Changes in Cycling and Incidence of Overweight and Obesity among Danish Men and Women
Changes in Cycling and Incidence of Overweight and Obesity among Danish Men and Women
复制标题
丹麦男性和女性骑自行车的变化以及超重和肥胖发生率
DOI：
10.1249/mss.0000000000001577
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发表时间：
2018
影响因子：
4.1
通讯作者：
Hui Ma
中科院分区：
文献类型：
--
作者：
W. Guo;Jiawei Song;N. Zeng;Hui Ma
超重和肥胖与几种非传染性疾病的风险增加有关，是一个日益严重的公共卫生问题。本研究的主要目的是根据5年的骑车习惯调查超重和肥胖的发生率。次要目的是根据5年的骑车习惯调查超重和肥胖缓解的发生率。方法我们分析了1993年至2003年间9014名男性和8661名无慢性疾病的女性，他们间隔约5年完成了两次评估。在两项评估中，参与者都报告了习惯性骑车的习惯。基线时由实验室技术人员测量体重和腰围，第二次检查时自行评估。根据5年的骑车习惯，我们计算了腹部和一般超重和肥胖的发展和缓解的多变量校正优势比（OR）和95%置信区间（CI）。结果：持续骑行与腹部肥胖（男性体重为102 cm，女性体重为88 cm）和一般肥胖（体重指数≥30 kg·m−2）发生率较低相关；与无循环组相比，腹部肥胖和一般肥胖的OR （95% CI）值分别为0.82（0.74 - 0.91）和0.74（0.60-0.92）。此外，那些开始骑自行车的人腹部肥胖的发生率较低；相对于无循环，OR （95% CI）为0.85（0.73-1.00）。虽然我们没有发现根据5年的骑车习惯，腹部和一般超重和肥胖得到缓解的证据，但那些继续骑车的人的腰围相对于不骑车的人有明显更大的减少（&bgr；系数（95% CI）， - 0.95 cm(- 1.56至- 0.33 cm)）。结论：与不骑车相比，持续骑车与腹部和全身肥胖的几率较低相关。此外，与不骑车相比，在晚年开始骑车与腹部肥胖的几率较低有关。
Purpose Overweight and obesity are associated with increased risk of several noncommunicable diseases and are a growing public health issue. The primary purpose of the current study was to investigate incidence of overweight and obesity according to 5-yr cycling habits. The secondary purpose was to investigate incidence of remission from overweight and obesity according to 5-yr cycling habits. Methods We analyzed 9014 men and 8661 women without chronic disease who between 1993 and 2003 completed two assessments approximately 5 yr apart. At both assessments, participants reported habitual cycling habits. Also, body weight and waist circumference were measured by a laboratory technician at baseline and self-assessed at second examination. We computed multivariable adjusted odds ratios (OR) with 95% confidence intervals (CI) for development of and remission from abdominal and general overweight and obesity, according to 5-yr cycling habits. Results Continued cycling was associated with lower odds for incidence of abdominal (men, >102 cm; women, >88 cm) and incidence of general (body mass index ≥30 kg·m−2) obesity; compared with no cycling, OR (95% CI) values were 0.82 (0.74–0.91) and 0.74 (0.60–0.92) for abdominal and general obesity, respectively. Also, those who initiated cycling had lower odds for incidence of abdominal obesity; OR (95% CI) was 0.85 (0.73–1.00) relative to no cycling. Although we found no evidence of remission from abdominal and general overweight and obesity according to 5-yr cycling habits, those who continued cycling had significantly larger decreases in waist circumference relative to noncyclists (&bgr; coefficient (95% CI), −0.95 cm (−1.56 to −0.33 cm)). Conclusions Continued cycling compared with no cycling was associated with lower odds for abdominal and general obesity. Also, late-in-life initiation of cycling was associated with lower odds for abdominal obesity relative to no cycling.