健康风险分层尺度标度法在40～59岁成年人体质健康综合评价等级制订中的应用

The Application of Health Risk Stratification Scale in Establishing Grades of Comprehensive Evaluation of Health-Related Physical Fitness for Adults Aged 40-59 Years

目的:不健康的生存环境和行为方式导致全球慢性非传染性疾病及其患病风险的增长,如何通过科学健身提高身体质量,减低患病风险,保持高水平的健康成为世界关注的核心问题。在普通城市中年人群中,探讨不同的体质水平与健康风险的数量关系,并以不同健康风险等级为尺子,标度成年人体质健康状况,初步制定成年人体质健康综合评价等级。方法:以40~59岁普通城市成年人(测试组1 759人,回代组155人)为研究对象。1)受试者分别进行心肺耐力、身体成分、肌肉力量与耐力、柔性素质和心理状态的测量,加权计算后获得受试者体质健康综合评价得分;2)通过血液生化检测和体质测量,获得受试者健康风险聚集情况,并划分健康风险等级;3)通过健康风险等级尺度标度受试者体质健康综合评价得分,以此制定体质健康综合评价等级,并进行回代检验。结果:1)在40~59岁人群中,健康风险度检出比例有明显性别差异(女性>男性),且随年龄增大,各健康风险度检出比例明显增大;2)不同性别和年龄组别的成年人体质健康水平均具有差异性;3)随着健康风险程度加重,体质健康综合评价总分随之降低;4)回代检验发现,回代组各风险组体质健康综合评价总分与测试组值一致性良好。结论:健康风险分层尺度标度法制定40~59岁成年人体质健康综合评价等级可以应用于实际体质健康综合评价,同时可简单预估受试者所处健康风险等级。

Objective:Unhealthy living environment and behavior style lead to the increase of global chronic non-communicable disease and health risk.How to improve the quality of body,reduce the risk of disease and maintain a high level of health through scientific body building has become one of the core problems of the world.This study will explore the quantitative relationship between different physical fitness levels and health risks in the middle-aged population in ordinary cities,and use different health risk scales as a ruler to scale the physical health status of adults,and initially formulate a comprehensive evaluation level of adult physical health.Subjects:40-59 years old adults in urban.Methods:1)Subjects were tested for cardiorespiratory strength,body composition,muscle strength and endurance,flexibility and mental status respectively.After weighted calculation,comprehensive evaluation scores of health-related physical fitness were obtained.2)Through blood biochemical tests and physical fitness measurements,health risk aggregation and health risk levels are were obtained.3)Using the health risk stratification scale,the scores of the comprehensive evaluation of health-related physical fitness was established,and then carried out the back-test.Results:1)In the 40-59 years old adults,the proportion of health risk detection has obvious gender differences(female>male),and the proportion of health risk detection increased with age.2)Adults with different genders and age groups have different physical fitness levels.3)With the increasing degree of health risks,the total score of the comprehensive evaluation of health-related physical fitness was reduced accordingly.Conclusion:The scale method of health risk stratification can be applied to the comprehensive evaluation of healthrelated physical fitness in adults aged 40-59 years old,and it can be also used to estimate the health risk level of the subjects simply at the same time.