身体活动与健康相关生活质量：有或无身体限制的美国成年人

Physical activity and health-related quality of life: US adults with and without limitations.

作者信息

Brown David R, Carroll Dianna D, Workman Lauren M, Carlson Susan A, Brown David W

机构信息

Division of Nutrition, Physical Activity and Obesity, Centers for Disease Control and Prevention, MS K-77, 4770 Buford Hwy, N.E., Atlanta, GA, 30341-3724, USA,

出版信息

Qual Life Res. 2014 Dec;23(10):2673-80. doi: 10.1007/s11136-014-0739-z. Epub 2014 Jun 21.

DOI:10.1007/s11136-014-0739-z

PMID:24952110

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4857196/

Abstract

PURPOSE

The purpose of this study was to examine the dose-response relationship between physical activity (PA) and health-related quality of life (HRQOL) among adults with and without limitations.

METHODS

We dichotomized HRQOL as ≥14 unhealthy (physical or mental) days (past 30 days), or <14 unhealthy days. By using a moderate-intensity minute equivalent, PA categories were as follows: inactive, 10-60, 61-149, 150-300, and >300 min/week. Persons with limitations reported having problems that limited their activities or required use of special equipment. Age-adjusted prevalence estimates and logistic regression analyses were performed with 2009 Behavioral Risk Factor Surveillance System data (n = 357,665), controlling for demographics, BMI, smoking, and heavy alcohol use.

RESULTS

For adults without limitations, the odds of ≥14 unhealthy days were lower among adults obtaining any PA (10-60 min/week, AOR = 0.79, 95 % CI 0.70, 0.88), compared with those inactive. A quadratic trend (P < 0.001) indicated enhanced HRQOL with each PA level, but improvements were less marked between lower and upper sufficient PA categories (150-300 and >300 min/week). Because of a significant age interaction, persons with limitations were stratified by age (18-34, 35-64, and 65+ years). Findings for persons aged 35 years or older with limitations were similar to those without limitations. Lower odds of poor HRQOL for persons aged 18-34 years with limitations were associated with recommended levels of PA (150-300 min/week; AOR = 0.61, 95 % CI 0.43, 0.88 and >300 min/week; AOR = 0.58, 95 % CI 0.43, 0.80).

CONCLUSIONS

PA is positively associated with HRQOL among persons with and without limitations.

摘要

目的

本研究旨在探讨有身体活动限制和无身体活动限制的成年人中，身体活动（PA）与健康相关生活质量（HRQOL）之间的剂量反应关系。

方法

我们将HRQOL分为过去30天内≥14个不健康（身体或精神）日或<14个不健康日。使用中等强度分钟当量，PA类别如下：不活动、10 - 60、61 - 149、150 - 300以及>300分钟/周。有身体活动限制的人报告称存在限制其活动或需要使用特殊设备的问题。利用2009年行为风险因素监测系统数据（n = 357,665）进行年龄调整患病率估计和逻辑回归分析，控制人口统计学、体重指数、吸烟和大量饮酒因素。

结果

对于无身体活动限制的成年人，与不活动者相比，进行任何PA（10 - 60分钟/周，调整后比值比[AOR]=0.79，95%置信区间[CI] 0.70, 0.88）的成年人中≥14个不健康日的几率更低。二次趋势（P < 0.001）表明随着每个PA水平的提高，HRQOL增强，但在较低和较高的足够PA类别（150 - 300和>300分钟/周）之间改善不太明显。由于存在显著的年龄交互作用，有身体活动限制的人按年龄分层（18 - 34岁、35 - 64岁和65岁及以上）。35岁及以上有身体活动限制的人的结果与无身体活动限制的人相似。18 - 34岁有身体活动限制的人HRQOL较差的几率较低与推荐的PA水平（150 - 300分钟/周；AOR = 0.61，95% CI 0.43, 0.88和>300分钟/周；AOR = 0.58，95% CI 0.43, 0.80）相关。