7712名社区人群身体锻炼水平对心血管病风险的影响及相关因素分析  

Analysis of the effect of physical activity level on cardiovascular risk in 7 712 Community populations and its related factors

作　　者：刘露 李婷[2] 乔程[2] 宗华 李金宇 张盼[2] LIU Lu;LI Ting;QIAO Cheng;ZONG Hua;LI Jinyu;ZHANG Pan(The Cath Lab of Xuzhou Central Hospital,Xuzhou 221000,Jiangsu,China;Xuzhou Center for Disease Control and Prevention,Xuzhou 221000,Jiangsu,China;Center for Disease Control and Prevention of Jiawang District in Xuzhou,Xuzhou 221000,Jiangsu,China)

机构地区：[1]徐州市中心医院导管室,江苏徐州221000 [2]徐州市疾病预防控制中心,江苏徐州221000 [3]徐州市贾汪区疾病预防控制中心,江苏徐州221000

出　　处：《中国校医》2024年第8期606-610,共5页Chinese Journal of School Doctor

基　　金：中央财政转移支付地方卫生计生服务项目(财社[2015]82号);江苏省预防医学科研课题(Y2018015);徐州市卫生健康委医学科技创新项目(XWKYHT20230071)。

摘　　要：目的 探讨徐州市贾汪区社区人群身体锻炼水平对心血管病风险的影响。方法 采用2015—2018年国家心血管病高危人群早期筛查与综合干预项目在徐州市贾汪区项目点的调查数据,对调查对象进行问卷调查和体格检查,收集身体锻炼水平资料,根据问卷初筛结果判断调查对象是否为心血管病高危对象。采用χ^(2)检验/方差分析进行调查对象身体锻炼水平的比较,采用logistic回归模型分析身体锻炼水平对心血管病高危风险的影响。结果7 712名调查对象(高危组2 764人,非高危组4 948人),经常锻炼率为15.4%,从不锻炼率为77.6%;男性、高中及以上学历、非农民、家庭年收入>5万元、饮酒、BMI处于18.5~23.9 kg/m^(2)、未患高血压、患有糖尿病、未患血脂异常调查人群经常锻炼率高于同类别其他调查人群(P<0.05)。女性、初中及以下学历、农民、家庭年收入≤5万元、不饮酒、BMI<18.5 kg/m^(2)、患有高血压、未患糖尿病、患有血脂异常调查人群从不锻炼率高于同类别其他组别调查人群(P<0.05)。回归显示:调整基本特征因素、生活方式因素及疾病因素后,偶尔锻炼和经常锻炼对心血管病高危风险的OR值及95%CI分别为0.622(0.476~0.813)和0.459(0.377~0.559)。结论 经常锻炼和偶尔锻炼是心血管病高危风险的保护因素。Objective This study exploried differences in physical activity between participants with versus without high risk of cardiovascular diseases(CVD).Methods Survey data from the China Patient-centered Evaluative Assessment of Cardiac Events(PEACE)Million Persons Project in Jiawang District,Xuzhou City,Jiangsu from 2015 to 2018 were analyzed.A questionnaire and physical examination were performed to collect data on physical activity.The presence of high CVD risk was determined according to the preliminary screening results of the questionnaire.Chi square test or ANOVA was used to compare differences in physical activity.Associations between CVD high risk and the different physical activity levels were analyzed with logistic regression models.Results A total of 7712 participants(2764 in the high-risk group and 4948 in non-high-risk group)were included.The rates of participating in exercise and never exercising were 15.4%and 77.6%respectively.Higher rates of participating in exercise were observed among participants who were male,who had an education level of high school or above,who were not farmers,who had household income>50000 RMB annually,who drank alcohol,who had a BMI between 18.5 and 23.9 kg/m2,who did not have hypertension,who had diabetes,and who did not have dyslipidemia than were observed among the other groups(P<0.05).The rates of never exercising were higher among participants who were female,had an education level of junior school or below,who were farmers,who had household income≤50000 RMB annually,who did not drink alcohol,who had a BMI less than 18.5 kg/m2,who had hypertension,who did not have diabetes,and who had dyslipidemia than were observed among the other groups(P<0.05).Logistic regression models indicated s standardized OR(95%CI)of the rates of participation in exercise and occasional exercise of 0.622(0.476-0.813)and 0.459(0.377-0.559),respectively.Conclusion Participating in exercise was beneficial for the high CVD risk population.

关 键 词：心血管病 高危风险 身体锻炼 

分 类 号：R54[医药卫生—心血管疾病]