Prevalence of physical activity and sedentary behavior among adults with cardiovascular disease in the United States.
Prevalence of physical activity and sedentary behavior among adults with cardiovascular disease in the United States.
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DOI：
10.1097/hcr.0000000000000064
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发表时间：
2014-11
影响因子：
3.8
通讯作者：
Rosamond WD
中科院分区：
文献类型：
--
作者：
Evenson KR;Butler EN;Rosamond WD
建议将体力活动(PA)用于心血管疾病(CVD)的一级和二级预防。这项研究使用了来自美国的具有全国代表性的样本，描述了自我报告和加速计测量的PA和久坐行为的患病率，其中一部分人患有心血管疾病，包括心绞痛、冠心病(CHD)、充血性心力衰竭(CHF)和心肌梗死(MI)。使用国家健康和营养检查调查的最新可用的加速度计数据(合并2003-2006年)，研究样本包括680名患有心血管疾病的成年人，他们完成了一份问卷，并佩戴了一周的Actigraph加速度计。无心血管疾病组(n=1000)也被选为参照物，年龄、性别和种族/民族分布与心血管疾病组相似(心绞痛、冠心病、心力衰竭、心肌梗死)，以比较PA和久坐行为的估计。对百分比和均值进行了加权，以反映2003-2006年间的美国人口。在心血管疾病患者中，自我报告过去一个月从事适度休闲活动的比例从39.7%(CHF)到53.8%(CHD)，剧烈休闲活动的比例从12.9%(CHF)到18.4%(CHD)，其中步行是最常见的活动。每天看≥4小时的比例在36.2%(MI)到44.8%(CHF)之间。使用加速度法，中度到剧烈的PA从8.6分钟/天(CHF)到11.4分钟/天(心绞痛)不等。久坐行为从9.6小时/天(心绞痛)到10.1小时/天(CHF)不等。与对照组相比，所有4组CVD患者的休闲活动和中等强度的PA较少，而看电视和久坐的行为较多。需要进一步努力鼓励PA和减少久坐行为，以二级预防CVD。
Physical activity (PA) is recommended for primary and secondary prevention of cardiovascular disease (CVD). This study described the prevalence of self-reported and accelerometer-measured PA and sedentary behavior using a nationally representative sample from the United States, a subset of whom had CVD, including angina, coronary heart disease (CHD), congestive heart failure (CHF), and myocardial infarction (MI). Using the most recently available accelerometer data (combined 2003–2006) from the National Health and Nutrition Examination Survey, the study sample included 680 adults with CVD, who completed a questionnaire and wore an ActiGraph accelerometer for 1 week. A group without CVD (n=1000) was also selected as the referent, with similar age, gender, and race/ethnic distributions as those with CVD (angina, CHD, CHF, MI) in order to compare PA and sedentary behavior estimates. Percents and means were weighted to reflect the US population from 2003–2006. Among those with CVD, the proportion of individuals engaged in self-reported past-month, moderate leisure activity ranged from 39.7% (CHF) to 53.8% (CHD) and vigorous leisure activity from 12.9% (CHF) to 18.4% (CHD), with walking the most commonly reported activity. Television watching ≥4 hours/day ranged from 36.2% (MI) to 44.8% (CHF). Using accelerometry, moderate-to-vigorous PA ranged from 8.6 minutes/day (CHF) to 11.4 minutes/day (angina). Sedentary behavior ranged from 9.6 hours/day (angina) to 10.1 hours/day (CHF). All 4 CVD groups had lower leisure activity and moderate-to-vigorous PA, and higher television watching and sedentary behavior, when compared to the referent group. Further efforts are needed to encourage PA and reduce sedentary behavior for secondary prevention of CVD.