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西藏地区超重肥胖人群心肺耐力的影响因素

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目的:探讨西藏地区20~59岁超重肥胖人群心肺耐力的影响因素.方法:数据来源于西藏国民体质监测数据20~59岁人群部分,根据肥胖标准筛选出超重肥胖人群数据,有效样本量1 627例.体质测试内容包括身体形态、身体机能和身体素质.采用t检验和单因素方差分析比较各组心肺耐力相关指标的差异,采用卡方检验和多元回归模型分析影响肥胖人群心肺耐力的因素.结果:西藏拉萨、林芝、那曲地区20~59岁人群超重肥胖总检出率为33.03%,超重/肥胖且中心性肥胖检出率(15.24%)>单纯超重(12.67%)>单纯中心性肥胖(4.02%)>单纯肥胖(1.11%).西藏超重肥胖者心肺耐力数据比较:单纯超重>单纯中心性肥胖>单纯肥胖>超重肥胖且中心性肥胖.西藏20~59岁超重肥胖人群心肺耐力占比依次为"良好"(38.66%)>"优秀"(31.04%)>"中等及以下"(30.3%).随肥胖指标的升高,超重肥胖人群心肺耐力呈下降趋势.BMI>25.75 kg/m2、腰围>94 cm、体脂率>26.92%、腰臀比>0.93时心肺耐力显著下降(均P<0.05).心肺耐力与肥胖指标BMI(r=-0.24)、腰围(r=-0.31)、体脂率(r=-0.89)、腰臀比(r=-0.64)均呈显著负相关(均P<0.01),其中体脂率对心肺耐力负性影响较大(χ2=260.05,P<0.01).西藏肥胖者心肺耐力受性别、年龄、肥胖类型及体育锻炼因素的影响显著.与心肺耐力"中等及以下"比较,在"良好"等级中,男性、偶尔运动、经常运动与心肺耐力"良好"呈正相关;在心肺耐力"优秀"等级中,年龄40~59岁、单纯肥胖、单纯中心性肥胖,超重/肥胖且中心性肥胖与心肺耐力"优秀"呈负相关;男性、偶尔运动、经常运动与心肺耐力"优秀"呈正相关(均P<0.05).其中经常运动(OR=7.42,95%CI:4.95~11.09)对心肺耐力为"良好"影响较大,性别(OR=16.64,95%CI:11.79~23.47)对心肺耐力为"优秀"影响较大.结论:西藏地区20~59岁超重肥胖者心肺耐力受性别、年龄、肥胖类型及体育锻炼影响显著,与年龄、肥胖呈负相关,与男性、体育锻炼呈正相关.经常进行体育锻炼(30 min/d,3 d/week以上)对西藏肥胖人群心肺耐力改善有积极作用.肥胖相关指标与心肺耐力均呈负相关,其中体脂率对心肺耐力负性影响较大.
Influencing Factors of Cardiorespiratory Endurance in Overweight and Obese People in Xizang Region
Objective:To explore the influencing factors of cardiorespiratory endurance in overweight and obese people aged 20~59 years in Xizang.Methods:The data were derived from the part of Tibetan national physical fitness monitoring data for people aged 20~59,and the data of overweight and obese people were screened ac-cording to the obesity standard,yielding an effective sample size of 1 627 cases.The physical fitness test encom-passed body shape,physical function,and physical quality.The t-test and one-way ANOVA were used to com-pare the differences of cardiorespiratory endurance related indexes in each group,and the chi-square test and multiple regression model were used to analyze the factors affecting cardiorespiratory endurance in obese people.Results:In this study,the total detection rate of overweight and obesity among people aged 20~59 years in Lha-sa,Linzhi,and Nagchu regions of Xizang was 33.03%,and the detection rate of overweight/obesity and central obesity was 15.24%>simple overweight 12.67%>simple central obesity 4.02%>simple obesity 1.11%.In Xizang,when comparing cardiorespiratory endurance data of overweight and obese people:simple overweight>simple central obesity>simple obesity>overweight combined with central obesity.Specifically,the cardiorespiratory function related indexes of overweight people are better than other obesity types,and the cardiorespiratory func-tion related indexes of overweight/obese and centrally obese people are lower than other types(all P<0.05).In Xi-zang,the proportion of overweight and obese people aged 20~59 years with"good"cardiorespiratory endurance was 38.66%>"excellent"31.04%>"moderate and below"30.3%.The cardiopulmonary endurance of overweight and obese individuals exhibited a decreasing trend as obesity indices increased.The cardiopulmonary endurance decreased significantly when the BMI was>25.75 kg/m2,waist circumference was>94 cm,body fat percentage was>26.92%,and waist-hip ratio was>0.93.Cardiorespiratory endurance was significantly negatively correlat-ed with the obesity indexes of BMI(r=-0.24),waist circumference(r=-0.31),body fat percentage(r=-0.89),and waist-to-hip ratio(r=-0.64)(all P<0.01),with a greater negative effect of body fat percentage on cardiorespirato-ry endurance(χ2=260.05,P<0.01).Cardiorespiratory endurance was significantly affected by gender,age,type of obesity and physical activity factors in obese Tibetans.In the"excellent"category,age 40~59,simple obesity,simple central obesity,and overweight/obesity with central obesity were negatively associated with"excellent"cardiorespiratory endurance;male,occasional exercise,and regular exercise were negatively associated with"ex-cellent"cardiorespiratory endurance;and male,occasional exercise,and regular exercise were positively associ-ated with"good"cardiorespiratory endurance."Excellent"was positively correlated with male,occasional exer-cise,and regular exercise(all P<0.05).Regular exercise(OR=7.42,95%CI:4.95~11.09)had a greater effect on cardiorespiratory endurance being"good",and gender(OR=16.64,95%CI:11.79~23.47)had a greater effect on cardiorespiratory endurance being"excellent".Conclusion:Cardiorespiratory endurance in overweight and obese people aged 20~59 years in Xizang was significantly affected by gender,age,type of obesity and physical activity:negatively correlated with age and obesity;and positively correlated with male and physical activity.Regular physical activity(30min/d,3d/week or more)had a positive effect on the improvement of cardiorespirato-ry endurance in the obese Tibetan population.Obesity-related indexes were all negatively correlated with cardio-respiratory endurance,with body fat percentage having a greater negative effect on cardiorespiratory endurance.

Tibetanoverweight and obesityexercisecardiorespiratory enduranceinfluencing factors

陈婷、彭瑶函、李小灿、孙睿哲、赵昕

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西藏民族大学高原体育与健康研究中心 陕西咸阳 712082

西藏自治区体育科学研究所 西藏拉萨 850007

西藏民族大学附属医院 陕西咸阳 712082

藏族 超重肥胖 运动 心肺耐力 影响因素

2024

高原科学研究

高原科学研究

ISSN:
年,卷(期):2024.8(3)