中国中老年人身体活动水平与脑卒中发生的相关性:基于CHARLS数据  

Relationship between physical activity levels and stroke risk among middle-aged and older adults in China based on CHARLS data

作　　者：粟昭隐 康巍瀚 刘亚涛[2] 吕媛 Michael NERLICH SU Zhaoyin;KANG Weihan;LIU Yatao;LÜYuan;Michael NERLICH(The First Clinical Medical College of Lanzhou University,Lanzhou,Gansu 730000,China;The First Hospital of Lanzhou University,Lanzhou,Gansu 730000,China;The Second Clinical Medical College of Lanzhou University,Lanzhou,Gansu 730000,China;The University Hospital of Regensburg,Regensburg 80333,Germany)

机构地区：[1]兰州大学第一临床医学院,甘肃兰州市730000 [2]兰州大学第一医院,甘肃兰州市730000 [3]兰州大学第二临床医学院,甘肃兰州市730000 [4]德国雷根斯堡大学医院,德国雷根斯堡80333

出　　处：《中国康复理论与实践》2024年第4期449-453,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：科学技术部高端外国专家项目(No.G2019028023;No.G2020028007);兰州大学学生创新创业行动计划(No.20230060103;No.20230060114);兰州大学医学教育创新发展项目(No.lzuyxcx-2022-99);甘肃省联合科研基金项目(No.23JRRA1496)

摘　　要：目的探究中国中老年人身体活动水平与脑卒中发生的关联。方法分析中国健康与养老追踪调查(CHARLS)2020年数据中19395例受访者的自我报告数据。结果发生脑卒中1368例(7.05%)。年龄≥65岁(OR=1.049,95%CI 1.043~1.055,P<0.001)、与配偶分居(OR=2.004,95%CI 1.091~3.683,P=0.025)、丧偶(OR=1.669,95%CI 1.452~1.919,P<0.001)是脑卒中发生的危险因素。相比于教育水平为小学,初中(OR=0.766,95%CI 0.664~0.883,P<0.001)、高中及中专(OR=0.804,95%CI 0.665~0.972,P=0.024)、大学及以上(OR=0.568,95%CI 0.361~0.894,P=0.015)是脑卒中发生的保护因素;与低强度身体活动水平相比,中强度身体活动水平(OR=0.691,95%CI 0.598~0.799,P<0.001)、高强度身体活动水平(OR=0.417,95%CI 0.364~0.478,P<0.001)是脑卒中发生率的保护因素。调整婚姻状态、受教育程度后,年龄≥65岁(OR=2.398,95%CI 2.139~2.668,P<0.001)、女性(OR=0.834,95%CI 0.746~0.933,P=0.001)、中强度身体活动水平(OR=0.755,95%CI 0.652~0.874,P<0.001)、高强度身体活动水平(OR=0.498,95%CI 0.433~0.572,P<0.001)仍与脑卒中的发生相关。结论适度身体活动可能降低脑卒中的发生风险。Objective To investigate the association between levels of physical activity and incidence of stroke among middle-aged and older individuals in China.Methods The self-reported data of 19395 respondents from the China Health and Retirement Longitudinal Study(CHARLS)2020 dataset were analyzed.Results There were 1368 cases of stroke(7.05%).The participants aged≥65 years(OR=1.049,95%CI 1.043 to 1.055,P<0.001),living separately from their spouse(OR=2.004,95%CI 1.091 to 3.683,P=0.025)and widowed(OR=1.669,95%CI 1.452 to 1.919,P<0.001)were in more risk of stroke.Compared to participants accepting education of primary school,individuals accepting education of middle school(OR=0.766,95%CI 0.664 to 0.883,P<0.001),high school and technical school(OR=0.804,95%CI 0.665 to 0.972,P=0.024),and higher school or above(OR=0.568,95%CI 0.361 to 0.894,P=0.015)were in less risk of stroke;as well as the individ‐uals with moderate-intensity physical activity(OR=0.691,95%CI 0.598 to 0.799,P<0.001)and high-intensity physical activity(OR=0.417,95%CI 0.364 to 0.478,P<0.001)compared with those with low-intensity physi‐cal activity.After adjusting for marital status and education levels,aged≥65 years(OR=2.398,95%CI 2.139 to 2.668,P<0.001),females(OR=0.834,95%CI 0.746 to 0.933,P=0.001),moderate-intensity(OR=0.755,95%CI 0.652 to 0.874,P<0.001)and high-intensity(OR=0.498,95%CI 0.433 to 0.572,P<0.001)physical ac‐tivity remained related factors of stroke.Conclusion Appropriate physical activity may reduce the risk of stroke.

关 键 词：脑卒中 中老年人 身体活动 中国健康与养老追踪调查 

分 类 号：R49[医药卫生—康复医学]