Background:Optimal patterns of accrual of recommended levels of physical activity(PA)for prevention of hypertension and obesity are not known.The overall aim of this study was to investigate whether different patterns...Background:Optimal patterns of accrual of recommended levels of physical activity(PA)for prevention of hypertension and obesity are not known.The overall aim of this study was to investigate whether different patterns of accumulation of PA are differentially associated with hypertension and obesity in Australian women over 21 years.Specifically,we investigated whether,for the same weekly volume of PA,the number of sessions(frequency)and vigorousness of PA(intensity)were associated with a reduction in the occurrence of hypertension and obesity in women.Methods:Data from the 1973-1978 and 1946-1951 cohorts of the Australian Longitudinal Study on Women's Health were analyzed(n=20,588;12%-16%with a Bachelor's or higher degree).Self-reported PA,hypertension,height,and weight were collected using mail surveys every 3 years from 1998/2000 to 2019/2021.Generalized Estimating Equation models with a 3-year lag model were used to investigate the association of PA volume(metabolic equivalent min/week)(none;33-499;500-999;≥1000,weekly frequency(none;1-2 times;3-4times;5-7 times;≥8 times),and the proportion of vigorous PA to total volume of PA(none;0%;1%-33%;34%-66%;67%-100%)with odds of hypertension and obesity from 2000 to 2021.Results:The cumulative incidence of hypertension was 6%in the 1973-1978 and 23%in the 1946-1951 cohort;27%of women in the 1973-1978;and 15%in the 1946-1951 cohort developed obesity over the period.Overall,a higher volume of PA was associated with reduced odds of hypertension and obesity.When the volume of PA was considered,the odds of hypertension did not vary according to the frequency or intensity of PA.However,increased proportion of vigorous PA to the total volume of PA was associated with a small additional reduction in the risk of obe sity.Conclusion:PA volume appears to be more important than the pattern of accumulation for the prevention of hypertension and obesity.Incorporating more sessions,particularly of vigorous-intensity PA,may provide extra benefits for the prevention of obesity.展开更多
Background:Information on the association between physical activity(PA)and the risk of chronic kidney disease(CKD)is limited.We aimed to explore the associations of total,domain-specific,and intensity-specific PA with...Background:Information on the association between physical activity(PA)and the risk of chronic kidney disease(CKD)is limited.We aimed to explore the associations of total,domain-specific,and intensity-specific PA with CKD and its subtypes in China.Methods:The study included 475,376 adults from the China Kadoorie Biobank aged 30-79 years during 2004-2008 at baseline.An interviewer-administered questionnaire was used to collect the information about PA,which was quantified as metabolic equivalent of task hours per day(MET-h/day)and categorized into 4 groups based on quartiles.Cox regression was used to analyze the association between PA and CKD risk.Results:During a median follow-up of 12.1 years,5415 incident CKD cases were documented,including 1159 incident diabetic kidney disease(DKD)cases and 362 incident hypertensive nephropathy(HTN)cases.Total PA was inversely associated with CKD risk,with an adjusted hazard ratio(HR,95%confidence interval(95%CI))of 0.83(0.75-0.92)for incident CKD in the highest quartile of total PA as compared with participants in the lowest quartile.Similar results were observed for risk of DKD and HTN,and the corresponding HRs(95%CIs)were 0.75(0.58-0.97)for DKD risk and 0.56(0.37-0.85)for HTN risk.Increased nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA were significantly associated with a decreased risk of CKD,with HRs(95%CIs)of 0.80(0.73-0.88),0.85(0.77-0.94),and 0.85(0.76-0.95)in the highest quartile,respectively.Conclusion:PA,including nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA,was inversely associated with the risk of CKD,including DKD,HTN,and other CKD,and such associations were dose dependent.展开更多
Previous studies have shown that Physical Activity(PA)has a positive association with emotional health and intelligence in adolescents but none have focused on the relationship of PA duration and intensity on Emotiona...Previous studies have shown that Physical Activity(PA)has a positive association with emotional health and intelligence in adolescents but none have focused on the relationship of PA duration and intensity on Emotional Intelligence(EI).The purpose of this study was to cross-sectionally assess the association of PA measures on overall EI and its domains in a cohort of 2029 adolescents aged 10-13 years of age in the National Longitudinal Survey for Children and Youth(NLSCY)from Canada.Multivariable linear regression analysis of EI was adjusted for age,sex,annual household income,and health status.One-way analysis of variance(ANOVA)was used to relate PA duration measured in minutes,frequency,and intensity categories with continuous GEI scores and also the corresponding scores for domains of GEI.The mean GEI scores were(28.3±6.6)for 0-30 minute(min)PA duration,(30.0±6.5)for 30 to<60 min,(30.8±6.7)for 60-120 min,and(30.1±6.5)for≥121 min.There was a statistically significant linear trend across PA duration categories,p?0.0004.Post-hoc pairwise comparison revealed that compared to the referent category(<30 min PA category)was statistically significantly lower GEI than each of the other two PA categories(30-59 min;and 60-120 min),both p-values<0.01.Meeting World Health Organization(WHO)guidelines for duration and vigorous intensity were positively associated with the higher overall EI and its domains except for Stress Management.展开更多
AIM:To assess physical activity(PA)including its intensity in primary open angle glaucoma(POAG).METHODS:PA was characterized by the use of questionnaires:Seven-Day Physical Activity Recall and Historical Leisure Activ...AIM:To assess physical activity(PA)including its intensity in primary open angle glaucoma(POAG).METHODS:PA was characterized by the use of questionnaires:Seven-Day Physical Activity Recall and Historical Leisure Activity Questionnaire.A questionnaire of 36 questions,developed by the authors,was used to assess the level of knowledge about glaucomaRESULTS:The study was conducted among 625 adults.The study group comprised 312 POAG patients aged over 40 y,including 238 women(76%)and 74 men(24%).The control group consisted of 313 adults(>40 years old),including 202(65%)women and 111 men(35%).The duration of current PA with an intensity of 4 metabolic equivalents(METs)was significantly shorter among people with POAG.PA in the past was significantly lower among people from the study group,regardless of gender.The level of glaucoma knowledge in patients with POAG was poor and significantly lower in men.CONCLUSION:Regular PA is an important and underestimated factor predisposing to the progression of POAG.There is a necessity to undertake educational and preventive actions with a view to modify the health behavior of glaucoma patients.展开更多
目的:设计出一套科学、合理且具有普适性的《学龄前儿童体育活动强度他评量表》,以期能够有效帮助教师和家长掌握幼儿体育活动强度,合理安排体育活动课程。方法:先后选取北京某一级一类幼儿园大班幼儿158人和27人进行量表的检验。为幼...目的:设计出一套科学、合理且具有普适性的《学龄前儿童体育活动强度他评量表》,以期能够有效帮助教师和家长掌握幼儿体育活动强度,合理安排体育活动课程。方法:先后选取北京某一级一类幼儿园大班幼儿158人和27人进行量表的检验。为幼儿佩戴Polar Team 2团队心率表与RT3三轴加速度计,进行室内、外活动的跟踪测试;与此同时教师和研究人员使用《学龄前儿童体育活动强度他评量表》做出选择,并填写《量表》(文字版)。使用spss13.0对数据进行统计分析,检验量表的信度、效度,以及等级设置合理性。结果:经过文字图形转化、校标效度检验(平均心率:r=0.468,P<0.01;Counts,r=0.472,P<0.01),以及教师意见反馈《量表》二稿纳入外观表现维度中呼吸、出汗和脸色3项,共分为6个强度等级。经检验,《量表》二稿评分者间相关系数为0.626(P<0.05),信度良好;评价结果与心率间的Spearman相关系数为0.593(P<0.01),并在不同心率等级分组之间存在显著性差异(P<0.05),具有较好的校标效度和区分效度,将其确定为终稿。大体划分等级1~2、3~4和5~6,分别对应体育活动中的较低、中等和较大强度。结论:本研究研制的《学龄前儿童体育活动强度他评量表》是一个包含6个选项的以图画为主要表现形式的教师他评量表。《量表》对不同幼儿的体育活动强度具有较好的区分度,可使教师能够随时了解幼儿体育活动强度,帮助教师更合理地为幼儿安排体育活动课程。展开更多
基金supported by a National Health and Medical Research Council(NHMRC)Investigator Grant(APP2008702)supported by the National Council for Scientific and Technological Developments-CNPq(process number 308772/2022-9)。
文摘Background:Optimal patterns of accrual of recommended levels of physical activity(PA)for prevention of hypertension and obesity are not known.The overall aim of this study was to investigate whether different patterns of accumulation of PA are differentially associated with hypertension and obesity in Australian women over 21 years.Specifically,we investigated whether,for the same weekly volume of PA,the number of sessions(frequency)and vigorousness of PA(intensity)were associated with a reduction in the occurrence of hypertension and obesity in women.Methods:Data from the 1973-1978 and 1946-1951 cohorts of the Australian Longitudinal Study on Women's Health were analyzed(n=20,588;12%-16%with a Bachelor's or higher degree).Self-reported PA,hypertension,height,and weight were collected using mail surveys every 3 years from 1998/2000 to 2019/2021.Generalized Estimating Equation models with a 3-year lag model were used to investigate the association of PA volume(metabolic equivalent min/week)(none;33-499;500-999;≥1000,weekly frequency(none;1-2 times;3-4times;5-7 times;≥8 times),and the proportion of vigorous PA to total volume of PA(none;0%;1%-33%;34%-66%;67%-100%)with odds of hypertension and obesity from 2000 to 2021.Results:The cumulative incidence of hypertension was 6%in the 1973-1978 and 23%in the 1946-1951 cohort;27%of women in the 1973-1978;and 15%in the 1946-1951 cohort developed obesity over the period.Overall,a higher volume of PA was associated with reduced odds of hypertension and obesity.When the volume of PA was considered,the odds of hypertension did not vary according to the frequency or intensity of PA.However,increased proportion of vigorous PA to the total volume of PA was associated with a small additional reduction in the risk of obe sity.Conclusion:PA volume appears to be more important than the pattern of accumulation for the prevention of hypertension and obesity.Incorporating more sessions,particularly of vigorous-intensity PA,may provide extra benefits for the prevention of obesity.
基金supported by National Natural Science Foundation of China(82192900,82192901,82192904,81941018,and 91846303)Peking University Medicine Seed Fund for Interdisciplinary Research(BMU2022MX025)+5 种基金the Fundamental Research Funds for the Central Universitiessupported by a grant from the Kadoorie Charitable Foundation in Hong Kongsupported by grants from the UK Wellcome Trust(212946/Z/18/Z,202922/Z/16/Z,104085/Z/14/Z,and 088158/Z/09/Z)the National Key R&D Program of China(2016YFC0900500)National Natural Science Foundation of China(81390540)Chinese Ministry of Science and Technology(2011BAI09B01)。
文摘Background:Information on the association between physical activity(PA)and the risk of chronic kidney disease(CKD)is limited.We aimed to explore the associations of total,domain-specific,and intensity-specific PA with CKD and its subtypes in China.Methods:The study included 475,376 adults from the China Kadoorie Biobank aged 30-79 years during 2004-2008 at baseline.An interviewer-administered questionnaire was used to collect the information about PA,which was quantified as metabolic equivalent of task hours per day(MET-h/day)and categorized into 4 groups based on quartiles.Cox regression was used to analyze the association between PA and CKD risk.Results:During a median follow-up of 12.1 years,5415 incident CKD cases were documented,including 1159 incident diabetic kidney disease(DKD)cases and 362 incident hypertensive nephropathy(HTN)cases.Total PA was inversely associated with CKD risk,with an adjusted hazard ratio(HR,95%confidence interval(95%CI))of 0.83(0.75-0.92)for incident CKD in the highest quartile of total PA as compared with participants in the lowest quartile.Similar results were observed for risk of DKD and HTN,and the corresponding HRs(95%CIs)were 0.75(0.58-0.97)for DKD risk and 0.56(0.37-0.85)for HTN risk.Increased nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA were significantly associated with a decreased risk of CKD,with HRs(95%CIs)of 0.80(0.73-0.88),0.85(0.77-0.94),and 0.85(0.76-0.95)in the highest quartile,respectively.Conclusion:PA,including nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA,was inversely associated with the risk of CKD,including DKD,HTN,and other CKD,and such associations were dose dependent.
文摘Previous studies have shown that Physical Activity(PA)has a positive association with emotional health and intelligence in adolescents but none have focused on the relationship of PA duration and intensity on Emotional Intelligence(EI).The purpose of this study was to cross-sectionally assess the association of PA measures on overall EI and its domains in a cohort of 2029 adolescents aged 10-13 years of age in the National Longitudinal Survey for Children and Youth(NLSCY)from Canada.Multivariable linear regression analysis of EI was adjusted for age,sex,annual household income,and health status.One-way analysis of variance(ANOVA)was used to relate PA duration measured in minutes,frequency,and intensity categories with continuous GEI scores and also the corresponding scores for domains of GEI.The mean GEI scores were(28.3±6.6)for 0-30 minute(min)PA duration,(30.0±6.5)for 30 to<60 min,(30.8±6.7)for 60-120 min,and(30.1±6.5)for≥121 min.There was a statistically significant linear trend across PA duration categories,p?0.0004.Post-hoc pairwise comparison revealed that compared to the referent category(<30 min PA category)was statistically significantly lower GEI than each of the other two PA categories(30-59 min;and 60-120 min),both p-values<0.01.Meeting World Health Organization(WHO)guidelines for duration and vigorous intensity were positively associated with the higher overall EI and its domains except for Stress Management.
文摘AIM:To assess physical activity(PA)including its intensity in primary open angle glaucoma(POAG).METHODS:PA was characterized by the use of questionnaires:Seven-Day Physical Activity Recall and Historical Leisure Activity Questionnaire.A questionnaire of 36 questions,developed by the authors,was used to assess the level of knowledge about glaucomaRESULTS:The study was conducted among 625 adults.The study group comprised 312 POAG patients aged over 40 y,including 238 women(76%)and 74 men(24%).The control group consisted of 313 adults(>40 years old),including 202(65%)women and 111 men(35%).The duration of current PA with an intensity of 4 metabolic equivalents(METs)was significantly shorter among people with POAG.PA in the past was significantly lower among people from the study group,regardless of gender.The level of glaucoma knowledge in patients with POAG was poor and significantly lower in men.CONCLUSION:Regular PA is an important and underestimated factor predisposing to the progression of POAG.There is a necessity to undertake educational and preventive actions with a view to modify the health behavior of glaucoma patients.
文摘目的:设计出一套科学、合理且具有普适性的《学龄前儿童体育活动强度他评量表》,以期能够有效帮助教师和家长掌握幼儿体育活动强度,合理安排体育活动课程。方法:先后选取北京某一级一类幼儿园大班幼儿158人和27人进行量表的检验。为幼儿佩戴Polar Team 2团队心率表与RT3三轴加速度计,进行室内、外活动的跟踪测试;与此同时教师和研究人员使用《学龄前儿童体育活动强度他评量表》做出选择,并填写《量表》(文字版)。使用spss13.0对数据进行统计分析,检验量表的信度、效度,以及等级设置合理性。结果:经过文字图形转化、校标效度检验(平均心率:r=0.468,P<0.01;Counts,r=0.472,P<0.01),以及教师意见反馈《量表》二稿纳入外观表现维度中呼吸、出汗和脸色3项,共分为6个强度等级。经检验,《量表》二稿评分者间相关系数为0.626(P<0.05),信度良好;评价结果与心率间的Spearman相关系数为0.593(P<0.01),并在不同心率等级分组之间存在显著性差异(P<0.05),具有较好的校标效度和区分效度,将其确定为终稿。大体划分等级1~2、3~4和5~6,分别对应体育活动中的较低、中等和较大强度。结论:本研究研制的《学龄前儿童体育活动强度他评量表》是一个包含6个选项的以图画为主要表现形式的教师他评量表。《量表》对不同幼儿的体育活动强度具有较好的区分度,可使教师能够随时了解幼儿体育活动强度,帮助教师更合理地为幼儿安排体育活动课程。
