身体活动负荷对我国老年人患慢性疾病风险率的影响研究——基于对清华大学老年人群PASE问卷的流行病学调查被引量：20

Research on Effect of Dose-response of Physical Activity for Relative Rate of Chronic Diseases in Older Adults——Base on a PASE Questionnaire Epidemiological Survey on Older Adult in Tsinghua University

下载PDF

导出

摘要检验老年人身体活动是否能够降低其患慢性疾病的患病风险率,以及不同身体活动负荷对降低老年人身体活动风险率的效果。共1 010名老年人参与本研究,其中男性392名,女性618名,平均年龄66.7±7.9岁,男性平均年龄70.4±6.7岁,女性64.6±7.7岁;采用国际上经典的老年人身体活动流行病学PASE问卷对身体活动和患慢性疾病情况进行调查。结果表明,老年人参加身体活动能够有效减低其患慢性疾病的风险率,在"中"和"高"负荷身体活动组的老年人患病风险率(RR)分别是高血压疾病(0.81和0.68)、II型糖尿病(0.92和0.77)、骨质疏松(0.91和0.86)、心脏病(0.60和0.19)、高血脂(0.93和0.77),在其他身体活动类型和患病风险率的关系上也得出了类似的结论。研究认为,积极参与身体活动的老年人相对于较少参与身体活动的老年人患高血压、糖尿病、心脏病、高血脂等疾病的风险率明显降低,参与身体活动负荷越高,患慢性疾病的风险率越低。在身体活动参与的类型上,骑自行车等与交通型的身体活动负荷参与越高,降低患病风险率的效果越好。 With advancing age, structural and functional deterioration occurs in most physiologi- cal systems, even in the absence of discernible disease. There are the most elderly population in China, aging society and health problem become more and more serious. The purpose of this study is to research the effect of physical activity on chronic disease rate and the dose-response of physical activity on the risk rate of chronic disease. Eligible subjects were 1010 healthy Chinese older adults （ 23.6 ±1.7 yr. ; with males, n =392. , 70.4± 6.7 yr. ; with females, n=618. , 64.6 ±7. 7 yr. ）. In this study, we used the classical physical activity ques- tionnaire PASE（Physical Activity Scale for Elderly）to determinate physical activity for older adults. The multivariable relative risks for older adults associated with cardiovascular disease, type 2 diabetes, osteoporosis, heart disease, and hyperglycemia moderate and vigorous physical activity group were（0. 81 and 0. 68）, （0. 92 and 0. 77）, （0. 91 and 0. 86）, （0. 60 and 0. 19）, （0.93 and 0.77）, respectively （P trend--0.05）. Similar results were observed for occupation physical activity, leisure time physical activity, housework physical activity and trans-portation physical activity. This study shows a tendency for physical activity to be associated with lower chronic disease relative risk in Chinese older adults. In particular, bicycle was gener- ally associated with lower risks of chronic disease.

作者于洪军仇军

机构地区清华大学体育部

出处《中国体育科技》 CSSCI 北大核心 2013年第2期139-144,F0003,共7页 China Sport Science and Technology

基金教育部博士研究生学术新人奖资助

关键词老年人慢性疾病身体活动负荷患病风险率 chronic disease physical activity dose-- response relative risk of disease

分类号 G804.49 [文化科学—运动人体科学]

引文网络
相关文献

参考文献31

1于洪军,刘路.预防慢性疾病发生、发展的最佳身体活动负荷研究综述[J].中国体育科技,2012,48(4):113-123. 被引量：19
2中国老龄委.中国人口老龄化发展趋势预测研究报告[R].2006(2).
3中华人民共和国国家统计局.专题数据:2005年全国1%人口抽样调查数据[R].北京:国家统计局,2011.
4CHEN J,MILLAR W J. Health effects of physical activity[J].Health Reports-statistics Canada, 1999,11 :21-30.
5COMMITTEE P A G A. Physical activity guidelines advisorycommittee report, 2008 [J], Washington, DC: US Dept HealthHuman Services,2008.
6EATON C B, MEDALIE J H,FLOCKE S A.et al. Self-reportedphysical activity predicts long-term coronary heart disease and.all-cause mortalities. Twenty-one-year follow-up of the IsraeliIschemic Heart Disease Study.[J]. Archives Family Med, 1995,4(4):323-329.
7FOLSOM A R, ARNETT D K, HUTCHINSON R G,et al.Physical activity and incidence of coronary heart disease in mid dle-aged women and men. [J]. Med Sci Sports Exe, 1997,29(7) 901-909.
8HAAPANEN N’MIILUNPALO S,VUORI het al. Associationof leisure time physical activity with the risk of coronary heartdisease, hypertension and diabetes in middle-aged men andwomen. [J]. Int J Epidemiol,1997,26(4) :739-747.
9HAAPANEN-NIEMI N, MIILUNPALO S, PASANEN M, etal. Body mass index,physical inactivity and low level of physicalfitness as determinants of all-cause and cardiovascular diseasemortality—16 y follow-up of middle-aged and elderly men andwomen. [J]. Int J Obesity Related Metabolic Disorders: J IntAsso Study Obesity, 2000,24(11) :1465-1474.
10HAKIM A A,PETROVITCH H, BURCHFIEL C M,et al.Effects of walking on mortality among nonsmoking retired men[J]. New England J Med, 1998,338(2) :94-99.

二级参考文献130

1ADAMSEN L, MIDTGAARD J, RORTH, M, et al.. Feasibili ty, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy [J]. Supp Care Cancer, 2003,11 (11) : 707-716.
2ALTMAN R D, HOCHBERG M C, MOSKOWITZ R W, Rec- ommendations for the medical management of osteoarthritis of the hip and knee: 2000 update[J]. Arthritis Rheum, 2000, 43 (9) : 1905 1915.
3ANON. AGS clinical practice guidelines: The management of chronic pain in older persons [M]. GERIATRICS, 1998, 53Suppl. 3, S6-S7.
4BAKKER I,TWISK J W R,VAN MECHELEN W,Ten - Year Longitudinal Relationship Between Physical Activity and Lum- bar Bone Mass in (Young) Adults[J]. J Bone Mineral Res, 2003,18(2) : 325-332.
5BATTY G D, SHIPLEY M J, KIVIMAKI M, et al. Walking pace, leisure time physical activity, and resting heart rate in rela- tion to disease-specific mortality in london: 40 years follow-up of the original whitehall study. An update of our work with profes- sor Jerry N. Morris (1910-2009) [J]. Annals Epidemio, 2010,20 (9) :661-669.
6BERARD A, BRAVO G, GAUTHIER P. Meta-analysis of the effectiveness of physical activity for the prevention of bone lossin postmenopausal women[J]. Osteoporosis Int, 1997,7(4) :331- 337.
7BLAIR S N, KOHL H W, BARLOW C E, et al. Changes in physical fitness and all cause mortality [J]. JAMA, 1995, 273 (14) :1093.
8BLUMENTHAL J A, REJESKI W J, WALSH-RIDDLE M, et al. Comparison of high-and low-intensity exercise training early after acute myocardial infarction * l[J]. Am J Cardiology, 1988, 61(1) ..26-30.
9BONAIUTI D, SHEA B, IOVINE R, et al. Exercise for preven ring and treating osteoporosis in postmenopausal women[J]. Ev id Based Nurs,2003,6(2) ..50-51.
10BOULE N G, HADDAD E,KENNY O P, et al. Effects of exer- cise on glycemic control and body mass in type 2 diabetes melli- tus - A meta-analysis of controlled clinical trials[J]. JAMA, 2001,286(10) : 1218-1227.