Self-reported leisure time physical activity: a useful assessment tool in everyday health care
Self-reported leisure time physical activity: a useful assessment tool in everyday health care
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DOI：
10.1186/1471-2458-12-693
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发表时间：
2012-08-24
影响因子：
4.5
通讯作者：
Borjesson, Mats
中科院分区：
文献类型：
--
作者：
Rodjer, Lars;Jonsdottir, Ingibjorg H.;Borjesson, Mats
背景资料：个体体力活动水平是心血管疾病和死亡的独立危险因素，也是改善健康结果的可能目标。然而，今天广泛采用的风险评分图表通常不包括身体活动的水平。需要一种简单的风险评估工具，其中包括对身体活动水平的可靠评估。因此，本研究的目的是根据Saltin-Grimby体力活动水平量表（SGPALS）问题，分析自我报告的体力活动水平与心血管风险因素之间的关联，特别关注自我报告PA水平最低的人群。方法：我们使用了来自Intergene研究的横截面数据，该研究随机抽取了瑞典西部的居民，共计3588人。（1685名男性和1903名女性，平均年龄52岁和51岁）。代谢测量，包括血清胆固醇，血清甘油三酯，空腹血糖，腰围，血压和静息心率，以及吸烟和自我报告的压力与自我报告的体力活动水平，根据现代化版本的SGPALS 4级量表。结果：自我报告的体力活动水平与吸烟、体重、腰围、静息心率以及空腹血糖水平之间存在强烈的负相关，血清甘油三酯、低密度脂蛋白（LDL）和自我报告的压力以及与高密度脂蛋白（HDL）水平的正相关性。报告PA水平最低的个人（SGPALS，1级）具有最高的比值比（OR），具有预先定义的异常风险因素水平，如超重（男性OR 2.19，95% CI：1.51-3.19;女性OR 2.57，95% CI：1.78-3.73），腰围增加（男性OR 3.76，95% CI：2.61-5.43;女性OR 2.91，95% CI：1.94-4.35）和报告压力（男性OR 3.59，95% CI：2.34-5.49;女性OR 1.25，95% CI：0.79-1.98），但与最活跃的个体相比，上述分析的大多数其他风险因素的OR也有所增加。根据现代化的Saltin-Grimby体力活动水平量表（SGPALS），自我报告的PA水平与许多心血管风险因素的存在相关，最不活跃的个体具有最高的风险因素特征，包括自我报告的压力。我们建议，目前的SGPALS可作为一个额外的，简单的工具，在日常的风险评估，在e。G.初级保健，以确定不活跃的个人，具有较高的风险。
Background: The individual physical activity level is an independent risk factor for cardiovascular disease and death, as well as a possible target for improving health outcome. However, today's widely adopted risk score charts, typically do not include the level of physical activity. There is a need for a simple risk assessment tool, which includes a reliable assessment of the level of physical activity. The aim of this study was therefore, to analyse the association between the self-reported levels of physical activity, according to the Saltin-Grimby Physical Activity Level Scale (SGPALS) question, and cardiovascular risk factors, specifically focusing on the group of individuals with the lowest level of self-reported PA.Methods: We used cross sectional data from the Intergene study, a random sample of inhabitants from the western part of Sweden, totalling 3588 (1685 men and 1903 women, mean age 52 and 51). Metabolic measurements, including serum-cholesterol, serum-triglycerides, fasting plasma-glucose, waist circumference, blood pressure and resting heart rate, as well as smoking and self-reported stress were related to the self-reported physical activity level, according to the modernized version of the SGPALS 4-level scale.Results: There was a strong negative association between the self-reported physical activity level, and smoking, weight, waist circumference, resting heart rate, as well as to the levels of fasting plasma-glucose, serum-triglycerides, low-density lipoproteins (LDL), and self-reported stress and a positive association with the levels of high-density lipoproteins (HDL). The individuals reporting the lowest level of PA (SGPALS, level 1) had the highest odds-ratios (OR) for having pre-defined levels of abnormal risk factors, such as being overweight (men OR 2.19, 95% CI: 1.51-3.19; women OR 2.57, 95 % CI: 1.78-3.73), having an increased waist circumference (men OR 3.76, 95 % CI: 2.61-5.43; women OR 2.91, 95% CI: 1.94-4.35) and for reporting stress (men OR 3.59, 95 % CI: 2.34-5.49; women OR 1.25, 95% CI: 0.79-1.98), compared to the most active individuals, but also showed increased OR for most other risk factors analyzed above.Conclusion: The self-reported PA-level according to the modernized Saltin-Grimby Physical Activity Level Scale, SGPALS, is associated with the presence of many cardiovascular risk factors, with the most inactive individuals having the highest risk factor profile, including self-reported stress. We propose that the present SGPALS may be used as an additional, simple tool in a routine risk assessment in e. g. primary care, to identify inactive individuals, with a higher risk profile.