Urban, rural, and regional variations in physical activity

Urban, rural, and regional variations in physical activity
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DOI:
10.1111/j.1748-0361.2005.tb00089.x
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发表时间:
2005-06-01
影响因子:
4.9
通讯作者:
Hebert, JR
Hebert, JR
中科院分区:
医学3区
文献类型:
--
作者:
Martin, SL;Kirkner, GJ;Hebert, JR

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目的:有一些关于身体活动(PA)水平的地理差异的猜测。我们检查了身体活动不足(PIA)的患病率,以及LIS公民是否符合美国各地PA的推荐水平。此外,PTA/PA与城市化程度的关联主要体现在4个方面。确定了美国地区(东北部、中西部、南部和西部)。方法:参与者为2000年行为危险因素监测系统(BRFSS)的178,161名受访者。包括来自49个州和哥伦比亚特区的数据(不包括阿拉斯加)。根据美国农业部的城市地位,各州被分类。体力活动变量是国家监测系统中常用的变量(PIA =无休闲时间PA; PA =符合PA建议)。结果如下:在全国范围内,城市地区的PA水平高于农村地区;相应地,农村地区的PIA水平高于城市地区。就区域而言,南方的城乡差别最为显著,而事实上,其他区域往往不存在这种差别。人口因素似乎改变了这种关联。结论:PA和城市化程度之间的关联在南方是明显和强大的,但不能推广到美国的所有地区。在大多数情况下,任何中西部和东北部的经验不前PA和城市化之间的关系,而在西部,这种趋势似乎是相反的,观察到在南方。
Purpose: There is some speculation about geographic differences in physical activity (PA) levels. We examined the prevalence of physical inactivity (PIA) and whether LIS citizens met the recommended levels of PA across the United States. In addition, the association between PTA/PA and degree of urbanization in the 4 main. US regions (Northeast, Midwest, South, and West) was determined. Methods: Participants were 178,161 respondents to the 2000 Behavioral Risk Factor Surveillance System (BRFSS). Data from 49 states and the District of Columbia were included (excluding Alaska). States were categorized by urban status according to the US Department of Agriculture. Physical activity variables were those commonly used in national surveillance systems (PIA = no leisure-time PA; and PA = meeting a PA recommendation). Results: Nationally, PA levels were higher in urban areas than in rural areas; correspondingly, PIA levels were higher in rural areas than in urban areas. Regionally, the urban-rural differences were most striking in the South and were, in fact, often absent in other regions. Demographic factors appeared to modify the association. Conclusion: The association between PA and degree of urbanization is evident and robust in the South but cannot be generalized to all regions of the United States. For them most part, the perience any Midwest and the Northeast do not ex-relationship between PA and urbanization, whereas, in the West, the trend appears to be opposite of that observed in the South.