全民健身政策对慢性肾脏病疾病负担的影响机制:多国政策工具比较与实证研究  

Influencing Mechanism of National Fitness Policy on the Burden of Chronic Kidney Disease:A Comparative and Empirical Study of Policy Instrument in Various Countries

作　　者：汤文妍 刘洋[1] 律海涛[1] TANG Wenyan;LIU Yang;LYU Haitao(Nantong University,Nantong 226019,China)

机构地区：[1]南通大学,江苏南通226019

出　　处：《中国体育科技》2025年第4期56-68,共13页China Sport Science and Technology

摘　　要：目的:探究全民健身政策对慢性肾脏病(chronic kidney disease,CKD)疾病负担的影响机制。方法:采用混合研究方法,以中国、美国、英国、澳大利亚、新加坡和波兰的全民健身政策文本和全球疾病负担(global burden of disease,GBD)研究数据为研究对象,探索全民健身政策对CKD疾病负担的影响。结果:1)权威工具(β=-0.534,P<0.05)和系统变革工具(β=-0.486,P<0.05)对归因于身体活动不足的CKD疾病负担的影响最为显著。2)身体活动不足在全民健身政策影响CKD疾病负担的关系中发挥部分中介作用,直接效应(β=-0.418,P<0.05)和间接效应(β=-0.224,P<0.05)均显著。3)社会发展水平在政策与CKD疾病负担之间的调节作用显著(β=0.312,P<0.01)。结论:权威工具和系统变革工具是减轻CKD疾病负担的关键政策工具,全民健身政策既能直接降低CKD疾病负担,也能通过减少身体活动不足间接发挥作用,这一效应受社会发展水平的显著调节。建议:1)在全民健身政策设计中强化权威工具和系统变革工具的应用,注重促进身体活动参与;2)根据不同社会发展水平,采取差异化的政策工具组合策略,提高政策实施效果。Objective:To investigate the influencing mechanisms of national fitness policies on the the disease burden of chronic kidney disease(CKD).Methods:Using mixed research methods,the national fitness policy texts and global burden of disease(GBD)study data from China,the United States,the United Kingdom,Australia,Singapore,and Poland were selected as the research subjects,to explore the impact of national fitness policies on CKD disease burden.Results:1)Authority tools(β=-0.534,P<0.05)and system-change tools(β=-0.486,P<0.05)had the most significant impact on the chronic kidney disease burden attributed to low physical activity.2)Physical inactivity exerts a partial mediating effect in the relatiosnship between national fitness policies and CKD disease burden,with both significant direct effects(β=-0.418,P<0.05)and indirect effects mediated through insufficient physical activity(β=-0.224,P<0.05).3)Social development level significantly moderated the relationship between policy and CKD disease burden(β=0.312,P<0.01).Conclusions:Authority tools and system-change tools are key policy instruments for reducing CKD disease burden.National fitness policies can both directly decrease CKD disease burden and indirectly exert effects by reducing insufficient physical activity,with this effect significantly moderated by social development level.Suggestions:1)Strengthen the application of authority tools and system-change tools in national fitness policy design while focusing on physical activity promotion.2)Adopt differentiated policy instrument combinations according to different social development levels to improve policy implementation effectiveness.

关 键 词：全民健身政策 慢性肾脏病 政策工具 疾病负担 健康促进 

分 类 号：G80-05[文化科学—运动人体科学]