苏州市吴中区30~79岁居民体力活动水平和休闲静坐时间与衰弱关系  

Relationship between physical activity level, leisure sedentary time, and frailty among residents aged 30 – 79 years in Wuzhong district, Suzhou city: a baseline surveillance data analysis

作　　者：范习康 华姜 苏健[1] 俞浩[1] 陆艳[3] 华钰洁 金建荣[4] 裴培 孙点剑一 余灿清[5,6,7] 吕筠 周金意[1] 陶然[1,2] FAN Xikang;HUA Jiang;SU Jian;YU Hao;LU Yan;HUA Yujie;JIN Jianrong;PEI Pei;SUN Dianjianyi;YU Canqing;LYU Jun;ZHOU Jinyi;TAO Ran(Department of Non-communicable Chronic Disease Control and Prevention,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;School of Public Health,Nanjing Medical University,Nanjing 211166,China;Department of Non-communicable Chronic Disease Control and Prevention,Suzhou Center for Disease Control and Prevention,Suzhou 215004,China;Suzhou Wuzhong District Center for Disease Control and Prevention,Suzhou 215128,China;Peking University Center for Public Health and Epidemic Preparedness and Response,Beijing 100191,China;Department of Epidemiology&Biostatistics,School of Public Health,Peking University,Beijing 100191,China;Key Laboratory of Epidemiology of Major Diseases,Ministry of Education(Peking University),Beijing 100191,China)

机构地区：[1]江苏省疾病预防控制中心慢性非传染病防制所,南京210009 [2]南京医科大学公共卫生学院,南京211166 [3]苏州市疾病预防控制中心慢性非传染病防制科,苏州215004 [4]苏州市吴中区疾病预防控制中心,苏州215128 [5]北京大学公众健康与重大疫情防控战略研究中心,北京100191 [6]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [7]重大疾病流行病学教育部重点实验室(北京大学),北京100191

出　　处：《中国公共卫生》2024年第12期1465-1470,共6页Chinese Journal of Public Health

摘　　要：目的 探讨江苏省苏州市吴中区30~79岁居民体力活动水平和休闲静坐时间与衰弱的关系,为当地居民衰弱的预防控制提供参考依据。方法 收集中国慢性病前瞻性研究(CKB)苏州市吴中区项目点2004年11月—2008年1月基线调查中53 269名30~79岁居民的相关数据,应用无序多分类logistic回归模型分析体力活动水平和休闲静坐时间与衰弱前期、衰弱期之间的关系。结果 苏州市吴中区53 269名30~79岁居民中,23 096人(43.36%)处于衰弱前期状态,1 227人(2.30%)处于衰弱期状态;体力活动水平为<12.73 MET-h/d 13 315人(25.00%),12.73~23.19 MET-h/d 13 319人(25.00%),23.20~37.29 MET-h/d 13 311人(24.99%),≥37.30 MET-h/d 13 324人(25.01%);休闲静坐时间为0~2 h/d 24 631人(46.23%),3~4 h/d 20 028人(37.61%),5~6 h/d 5 764人(10.82%),≥7 h/d 2 846人(5.34%)。在控制了性别、年龄、文化程度、婚姻状况、家庭年均收入、吸烟情况、饮酒情况、新鲜蔬菜摄入频率、新鲜水果摄入频率和红肉摄入频率等混杂因素后,无序多分类logistic回归分析结果显示,体力活动水平为12.73~23.19 MET-h/d、23.20~37.29 MET-h/d、≥37.30 MET-h/d的苏州市吴中区30~79岁居民处于衰弱前期的风险分别为<12.73 MET-h/d居民的0.76倍(OR=0.76,95%CI=0.72~0.80)、 0.67倍(OR=0.67,95%CI=0.63~0.71)和0.66倍(OR=0.66,95%CI=0.62~0.69),处于衰弱期的风险分别为0.50倍(OR=0.50,95%CI=0.43~0.59)、0.35倍(OR=0.35,95%CI=0.29~0.43)和0.29倍(OR=0.29,95%CI=0.23~0.36);休闲静坐时间为3~4 h/d、5~6 h/d和≥7 h/d的苏州市吴中区30~79岁居民处于衰弱前期的风险分别为0~2 h/d居民的1.10倍(OR=1.10,95%CI=1.06~1.14)、1.33倍(OR=1.33,95%CI=1.25~1.41)和1.61倍(OR=1.61,95%CI=1.48~1.76),休闲静坐时间为5~6 h/d和≥7 h/d的苏州市吴中区30~79岁居民处于衰弱期的风险分别为0~2 h/d居民的1.57倍(OR=1.57,95%CI=1.30~1.89)和2.65倍(OR=2.65,95%CI=2.17~3.24)。结论 苏州市吴中区30~79岁居民体力活动水平与衰弱呈负相Objective To investigate the relationship between physical activity level,leisure sedentary time,and frailty among residents aged 30–79 years in Wuzhong district,Suzhou city,Jiangsu province,and to provide a reference for the prevention and control of frailty among local residents.Methods Data were collected from 53269 residents aged 30–79 years in Wuzhong district,Suzhou city,who participated in the baseline survey of the China Kadoorie Biobank(CKB)from November 2004 to January 2008.An unordered multinomial logistic regression model was used to analyze the relationship between physical activity level,leisure sedentary time,and pre-frailty and frailty.Results Of the 53269 residents aged 30–79 years in Wuzhong district,Suzhou city,23096(43.36%)were pre-frail and 1227(2.30%)were frail.The physical activity levels were categorized as follows:<12.73 MET-h/d(13,315 participants,25.00%),12.73–23.19 MET-h/d(13319 participants,25.00%),23.20–37.29 MET-h/d(13311 participants,24.99%),and≥37.30 MET-h/d(13324 participants,25.01%).Leisure sedentary time was categorized as follows:0–2 h/d(24631 participants,46.23%),3–4 h/d(20028 participants,37.61%),5–6 h/d(5764 participants,10.82%),and≥7 h/d(2846 participants,5.34%).After adjusting for confounding factors such as sex,age,education level,marital status,annual household income,smoking status,alcohol consumption,frequency of fresh vegetable intake,frequency of fresh fruit intake,and frequency of red meat intake,the results of unordered multinomial logistic regression analysis showed that compared with residents with a physical activity level of<12.73 MET-h/d,the risk of pre-frailty was 0.76 times lower(OR=0.76,95%CI=0.72–0.80),0.67 times lower(OR=0.67,95%CI=0.63–0.71),and 0.66 times lower(OR=0.66,95%CI=0.62–0.69)for those with physical activity levels of 12.73–23.19 MET-h/d,23.20–37.29 MET-h/d,and≥37.30 MET-h/d,respectively.The risk of frailty was 0.50 times lower(OR=0.50,95%CI=0.43–0.59),0.35 times lower(OR=0.35,95%CI=0.29–0.43),and 0.29 times

关 键 词：衰弱 体力活动水平 休闲静坐时间 关系 

分 类 号：R195[医药卫生—卫生统计学]