Why have physical activity levels declined among Chinese adults? Findings from the 1991-2006 China Health and Nutrition Surveys.

Why have physical activity levels declined among Chinese adults? Findings from the 1991-2006 China Health and Nutrition Surveys.
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DOI:
10.1016/j.socscimed.2009.01.035
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发表时间:
2009-04
影响因子:
5.4
通讯作者:
Popkin, Barry M.
Popkin, Barry M.
中科院分区:
医学2区
文献类型:
--
作者:
Ng, Shu Wen;Norton, Edward C.;Popkin, Barry M.

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从1991年到2006年,中国成年人的平均每周体育活动减少了32%。本文讨论了总体力活动水平和职业体力活动水平下降的原因,并建立了快速下降与外源性社区城市化各维度之间的关系模型。我们假设:a)身体活动水平与城市化呈负相关;B)影响工作职能和机会的城市化领域将对身体活动水平的变化贡献最大;c)这些城市化领域与男性的关联将比女性更强,因为家庭活动占女性身体活动的比例更大。为了验证这些假设,我们使用了1991-2006年中国健康与营养调查中18至55岁个体的纵向数据。我们发现,体力活动的减少与高等教育机构的可用性、住房基础设施、卫生设施的改善以及人们所在社区的经济福祉密切相关。在1991-2006年期间,这些城市化因素导致男性五分之四以上的职业身体活动减少,女性近三分之二的职业身体活动减少。它们还与男性总体力活动减少的57%和女性总体力活动减少的40%有关。在中国,应将促进工作场所、家庭、交通和通过锻炼进行身体活动的干预策略视为一项主要的卫生优先事项。
Between 1991 and 2006, average weekly physical activity among adults in China fell by 32%. This paper discusses why total and occupational physical activity levels have fallen, and models the association between the rapid decline and various dimensions of exogenous community urbanization. We hypothesize that a) physical activity levels are negatively associated with urbanization; b) urbanization domains that affect job functions and opportunities will contribute most to changes in physical activity levels; and c) these urbanization domains will be more strongly associated for men than for women because home activities account for a larger proportion of physical activity for women. To test these hypotheses, we used longitudinal data from individuals aged 18 to 55 in the 1991-2006 China Health and Nutrition Surveys. We find that physical activity declines were strongly associated with greater availability of higher educational institutions, housing infrastructure, sanitation improvements and the economic well-being of the community in which people function. These urbanization factors predict more than four-fifths of the decline in occupational physical activity over the 1991-2006 period for men and nearly two-thirds of the decline for women. They are also associated with 57% of the decline in total physical activity for men and 40% of the decline for women. Intervention strategies to promote physical activity in the workplace, at home, for transit and via exercise should be considered a major health priority in China.
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