Nitz J C, Choy N L Low
Division of Physiotherapy, School of Health & Rehabilitation Sciences, The University of Queensland, St. Lucia, Australia.
Climacteric. 2007 Oct;10(5):408-15. doi: 10.1080/13697130701624955.
The purpose of this study was to report habitual physical activity levels in women and document the change in level of activity and factors affecting this change over a 5-year period.
A 5-year prospective cohort design was used. Women aged 40-80 years, living independently in the community, were recruited via the electoral role. The effects were investigated, first, of age, activity level, history of falls, number of co-morbidities and medications, body mass index and stability at baseline on change in activity level and, second, change in these demographics on activity level over the study period.
Data from 459 women who completed our study are reported. Only activity level and body mass index at baseline significantly affected change in activity level (p<0.000). Change in activity level was not influenced by change in demographics over the study period. The forties and fifties cohorts accounted for the baseline body mass index effect on activity change (p<0.04). In the forties cohort, number of medical conditions at base line (p<0.03) and, in the sixties cohort, increase in number of medical conditions (p=0.011) affected activity level change.
Activity level at baseline and body mass index in younger women were most likely to affect change over time. Being unsteady or having already fallen did not stimulate change.
本研究旨在报告女性的习惯性身体活动水平,并记录5年期间活动水平的变化以及影响这种变化的因素。
采用5年前瞻性队列设计。通过选民名单招募年龄在40 - 80岁、独立生活在社区的女性。首先研究年龄、活动水平、跌倒史、合并症数量和用药情况、体重指数以及基线时的身体稳定性对活动水平变化的影响,其次研究在研究期间这些人口统计学特征的变化对活动水平的影响。
报告了459名完成我们研究的女性的数据。只有基线时的活动水平和体重指数显著影响活动水平的变化(p<0.000)。研究期间人口统计学特征的变化并未影响活动水平的变化。四十多岁和五十多岁的队列体现了基线体重指数对活动变化的影响(p<0.04)。在四十多岁的队列中,基线时的疾病数量(p<0.03)以及在六十多岁的队列中,疾病数量的增加(p = 0.011)影响了活动水平的变化。
基线时的活动水平和年轻女性的体重指数最有可能影响随时间的变化。身体不稳定或已经跌倒并不会促使活动水平发生变化。