Physical Fitness and Physical Activity between People with Common Noncommunicable Diseases and Healthy People in Guangdong Province:A Comparative Study
OBJECTIVE:This study aims to compare the differences in physical fitness and physical activity between individuals with common noncommunicable diseases(NCDs)and healthy individuals,with the goal of providing exercise-based evidence for disease prevention and control.METHODS:Using a cross-sectional study design,a total of 34,157 individuals aged 20-59 in Guangdong Province in 2020 were selected as the research subjects.This included healthy individuals without any diseases,individuals with only hypertension,individuals with only diabetes,and individuals with only abnormal blood lipids.The physical fitness of the research subjects was measured using instruments from the fifth National Physical Fitness Monitoring,and information on diseases and physical activity was obtained through questionnaires.The Wilcoxon rank-sum test and Bonferroni method were utilized to analyze the differences in physical fitness and physical activity between the hypertension,diabetes,and abnormal blood lipids groups and the healthy group.RESULTS:Statistically significant differences(P<0.05)were found in 18 physical fitness indicators,sedentary behavior,exercise,and sleep between individuals with common NCDs and healthy individuals.Compared to the healthy group,individuals with hypertension,diabetes,and abnormal blood lipids had higher body fat percentage(≥26.1%),lower relative maximum oxygen uptake(≤39.9mL/kg/min);individuals with hypertension and diabetes had lower vertical jump(≤21.8cm)and sit-ups(≤ 17 times/min),shorter duration of one-leg standing with eyes closed(≤15.60s),and longer reaction time(0.65s);individuals with hypertension and abnormal blood lipids also had lower sit-and-reach distance(≤5.Ocm)and shorter daily sleep time(450min);individuals with abnormal blood lipids had longer sedentary time during leisure time per week(7.5h).CONCLUSION:Individuals with common NCDs may exhibit characteristics such as higher obesity,poorer cardiorespiratory function,muscle endurance,flexibility,balance,and reaction ability,as well as prolonged sedentary time and shorter sleep.Hence,patients need personalized and scientifically tailored exercise programs based on their own physical fitness status to improve their health conditions.