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法国成年人的休闲和职业体力活动与心血管危险因素及饮食习惯的关系

Leisure-time and occupational physical activity in relation to cardiovascular risk factors and eating habits in French adults.

作者信息

Oppert J-M, Thomas F, Charles M-A, Benetos A, Basdevant A, Simon C

机构信息

Centre d'investigations préventives et cliniques (IPC), Paris, France.

出版信息

Public Health Nutr. 2006 Sep;9(6):746-54. doi: 10.1079/phn2005882.

Abstract

OBJECTIVE

To investigate the relationships of two main physical activity domains (during leisure and at work) with cardiovascular risk factors and eating habits.

DESIGN

Cross-sectional study.

SETTING

Preventive medicine centre.

SUBJECTS

In 5478 adults (32% women, aged 20-80 years) who consecutively underwent a standardised health examination, leisure-time physical activity (LTPA; i.e. non-sport leisure and sport activities), occupational physical activity (OPA) and eating habits were assessed by self-administered questionnaires. We analysed sex-specific relationships of LTPA and OPA (in quartiles) with (1) various cardiovascular risk factors and (2) eating habits using analysis of variance and logistic regression, respectively.

RESULTS

In both genders, with and without adjustment for education in addition to age, LTPA was associated negatively with body mass index, body fat, waist circumference, resting heart rate, diastolic blood pressure and triglycerides, and positively associated with high-density lipoprotein cholesterol (all P < or = 0.005). OPA adjusted for age only was positively associated with most cardiovascular risk factors but these associations were not significant after further adjustment on education (except for waist circumference in women). Age- and education-adjusted LTPA was associated with increased frequency of consumption of fruits (odds ratio (OR) = 2.05, 95% confidence interval (CI) 1.68-2.52 in men; OR = 1.90, 95% CI 1.41-2.05 in women) and vegetables (OR = 1.81, 95% CI 1.48-2.21 in men; OR = 2.22, 95% CI 1.66-2.97 in women).

CONCLUSIONS

The data emphasise the favourable associations of LTPA, a modifiable behaviour, with various cardiovascular risk factors and healthy eating habits. The results also suggest that the relationships of OPA with cardiovascular risk factors depend, at least in part, on socio-economic status as reflected by educational level.

摘要

目的

研究两个主要身体活动领域(休闲期间和工作时)与心血管危险因素及饮食习惯之间的关系。

设计

横断面研究。

地点

预防医学中心。

研究对象

对5478名成年人(32%为女性,年龄20 - 80岁)进行连续标准化健康检查,通过自填问卷评估休闲时间身体活动(LTPA,即非运动性休闲和运动活动)、职业身体活动(OPA)及饮食习惯。我们分别使用方差分析和逻辑回归分析了LTPA和OPA(按四分位数分组)与(1)各种心血管危险因素以及(2)饮食习惯的性别特异性关系。

结果

在男性和女性中,无论是否对年龄和教育程度进行调整,LTPA均与体重指数、体脂、腰围、静息心率、舒张压和甘油三酯呈负相关,与高密度脂蛋白胆固醇呈正相关(所有P≤0.005)。仅对年龄进行调整的OPA与大多数心血管危险因素呈正相关,但在进一步调整教育程度后,这些关联不再显著(女性腰围除外)。经年龄和教育程度调整后的LTPA与水果(男性优势比(OR)=2.05,95%置信区间(CI)1.68 - 2.52;女性OR = 1.90,95% CI 1.41 - 2.05)和蔬菜(男性OR = 1.81,95% CI 1.48 - 2.21;女性OR = 2.22,95% CI 1.66 - 2.97)的食用频率增加相关。

结论

数据强调了可改变行为LTPA与各种心血管危险因素及健康饮食习惯之间的有益关联。结果还表明,OPA与心血管危险因素的关系至少部分取决于教育水平所反映的社会经济地位。

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