Physical Activity in a National Sample of Veterans
Physical Activity in a National Sample of Veterans
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DOI：
10.1249/mss.0b013e3181943826
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发表时间：
2009-05-01
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影响因子：
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通讯作者：
Koepsell, Thomas D.
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文献类型：
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作者：
Littman, Alyson J.;Forsberg, Christopher W.;Koepsell, Thomas D.
LITTMAN，A，J.，C，W，福斯伯格，和T，D，科普塞尔，全国退伍军人样本的身体活动。医学科学体育锻炼，第41卷，第5期，第100页。1006-1013，2009。目的：描述和比较身体活动（PA）的患病率与退伍军人地位和退伍军人事务部（VA）设施的使用。方法：数据来自2003年美国成年人行为危险因素监测系统调查。在245，564名成年人中确定了退伍军人身份，VA医疗保健使用和PA。个体被分类为不活跃、活动不足或符合中度或剧烈PA的建议。为了调整混杂因素，我们使用了基于模型的直接调整和针对调查设计进行校正的卡方检验。结果如下：调整年龄和性别后，退伍军人不活动的患病率显著低于非退伍军人（16.2% vs 20.5%），符合PA建议的患病率显著高于非退伍军人（46.0% vs 42.0%）（P < 0.0001）。与没有从VA获得医疗保健的退伍军人相比，VA使用者更有可能不活动（20.8% vs 14.7%），不太可能活动不足（34.1% vs 38.2%）或符合建议（45.1% vs 47.1%; P < 0.0001）。退伍军人和非退伍军人之间以及VA用户和非用户之间的PA水平的差异在对教育、种族/民族和吸烟进行额外调整后没有实质性变化。结论：尽管现役军人需要高水平的PA，但只有少数退伍军人符合PA的建议，并且VA用户中不活动的患病率特别高。这些研究结果表明，增加PA和改善VA使用者的健康有很大的潜力。
LITTMAN, A, J., C, W, FORSBERG, and T, D, KOEPSELL, Physical Activity in a National Sample of Veterans. Med. Sci. Sports Exerc., Vol. 41, No. 5, pp. 1006-1013, 2009. Purpose: To describe and compare the prevalence of physical activity (PA) in relation to veteran status and use of Department of Veterans Affairs (VA) facilities. Methods: Data were obtained from the 2003 Behavioral Risk Factor Surveillance System surveys of US adults. Veteran status, VA health care use, and PA were determined in 245,564 adults. Individuals were classified as inactive, insufficiently active, or meeting recommendations for moderate or strenuous PA. To adjust for confounding, we used model-based direct adjustment and chi-square tests corrected for the survey design. Results: After adjusting for age and gender, the prevalence of inactivity was significantly lower (16.2% vs 20.5%), and meeting PA recommendations was significantly greater (46.0% vs 42.0%) in veterans than in nonveterans (P < 0.0001). Compared with veterans who did not obtain their health care from the VA, VA users were more likely to be inactive (20.8% vs 14.7%) and less likely to be insufficiently active (34.1% vs 38.2%) or meet recommendations (45.1% vs 47.1%; P < 0.0001). Differences in PA levels between veterans and nonveterans and between VA users and nonusers did not change substantially after additional adjustment for education, race/ethnicity, and smoking. Conclusion: Despite the high level of PA required of active duty military personnel, only a minority of veterans met PA recommendations, and the prevalence of inactivity was particularly high in VA users. These findings suggest a large potential to increase PA and improve health in VA users.