中国中老年人身体活动水平与脑卒中发生的相关性:基于CHARLS数据
Relationship between physical activity levels and stroke risk among middle-aged and older adults in China based on CHARLS data
粟昭隐 1康巍瀚 1刘亚涛 2吕媛 3Michael NERLICH4
作者信息
- 1. 兰州大学第一临床医学院,甘肃兰州市 730000
- 2. 兰州大学第一医院,甘肃兰州市 730000
- 3. 兰州大学第二临床医学院,甘肃兰州市 730000
- 4. 德国雷根斯堡大学医院,德国雷根斯堡 80333
- 折叠
摘要
目的 探究中国中老年人身体活动水平与脑卒中发生的关联.方法 分析中国健康与养老追踪调查(CHARLS)2020年数据中19 395例受访者的自我报告数据.结果 发生脑卒中1 368例(7.05%).年龄≥65岁(OR = 1.049,95%CI 1.043～1.055,P<0.001)、与配偶分居(OR = 2.004,95%CI 1.091～3.683,P = 0.025)、丧偶(OR = 1.669,95%CI 1.452～1.919,P<0.001)是脑卒中发生的危险因素.相比于教育水平为小学,初中(OR = 0.766,95%CI 0.664～0.883,P<0.001)、高中及中专(OR = 0.804,95%CI 0.665～0.972,P = 0.024)、大学及以上(OR = 0.568,95%CI 0.361～0.894,P = 0.015)是脑卒中发生的保护因素;与低强度身体活动水平相比,中强度身体活动水平(OR = 0.691,95%CI 0.598～0.799,P<0.001)、高强度身体活动水平(OR = 0.417,95%CI 0.364～0.478,P<0.001)是脑卒中发生率的保护因素.调整婚姻状态、受教育程度后,年龄≥65岁(OR = 2.398,95%CI 2.139～2.668,P<0.001)、女性(OR = 0.834,95%CI 0.746～0.933,P = 0.001)、中强度身体活动水平(OR = 0.755,95%CI 0.652～0.874,P<0.001)、高强度身体活动水平(OR = 0.498,95%CI 0.433～0.572,P<0.001)仍与脑卒中的发生相关.结论 适度身体活动可能降低脑卒中的发生风险.
Abstract
Objective To investigate the association between levels of physical activity and incidence of stroke among middle-aged and older individuals in China.Methods The self-reported data of 19 395 respondents from the China Health and Retirement Longitudinal Study(CHARLS)2020 dataset were analyzed.Results There were 1 368 cases of stroke(7.05%).The participants aged≥65 years(OR = 1.049,95%CI 1.043 to 1.055,P<0.001),living separately from their spouse(OR = 2.004,95%CI 1.091 to 3.683,P = 0.025)and widowed(OR = 1.669,95%CI 1.452 to 1.919,P<0.001)were in more risk of stroke.Compared to participants accepting education of primary school,individuals accepting education of middle school(OR = 0.766,95%CI 0.664 to 0.883,P<0.001),high school and technical school(OR = 0.804,95%CI 0.665 to 0.972,P = 0.024),and higher school or above(OR = 0.568,95%CI 0.361 to 0.894,P = 0.015)were in less risk of stroke;as well as the individ-uals with moderate-intensity physical activity(OR = 0.691,95%CI 0.598 to 0.799,P<0.001)and high-intensity physical activity(OR = 0.417,95%CI 0.364 to 0.478,P<0.001)compared with those with low-intensity physi-cal activity.After adjusting for marital status and education levels,aged≥65 years(OR = 2.398,95%CI 2.139 to 2.668,P<0.001),females(OR = 0.834,95%CI 0.746 to 0.933,P = 0.001),moderate-intensity(OR = 0.755,95%CI 0.652 to 0.874,P<0.001)and high-intensity(OR = 0.498,95%CI 0.433 to 0.572,P<0.001)physical ac-tivity remained related factors of stroke.Conclusion Appropriate physical activity may reduce the risk of stroke.
关键词
脑卒中/中老年人/身体活动/中国健康与养老追踪调查Key words
stroke/middle-aged and older adults/physical activity/China Health and Retirement Longitudinal Study引用本文复制引用
基金项目
科技部高端外国专家项目(G2019028023)
科技部高端外国专家项目(G2020028007)
兰州大学大学生创新创业训练计划行动计划(20230060103)
兰州大学大学生创新创业训练计划行动计划(20230060114)
兰州大学医学教育创新发展项目(lzuyxcx-2022-99)
甘肃省联合科研基金(23JRRA1496)
出版年
2024
国家科技期刊平台
NSTL
万方数据