Guessous Idris, Gaspoz Jean-Michel, Theler Jean-Marc, Kayser Bengt
Unit of Population Epidemiology, Division of primary care medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland; Community Prevention Unit, Institute of Social and Preventive Medicine, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland.
Unit of Population Epidemiology, Division of primary care medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland.
Prev Med. 2014 Feb;59:25-30. doi: 10.1016/j.ypmed.2013.11.005. Epub 2013 Nov 16.
Regular physical activity is a major health determinant. Little is known about physical activity trends. We evaluated whether adult physical activity levels are changing in a Swiss urban state (Geneva).
We analyzed 11-year trends of physical activity indicators, including 3+MET-minutes per week and physical activity outside working hours, in population representative adults (n=9320, aged 35-74years, 50% women), relating declared physical activity to socioeconomic status, lifestyle, and clinical and blood markers.
Combining yearly cohorts from 1999 to 2009, we found a significant trend for increased physical activity levels. Weekly age and sex adjusted 3+MET-minutes per week increased from 3023 to 3752, between 1999 and 2009 (P=0.02). The increase also concerned physical activity outside working hours (+18kcal/day/year). There was a shift from low levels of physical activity levels towards higher activities. Physical activity indicators were associated with socioeconomic status, comorbidities, and biological and anthropometric measures. The trend for increased physical activity was more prominent over the latter 5years.
We found that physical activity levels have increased in an urban Swiss state. The increase is significant but small, and further efforts to promote physical activity are therefore warranted.
规律的体育活动是健康的主要决定因素。人们对体育活动趋势了解甚少。我们评估了瑞士一个城市州（日内瓦）成年人的体育活动水平是否正在发生变化。
我们分析了具有人口代表性的成年人（n = 9320，年龄35 - 74岁，50%为女性）体育活动指标的11年趋势，包括每周≥3代谢当量分钟数以及工作时间以外的体育活动，将申报的体育活动与社会经济地位、生活方式、临床和血液指标相关联。
综合1999年至2009年的年度队列，我们发现体育活动水平有显著上升趋势。1999年至2009年间，经年龄和性别调整后的每周≥3代谢当量分钟数从3023增加到3752（P = 0.02）。这种增加也涉及工作时间以外的体育活动（每年增加18千卡/天）。体育活动水平从低水平向较高水平转变。体育活动指标与社会经济地位、合并症以及生物学和人体测量学指标相关。体育活动增加的趋势在最后5年更为明显。
我们发现瑞士一个城市州的体育活动水平有所提高。这种提高虽显著但幅度较小，因此有必要进一步努力促进体育活动。
