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目的了解成年人所进行的不同身体行为活动,分析并探讨其与主要慢性病患病率的关系,为芦淞区成人慢性病防治措施和策略提供参考依据。方法采用多阶段分层抽样方法在株洲市芦淞区慢性病监测点抽取调查对象,对其进行问卷调查(内容包括人口学特征、有无慢性病疾病史、身体行为活动)和实验室检测(血压、血糖和血脂)。结果共发放600份问卷,收回有效问卷599份。其中职业性身体活动的例数(比例)为404(67.4%),进行过交通性身体活动的例数(比例)为518(86.3%),进行过休闲性身体活动的例数(比例)为169(28.2%);各身体行为活动组不同级别的高血压患病率差异均无统计学意义(P>0.05),职业性身体活动组不同活动等级的成人血脂异常患病率差异有统计学意义(P<0.05),总身体活动不同级别的成人糖尿病患率差异有统计学意义(P<0.05)。多因素分析结果表明,中等强度职业性活动中的中等程度(4~5 d/周)是成人高血压患病的保护因素;交通性身体行为中的中等程度(4~5 d/周)是成人糖尿病患病的保护因素,睡眠中的高程度(481~720 min/d)是成人糖尿病患病的危险因素。结论不同身体行为活动及不同程度对慢性病的影响作用各异,适宜的身体活动是慢性病的保护因素,应倡导居民合理进行身体行为活动,适当减少睡眠时间,提高生活质量。
Objective To understand the different physical activities performed by adults and analyze the relationship between them and the prevalence of major chronic diseases so as to provide reference for the prevention and treatment of adult chronic diseases in Lusong District. Methods A multistage stratified sampling method was used to survey the chronic diseases in Lusong District, Zhuzhou City. Questionnaires were collected (including demographic characteristics, history of chronic diseases, physical activity) and laboratory tests (blood pressure, blood glucose And lipids). Results A total of 600 questionnaires were distributed and 599 valid questionnaires were returned. Among them, 404 (67.4%) were occupational physical activity, 518 (86.3%) were engaged in communicable physical activity, and the number of cases (proportion) of recreational physical activity was 169 (28.2%). There was no significant difference in the prevalence of hypertension among different levels of physical activity group (P> 0.05). There was a statistically significant difference in the prevalence of dyslipidemia among occupational physical activity groups (P <0.05). There was a significant difference in the prevalence of diabetes in adults with different levels of total physical activity (P <0.05). Multivariate analysis showed that moderate (4-5 d / week) moderate-intensity occupational activity was a protective factor in adult hypertension; moderate (4-5 d / week) in traffic physical activity was Adult diabetes mellitus protection factors, high levels of sleep (481 ~ 720 min / d) is a risk factor for adult diabetes. Conclusion Different physical activities and different degrees have different effects on chronic diseases. Appropriate physical activities are the protective factors of chronic diseases. Residents should be advocated to conduct appropriate physical activities, appropriately reduce the sleep time and improve the quality of life.