The engagement in physical activity for middle-aged and older adults with multiple chronic conditions: findings from a community health assessment.
The engagement in physical activity for middle-aged and older adults with multiple chronic conditions: findings from a community health assessment.
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DOI：
10.1155/2013/152868
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发表时间：
2013-01-01
影响因子：
4.7
通讯作者：
Ory, Marcia G
中科院分区：
文献类型：
--
作者：
Lee, Wei-Chen;Ory, Marcia G
目前的老龄化趋势伴随着多种慢性病（MCC）的患病率增加和参与体育活动（PA）的减少已经席卷美国。鉴于这种现象的严重性，本研究旨在确定最常见的MCC组合及其与PA水平的关系。2009年10月至2010年7月期间进行了一项横断面研究，即布拉索斯山谷健康评估。所有数据分析均采用STATA 12.0软件进行。符合入选标准的样本总数为2，603。在45岁以上的人群中，心血管、内分泌和肌肉骨骼系统的慢性疾病最为普遍。患有三种慢性疾病的参与者比只有两种慢性疾病的参与者更不可能达到PA标准。低PA水平与年龄、女性、农村、不安全环境有关。在调整了7个协变量后，所有MCC组合均对PA水平产生不利影响（OR < 1.0，P < 0.05）。尽管锻炼对健康有益，但MCC患者是最不活跃的亚组。鉴于体力活动对延缓MCC发作或进展的好处已得到充分证实，建议在公共卫生方面努力加强中老年定期PA。
The current aging trends accompanying the increasing prevalence of multiple chronic conditions (MCCs) and decreasing participation in physical activity (PA) have swept the United States. In light of the magnitude of this phenomenon, this study seeks to identify the most common MCC combinations and their relationships with PA level. A cross-sectional study, Brazos Valley Health Assessment, was conducted between October 2009 and July 2010. All data analyses were performed by STATA 12.0. The overall sample which met the inclusion criteria is 2,603. Among people older than 45 years, chronic conditions of cardiovascular, endocrine, and musculoskeletal systems were the most prevalent. Participants with three chronic conditions were less likely to meet the PA standard than those with only two chronic conditions. Younger age, women, rural residence, and unsafe environments were related to the lower PA level. After adjusting for seven covariates, all MCCs combinations adversely affect the level of PA (OR < 1.0, P < 0.05). People with MCCs were among the least active subgroups despite the health benefits of doing exercise. Given the well-documented benefits of physical activity for delaying the onset or progression of MCCs, public health efforts to enhance regular PA in middle-aged and older adults are recommended.