Relationship between physical activity level and hypertension,diabetes or dyslipidemia in China
Objective To understand the relationship between physical activity level and hypertension,diabetes or dyslipidemia in Chinese residents(≥18 years old),and provide the referen.for the prevention and control measures and strategies of chronic diseases in Chinese residents.Methods The data were from the National Chronic Diseases and Risk Factors Surveillance in China in 2018.The multi-stage stratified cluster random sampling method was used to select 175 389 permanent residents(≥18 years old)from 31 provinces(autonomous region and municipality)as the subjects.The investigation was performed with questionnaire,physical examination and laboratory test.Rao-Scott x2 test based on a complex sampling design,multiple linear regression analysis and disordered multi-classification logistic regression analysis were used to analyze the data.The used software was SPSS 25.0.Results The proportion of Chinese adult residents with low level,medium level and high level of physical activity was 24.7%,25.9%and 49.4%,respectively.The multiple linear regression analysis showed that as compared with physical activity high level group,systolic blood pressure and diastolic blood pressure increased 0.440 and 0.288 mmHg in new diagnosed hypertension subjects with physical activity low level group;fasting plasma glucose and oral glucose tolerance test 2 h plasma glucose increased 0.177 and 0.439 mmol/L in new diagnosed diabetes subjects with physical activity low level group;triglyceride,high density lipoprotein cholesterol,low density lipoprotein cholesterol decreased in dyslipidemia with physical activity low and medium levels groups,specially in low physical activity level group.The disordered multi-classification logistic regression analysis showed that after adjusting the confounding factors,low and medium levels of physical activity related to high risk of new diagnosed hypertension(OR values were 1.059 and 1.039),new diagnosed diabetes(OR values were 1.219and 1.158)and dyslipidemia(OR values were 1.112 and 1.066),P<0.01;moreover the risk in low level physical activity group was higher than that in the medium level physical activity group.Conclusion The physical activity correlated to hypertension,diabetes and dyslipidemia.Scientific,reasonable,timely and appropriate improvement of resident physical activity level will help to prevent hypertension,diabetes and dyslipidemia.