北京市西城区“万步有约”健步走活动效果评估  

Evaluation of the effectiveness of “ten thousand steps”walking campaign in Xicheng district,Beijing

作　　者：高霞[1] 张东[1] 卢立新[1] 张秋雨 郭玲玲[1] 李幻萍 刘芳 GAO Xia;ZHANG Dong;LU Li-xin;ZHANG Qiu-yu;GUO Ling-ling;LI Huan-ping;LIU Fang(Xicheng District Center for Disease Prevention and Control,Beijing 100120,China)

机构地区：[1]北京市西城区疾病预防控制中心,100120

出　　处：《首都公共卫生》2021年第5期286-289,共4页Capital Journal of Public Health

摘　　要：目的评估“万步有约”健步走活动对人群健康的影响,并分析影响万步率的因素。方法以2019年北京市西城区自愿参加“万步有约”健步走活动的610人为研究对象,以100 d健步走和科学健步走知识培训等进行干预,采用现场体检的方式,收集参赛前后的健康指标,包括体重、腰围、臀围、腰臀比、体重指数(BMI)、肌肉含量、内脏脂肪、体脂率和血压,采用SPSS 21.0对数据进行统计分析。结果健步走活动后,参赛人员体重、腰围、臀围、腰臀比、BMI、内脏脂肪、体脂率、收缩压和舒张压分别下降5.72 kg、3.84 cm、0.75 cm、0.02、0.64 kg/m^(2)、2.19 kg、4.38%、3.09 mmHg和1.28 mmHg,肌肉含量增加1.31 kg,除臀围、肌肉含量和舒张压外,其余指标健步走前后比较,差异均有统计学意义(t_(体重)=5.336,P<0.001;t_(腰围)=6.044,P<0.001;t_(臀围)=1.120,P=0.263;t_(腰臀比)=2.668,P=0.023;t_(BMI)=2.288,P=0.043;t_(内脏脂肪)=10.011,P<0.001;t_(体脂率)=8.492,P<0.001;t_(收缩压)=3.076,P=0.012;t_(舒张压)=1.821,P=0.069;t_(肌肉含量)=0.521,P=0.603);健步走活动后参赛人员的平均体重为(59.18±6.33)kg、腰围为(80.21±10.19)cm、腰臀比为0.83±0.06、BMI为(24.04±3.44)kg/m^(2)、体脂率为25.46%±6.01%、内脏指数为(8.22±2.64)kg,收缩压为(115.71±15.80)mmHg,上述各项指标均较健步走前下降(P均<0.05),臀围、肌肉含量和舒张压比较,差异无统计学意义(P>0.05),参赛人员体重、BMI、腰围、收缩压、内脏脂肪和体脂率随着万步率水平的增高,改善越明显;女性高水平的万步率高于男性(OR=1.91,95%CI:1.36~2.68),50岁以上人群的高水平万步率高于35岁以下人群(OR=2.14,95%CI:1.30~3.51),医疗相关职业人群高水平万步率高于其他职业人群(OR=1.58,95%CI:1.04~2.38)。结论健步走活动可以改善人体的健康指标,健步走后,体重、腰围、腰臀比、BMI、内脏脂肪、体脂率、收缩压有明显改善;女性、50岁以上人群和�Objective To assess the impact of“ten thousand steps”walking campaign on the health of the population and to analyze the factors affecting the 10000 steps rate.Methods 610 people who were voluntary to participate in the“ten thousand steps”walking campaign in Xicheng district of Beijing in 2019 were selected as the research subjects.The intervention was conducted with 100 days of walking and scientific walking knowledge training,etc.The health indicators before and after participation were collected by physical examination,including weight,waist circumference,hip circumference,waist-hip ratio,body mass index(BMI),muscle content,visceral fat,body fat percentage and blood pressure,and the data were statistically analyzed using SPSS 21.0.Results After the walking campaign,the participants’weight,waist circumference,hip circumference,waist-hip ratio,BMI,visceral fat,body fat percentage,systolic blood pressure and diastolic blood pressure decreased by 5.72 kg,3.84 cm,0.75 cm,0.02,0.64 kg/m^(2),2.19 kg,4.38%,3.09 mmHg and 1.28 mmHg,respectively,and muscle content increased by 1.31 kg.Except for hip circumference,muscle content and diastolic blood pressure,there was significant change between before and after walking(t_(weight)=5.336,P<0.001;t_(waist circumference)=6.044,P<0.001;t_(hip circumference)=1.120,P=0.263;t_(waist-hip ratio)=2.668,P=0.023;t_(BMI)=2.288,P=0.043;t_(visceral fat)=10.011,P<0.001;t_(body fat percentage)=8.492,P<0.001;t_(systolic blood pressure)=3.076,P=0.012;t_(diastolic blood pressure)=1.821,P=0.069;t_(muscle content)=0.521,P=0.603).The average weight of the participants after the walking campaign was(59.18±6.33)kg,waist circumference was(80.21±10.19)cm,waist-hip ratio was 0.83±0.06,BMI was(24.04±3.44)kg/m^(2),body fate percentage was 25.46%±6.01%,visceral index was(8.22±2.64)kg,systolic blood pressure was(115.71±15.80)mmHg,and all of the above indicators decreased compared with the pre-campaign(P<0.05),and the differences in hip circumference,muscle content and diastolic blood pres

关 键 词：健步走 健康指标 万步有约 

分 类 号：R161[医药卫生—公共卫生与预防医学]