Prevalence of Physical Activity Is Lower among Individuals with Chronic Disease
Prevalence of Physical Activity Is Lower among Individuals with Chronic Disease
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DOI：
10.1249/mss.0000000000000861
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发表时间：
2016-06-01
期刊：
影响因子：
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通讯作者：
Keteyian, Steven J.
中科院分区：
文献类型：
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作者：
Brawner, Clinton A.;Churilla, James R.;Keteyian, Steven J.
缺乏身体活动与发病率和死亡率的风险增加有关，并导致医疗保健费用增加。尽管支持体力活动的二级预防益处的数据持续增长，但在被诊断患有慢性疾病的个体中，关于足够量的休闲时间体力活动的流行率的数据有限。方法从参加2014年全国健康访谈调查的美国18岁或以上非机构化平民成年人的全国代表性样本中获得自我报告的休闲时间体力活动（LTPA）和选定慢性病史。结果在所有成年人中，有氧运动LTPA充足率为50.1% ± 0.5%（均数±标准误）。这种患病率与年龄呈负相关，女性（47.1% +/- 0.6%）低于男性（53.4% +/- 0.6%; P < 0.001）。每种慢性疾病的足够量有氧LTPA的患病率（患病率范围= 26.1%-48.6%）低于明显健康的成年人（53.6% +/- 0.7%）。相对于没有慢性疾病，每增加一个慢性疾病与足够量的有氧LTPA的优势比为0.83（95%置信区间，0.81-0.85; P < 0.001）。结论足够量的有氧LTPA的患病率，以实现实质性的健康效益与年龄呈负相关，是较低的妇女和个人的慢性疾病。需要定期评估身体活动的系统以及帮助个人更加活跃的计划。
Introduction Physical inactivity is associated with increased risk for morbidity and mortality and contributes to health care costs. Although data supporting the secondary preventive benefits of being physically active continues to grow, there is limited data on the prevalence of sufficient volume of leisure-time physical activity among individuals diagnosed with chronic disease.Purpose To describe the association between select chronic diseases and the prevalence of sufficient volume of aerobic leisure-time physical activity to achieve substantial health benefits (i.e., 150 minwk(-1)) among adults in the United States.Methods Self-reported leisure-time physical activity (LTPA) and history of select chronic diseases were obtained from a nationally representative sample of noninstitutionalized civilian adults 18 yr or older in the United States who participated in the 2014 National Health Interview Survey (n = 36,697).Results Among all adults, the prevalence of sufficient volume of aerobic LTPA was 50.1% 0.5% (mean +/- standard error). This prevalence was inversely related to age and was lower in women (47.1% +/- 0.6%) compared with men (53.4% +/- 0.6%; P < 0.001). Prevalence of sufficient volume of aerobic LTPA was lower for each chronic disease (prevalence range = 26.1%-48.6%) compared with apparently healthy adults (53.6% +/- 0.7%). Relative to no chronic disease, each additional chronic disease was associated with an odds ratio of 0.83 (95% confidence interval, 0.81-0.85; P < 0.001) for sufficient volume of aerobic LTPA.Conclusions The prevalence of sufficient volume of aerobic LTPA to achieve substantial health benefits is inversely related to age and is lower among women and individuals with a chronic disease. Systems to regularly assess physical activity are needed as well as programs to help individuals be more active.