Associations between recommended levels of physical activity and health-related quality of life - Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey
Associations between recommended levels of physical activity and health-related quality of life - Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey
复制标题
DOI：
10.1016/s0091-7435(03)00179-8
复制
发表时间：
2003-11-01
影响因子：
5.1
通讯作者：
Mokdad, AH
中科院分区：
文献类型：
--
作者：
Brown, DW;Balluz, LS;Mokdad, AH
背景虽然定期体力活动对发病率和死亡率的益处已经确立，但推荐的体力活动水平与健康相关生活质量（HRQOL）之间的关系尚未得到描述。作者研究了推荐的体力活动水平是否与更好的HRQOL和自觉健康状况相关。研究人员使用了参与2001年行为风险因素监测系统调查的175，850名成年人的数据，研究了推荐的中度或剧烈体力活动水平与美国疾病控制和预防中心开发的四项HRQOL指标之间的独立关系。采用多变量logistic回归分析，获得经年龄、种族、性别、教育、吸烟状况和体重指数校正后的比值比（OR）和95%可信区间（CI）。对于所有年龄、种族/民族和性别群体，报告14天或以上不健康（身体或精神）的成年人比例在达到推荐体力活动水平的人中显著低于缺乏体力活动的成年人。经过多变量调整后，14天或更长时间不健康的相对几率（身体或精神）在那些与推荐的活动水平相比，身体不活跃的成年人是0.67（95% CI：0.60，0.74），45-64岁成人为0.40（95% CI：0.36，0.45），65岁或以上成人为0.41（95% CI：0.36，0.46）。即使在患有慢性疾病（如关节炎）的成年人中，该结果仍然存在。这些结果强调了健康计划的必要性，以增加定期体育活动的参与。(C)2003年美国健康基金会和爱思唯尔公司All rights reserved.
Background. Although the benefits of regular physical activity on morbidity and mortality are established, relationships between recommended levels of physical activity and health-related quality of life (HRQOL) have not been described. The authors examined whether recommended levels of physical activity were associated with better HRQOL and perceived health status.Methods. Using data from 175,850 adults who participated in the 2001 Behavioral Risk Factor Surveillance System survey, the authors examined the independent relationship between recommended levels of moderate or vigorous physical activity and four measures of HRQOL developed by the U.S. Centers for Disease Control and Prevention. Multivariate logistic regression was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for age, race/ethnicity, sex, education, smoking status, and body mass index.Results. The proportion of adults reporting 14 or more unhealthy days (physical or mental) was significantly lower among those who attained recommended levels of physical activity than physically inactive adults for all age, racial/ethnic, and sex groups. After multivariate adjustment, the relative odds of 14 or more unhealthy days (physical or mental) in those with the recommended level of activity compared to physically inactive adults was 0.67 (95% CI: 0.60, 0.74) for adults aged 18-44 years, 0.40 (95% CI: 0.36, 0.45) for adults aged 45-64 years, and 0.41 (95% CI: 0.36, 0.46) for adults aged 65 years or older. The results persist even among adults with a chronic condition such as arthritis.Conclusion. These results highlight the need for health programs to increase participation in regular physical activity. (C) 2003 American Health Foundation and Elsevier Inc. All rights reserved.