首页|7712名社区人群身体锻炼水平对心血管病风险的影响及相关因素分析

7712名社区人群身体锻炼水平对心血管病风险的影响及相关因素分析

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目的 探讨徐州市贾汪区社区人群身体锻炼水平对心血管病风险的影响.方法 采用2015-2018年国家心血管病高危人群早期筛查与综合干预项目在徐州市贾汪区项目点的调查数据,对调查对象进行问卷调查和体格检查,收集身体锻炼水平资料,根据问卷初筛结果判断调查对象是否为心血管病高危对象.采用x2检验/方差分析进行调查对象身体锻炼水平的比较,采用logistic回归模型分析身体锻炼水平对心血管病高危风险的影响.结果 7 712名调查对象(高危组2 764人,非高危组4948人),经常锻炼率为15.4%,从不锻炼率为77.6%;男性、高中及以上学历、非农民、家庭年收入>5万元、饮酒、BMI处于18.5~23.9 kg/m2、未患高血压、患有糖尿病、未患血脂异常调查人群经常锻炼率高于同类别其他调查人群(P<0.05).女性、初中及以下学历、农民、家庭年收入≤5万元、不饮酒、BMI<18.5kg/m2、患有高血压、未患糖尿病、患有血脂异常调查人群从不锻炼率高于同类别其他组别调查人群(P<0.05).回归显示:调整基本特征因素、生活方式因素及疾病因素后,偶尔锻炼和经常锻炼对心血管病高危风险的OR值及95%CI分别为0.622(0.476~0.813)和0.459(0.377~0.559).结论 经常锻炼和偶尔锻炼是心血管病高危风险的保护因素.
Analysis of the effect of physical activity level on cardiovascular risk in 7 712 Community populations and its related factors
Objective This study exploried differences in physical activity between participants with versus without high risk of cardiovascular diseases(CVD).Methods Survey data from the China Patient-centered Evaluative Assessment of Cardiac Events(PEACE)Million Persons Project in Jiawang District,Xuzhou City,Jiangsu from 2015 to 2018 were ana-lyzed.A questionnaire and physical examination were performed to collect data on physical activity.The presence of high CVD risk was determined according to the preliminary screening results of the questionnaire.Chi square test or ANOVA was used to compare differences in physical activity.Associations between CVD high risk and the different physical activity lev-els were analyzed with logistic regression models.Results A total of 7 712 participants(2 764 in the high-risk group and 4 948 in non-high-risk group)were included.The rates of participating in exercise and never exercising were 15.4%and 77.6%respectively.Higher rates of participating in exercise were observed among participants who were male,who had an education level of high school or above,who were not farmers,who had household income>50 000 RMB annually,who drank alcohol,who had a BM1 between 18.5 and 23.9 kg/m2,who did not have hypertension,who had diabetes,and who did not have dyslipidemia than were observed among the other groups(P<0.05).The rates of never exercising were higher among participants who were female,had an education lev-el of junior school or below,who were farmers,who had household income≤50 000 RMB annually,who did not drink alcohol,who had a BMI less than 18.5 kg/m2,who had hypertension,who did not have diabetes,and who had dyslipidemia than were observed among the other groups(P<0.05).Logistic regression models indicated s standardized OR(95%CI)of the rates of participation in exercise and occasional exer-cise of 0.622(0.476-0.813)and 0.459(0.377-0.559),respectively.Conclusion Participating in exercise was beneficial for the high CVD risk population.

Cardiovascular diseasesHigh riskPhysical activity

刘露、李婷、乔程、宗华、李金宇、张盼

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徐州市中心医院导管室,江苏徐州 221000

徐州市疾病预防控制中心,江苏徐州 221000

徐州市贾汪区疾病预防控制中心,江苏徐州 221000

心血管病 高危风险 身体锻炼

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(8)