Adherence to physical activity recommendations and the influence of socio-demographic correlates - a population-based cross-sectional study
Adherence to physical activity recommendations and the influence of socio-demographic correlates - a population-based cross-sectional study
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DOI：
10.1186/1471-2458-8-367
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发表时间：
2008-10-22
影响因子：
4.5
通讯作者：
Sjoestroem, Michael
中科院分区：
文献类型：
--
作者：
Bergman, Patrick;Grjibovski, Andrej M.;Sjoestroem, Michael
背景资料：目前的体力活动指南承认，与休闲时间体力活动或单独锻炼相比，全面健康促进体力活动（HEPA）的重要性。评估总HEPA可能会导致对这些的不同程度的遵守，以及总HEPA和社会人口统计学相关性之间观察到的关联的强度和/或方向。本研究的目的是估计在大多数日子里坚持至少30分钟HEPA建议的人口比例，并检查社会人口统计学相关因素对达到这一建议的影响。方法：18-74岁的瑞典成年人（n = 1470）进行了分类，根据人口数据使用IPAQ，低，中度和高度体力活动的类别。独立协会之间的体力活动类别和社会人口学的相关性进行了研究，使用多项logistic regression.Results：的科目，63%（95%CI：60.5-65.4）坚持HEPA的建议。最有可能达到高体力活动类别的是那些年龄< 35岁的人（OR = 1.8; 95%CI：1.1-3.3），居住在小城镇（OR = 1.8; 95% CI：1.1-2.7）和村庄（OR = 2.4; 95% CI：1.6-3.7），BMI在25.0-29.9 kg/m之间（2）（OR = 2.7; 95% CI：1.4-5.3）BMI < 25 kg/m（2）（OR = 2.5; 95% CI：1.3-4.9），或自我感觉健康很好（OR = 2.1; 95% CI：1.3-3.3）或极好（OR = 4.1; 95% CI：2.4-6.8）。女性（OR = 0.6; 95% CI：0.5-0.9）和具有大学学位的人（OR = 0.5; 95% CI：0.3-0.9）不太可能达到高类别。在中度组中观察到类似但不太明显的关联。性别特异性的模式也observed.Conclusion：几乎三分之二的瑞典成年人口坚持体力活动的建议。由于人口亚群之间的体育活动水平差异很大，可能需要采取社会生态方法来促进体育活动。
Background: Current physical activity guidelines acknowledge the importance of total health enhancing physical activity (HEPA) compared to leisure time physical activity or exercise alone. Assessing total HEPA may result in different levels of adherence to these as well as the strength and/or direction of associations observed between total HEPA and socio-demographic correlates. The aim of this study was to estimate the proportion of the population adhering to the recommendation of at least 30 minutes of HEPA on most days, and to examine the influences of socio-demographic correlates on reaching this recommendation.Methods: Swedish adults aged 18-74 years (n = 1470) were categorized, based on population data obtained using the IPAQ, into low, moderately and highly physically active categories. Independent associations between the physical activity categories and socio-demographic correlates were studied using a multinomial logistic regression.Results: Of the subjects, 63% (95% CI: 60.5-65.4) adhered to the HEPA recommendation. Most likely to reach the highly physical active category were those aged < 35 years (OR = 1.8; 95% CI: 1.1-3.3), living in small towns (OR = 1.8; 95% CI: 1.1-2.7) and villages (OR = 2.4; 95% CI: 1.6-3.7), having a BMI between 25.0-29.9 kg/m(2) (OR = 2.7; 95% CI: 1.4-5.3) having a BMI < 25 kg/m(2) (OR = 2.5; 95% CI: 1.3-4.9), or having very good (OR = 2.1; 95% CI: 1.3-3.3) or excellent self-perceived health (OR = 4.1; 95% CI: 2.4-6.8). Less likely to reach the high category were women (OR = 0.6; 95% CI: 0.5-0.9) and those with a university degree (OR = 0.5; 95% CI: 0.3-0.9). Similar, but less pronounced associations were observed for the moderate group. Gender-specific patterns were also observed.Conclusion: Almost two-thirds of the Swedish adult population adhered to the physical activity recommendation. Due to a large diversity in levels of physical activity among population subgroups, social-ecological approaches to physical activity promotion may be warranted.