Associations between physical activity dose and health-related quality of life
Associations between physical activity dose and health-related quality of life
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DOI：
10.1249/01.mss.0000126778.77049.76
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发表时间：
2004-05-01
期刊：
影响因子：
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通讯作者：
Mokdad, AH
中科院分区：
文献类型：
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作者：
Brown, DW;Brown, DR;Mokdad, AH
目的：虽然参与有规律的体力活动（PA）的有益影响被广泛接受，PA和健康相关的生活质量（HRQOL）之间的剂量反应关系仍不清楚。方法：我们使用2001年BRFSS的数据，在175,850名成人中检查PA的频率、持续时间和强度与HRQOL之间的关系。采用Logistic回归分析获得经年龄、性别、种族/民族、教育、吸烟状况和体重指数调整后的比值比（OR）和95%置信区间（CI）。结果如下：在过去的30天内，14天或更长时间不健康（身体或精神）的年龄标准化患病率（标准误差）在身体不活跃的成年人中为28.4%（0.50），在PA水平不足的成年人中为16.7%（0.27），在达到推荐水平的成年人中为14.7%（0.22）。总体而言，参与无中度PA（OR：2.02; 95% CI：1.85-2.21）与14天或更长时间不健康的可能性增加相关。同样对于中度PA，每周的每一天（5-6天）都参与。wk（-1）作为参考）（OR：1.35; 1.26-1.46）与14天或更长时间不健康的可能性增加相关，参与时间< 20分钟也是如此（OR：1.43; 95% CI：1.30-1.58）或大于或等于90 min（OR：1.22; 95% CI：1.14-1.31）/天（30-59 min（.）d（-1）作为参考）。类似的协会被观察到参与积极的PA。结论：与不活动和活动不足的人相比，达到推荐PA水平的人更有可能报告更少的不健康天数;然而，参加每日中度或剧烈PA和参加非常短（
Purpose: Although the beneficial effects of participation in regular physical activity (PA) are widely accepted, dose-response relationships between PA and health-related quality of life (HRQOL) remain unclear. Methods: We examined relationships between frequency, duration, and intensity of PA and HRQOL among 175,850 adults using data from the 2001 BRFSS. Logistic regression was used to obtain odds ratios (OR) and 95% confidence intervals (CI) adjusted for age, gender, race/ethnicity, education, smoking status, and body mass index. Results: The age-standardized prevalence (standard error) of 14 or more unhealthy (physical or mental) days during the previous 30 d was 28.4% (0.50) among physically inactive adults, 16.7% (0.27) among those with insufficient levels of PA, and 14.7% (0.22) among adults who met recommended levels. Overall, participation in no moderate PA (OR: 2.02; 95% CI: 1.85-2.21) was associated with an increased likelihood of having 14 or more unhealthy days. Also for moderate PA, participation every day of the week (5-6 d(.)wk(-1) as referent) (OR: 1.35; 1.26-1.46) was associated with an increased likelihood of 14 or more unhealthy days, as was participation for periods < 20 min (OR: 1.43; 95% CI: 1.30-1.58) or greater than or equal to 90 min (OR: 1.22; 95% CI: 1.14-1.31) per day (30-59 min(.)d(-1) as referent). Similar associations were observed for participation in vigorous PA. Conclusion: Persons achieving recommended levels of PA were more likely to report fewer unhealthy days compared with inactive and insufficiently active persons; however, participation in daily moderate or vigorous PA and participation in very short (