耗 流行率 

分 类 号：R163[医药卫生—公共卫生与预防医学]