The effect of exercise intensity types on the self-rated health status of young-old comorbidities patients: a cross-sectional study in Guangdong, China.
The effect of exercise intensity types on the self-rated health status of young-old comorbidities patients: a cross-sectional study in Guangdong, China.
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DOI：
10.3389/fpubh.2023.1292712
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发表时间：
2023
影响因子：
5.2
通讯作者：
Zhang, Dan
中科院分区：
文献类型：
--
作者：
Li, Linjin;Dai, Fengfeiyue;Zhang, Dan
关键词：
探讨不同类型运动强度对中老年心血管疾病和代谢性疾病共病患者自测健康状况的影响，以及不同性别间的影响差异。根据研究结果，为老年合并症患者的慢性病管理提供更多参考和建议。采用多阶段分层整群随机抽样方法，选取广东省社区老年（≥60岁）合并症患者作为调查对象。采用《老年患者合并症现状及影响因素调查问卷》对1,300例老年患者进行面对面访谈。选择965例60-74岁同时患有心血管和代谢性疾病的中老年患者。采用多因素非有序Logistic回归分析，探讨运动强度类型与自测健康的关系。根据性别进行分层分析。多因素Logistic回归分析结果显示，与健康状况自评较差的高龄合并症患者相比，接受大强度运动的高龄合并症患者的健康状况自评较好（OR = 4.368，95% CI：2.491-7.661，p < 0.05）。按性别分层分析显示，对于10岁以上合并症的男性患者，从事高强度运动的患者更可能有更好的健康状况自评（OR = 2.924，95% CI = 1.266-6.751，p < 0.05）;对于高龄合并症的女性患者，（OR = 2.460，95%CI：1.143-5.291，p < 0.05），参加社会活动（OR = 6.173，95%CI：2.285-16.678，p < 0.05），从事高强度运动（OR = 4.232，95% CI：1.869-9.583，p < 0.05）或中等强度运动（OR = 4.555，95% CI：1.825-11.368，p < 0.05）更可能有较好的健康状况自评。在身体条件允许的情况下，大强度运动对中老年合并心血管疾病和代谢性疾病患者的健康状况自评有显著的正向影响。具体而言，对于10岁男性患者，从事高强度运动的患者更有可能自我评价其健康状况良好;对于10岁女性患者，高强度和中等强度运动都可以改善其自我评价的健康状况。
Explore the effect of different types of exercise intensity on the self-rated health status of young-old comorbid patients with cardiovascular disease and metabolic disease, as well as the differences in effect among different genders. Provide more references and suggestions for chronic disease management in older comorbidities patients based on the results of the study. A multi-stage stratified cluster random sampling method was used to select older (≥60 years old) comorbidities patients from communities in Guangdong Province as the survey subjects. Using the “Survey Questionnaire on the Current Status and Influencing Factors of older Comorbidities Patients,” face-to-face interviews were conducted with 1,300 old patients. Data from 965 young-old patients (aged 60–74) who simultaneously suffered from cardiovascular and metabolic diseases were selected. Unordered multifactor Logistic regression analysis was used to explore the association between the type of exercise intensity and self-rated health. Stratified analysis was performed based on gender. The results of unordered multivariate logistic regression analysis showed that compared with young-old comorbidities patients with poor self-rated of health status, young-old comorbidities patients who underwent vigorous-intensity exercise were more likely to have better self-rated of health status (OR = 4.368, 95% CI: 2.491–7.661, p < 0.05). Stratified analysis based on gender showed that for young-old comorbidities male patients, those who engaged in vigorous-intensity exercise were more likely to have better self-rated of health status (OR = 2.924, 95% CI = 1.266–6.751, p < 0.05); for young-old comorbidities female patients, those who were encouraged by their family to exercise (OR = 2.460, 95% CI: 1.143–5.291, p < 0.05), participate in social activities (OR = 6.173, 95% CI: 2.285–16.678, p < 0.05), and engage in vigorous-intensity (OR = 4.232, 95% CI: 1.869–9.583, p < 0.05) or moderate-intensity exercise (OR = 4.555, 95% CI: 1.825–11.368, p < 0.05) were more likely to have better self-rated of health status. If the physical condition allows, vigorous-intensity exercise has a significant positive effect on the self-rated of health status of young-old comorbidities patients with cardiovascular disease and metabolic disease. Specifically, for young-old comorbidities male patients, those who engage in vigorous-intensity exercise are more likely to self-evaluate their health as good; for young-old comorbidities female patients, both vigorous-intensity and moderate-intensity exercise can improve their self-rated of health status.
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作者：
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DOI：
10.3390/ijerph19031610
发表时间：
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影响因子：
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