Rohrer James E, Stroebel Robert J
Departments of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Qual Manag Health Care. 2009 Apr-Jun;18(2):135-40. doi: 10.1097/QMH.0b013e3181a02c3e.
Clinical guidelines call for more exercise than many patients are willing to undertake. More modest goals are more acceptable but may not improve overall self-rated health (SRH) in primary care patients. Furthermore, whether exercise should be measured in minutes per week, times per week, or both is unclear.
A random sample of 939 primary care patients met criteria for the study. Exercise was measured in self-reported minutes and times per week. Multiple logistic regression analysis was used to test for the independent effects of minutes and times per week of exercise on SRH in primary care patients.
Exercising 1 to 150 minutes per week was independently related to good SRH (odds ratio = 3.41, confidence interval = 1.73-6.73) as was exercising 151 to 300 minutes per week (odds ratio = 4.13, confidence interval = 1.45-11.71). The number of exercise times per week was not significant.
In our sample of relatively healthy primary care patients, exercising 1 to 300 minutes per week appears to promote good SRH.
临床指南建议的运动量超过了许多患者愿意进行的程度。更适度的目标更容易被接受,但可能无法改善初级保健患者的总体自评健康状况(SRH)。此外,运动应该按每周分钟数、每周次数还是两者都进行衡量尚不清楚。
对939名初级保健患者进行随机抽样,这些患者符合研究标准。通过自我报告的每周分钟数和次数来衡量运动情况。采用多元逻辑回归分析来检验每周运动分钟数和次数对初级保健患者SRH的独立影响。
每周锻炼1至150分钟与良好的SRH独立相关(优势比=3.41,置信区间=1.73 - 6.73),每周锻炼151至300分钟也是如此(优势比=4.13,置信区间=1.45 - 11.71)。每周锻炼次数不显著。
在我们相对健康的初级保健患者样本中,每周锻炼1至300分钟似乎能促进良好的SRH。