Ying Chanying, Kuay Lim Kuang, Huey Teh Chien, Hock Lim Kuang, Hamid Hamizatul Akmal Abd, Omar Mohd Azahadi, Ahmad Noor Ani, Cheong Kee Chee
Southeast Asian J Trop Med Public Health. 2014 Mar;45(2):467-80.
Using data from the Third National Health and Morbidity Survey (NHMS III) in 2006, this study examined the association between socio-demographic factors and physical inactivity in a sample of 33,949 adults aged 18 years and above by gender. Physical activity levels were measured using the Global Physical Activity Questionnaire (GPAQ vers 1). Physical inactivity was defined as having a total physical activity level of less than 600 metabolic equivalents-minutes per week (METs-minutes/week) contributed by all three different life domains.Logistic regression analyses were conducted.The prevalence of overall physical inactivity was 43.7% (95% CI: 42.9-44.5). The mean total physical activity level was 894.2 METs-minutes/ week. The means METs-minutes/week for the domain of work, travelling, and leisure time were 518.4, 288.1, and 134.8, respectively. Multivariable logistic regression analyses indicated that females were more likely to be physically inactive than males were (aOR=1.62; 95% CI: 1.53-1.72). Among women, being a housewife (aOR = 1.78; 95% CI: 1.56-2.03), widow/divorcee (aOR = 1.23; 95% CI: 1.05-1.43), and those with no formal education (aOR = 1.20; 95% CI: 1.01-1.43) were found to be significantly associated with physical inactivity.Urban residents, older adults aged 65 years and above, private employees, nonworking group, and those with a monthly household income level of MYR5,000 and above appeared to be consistently associated with physical inactivity across men, women, and combined group (both). Specific health intervention strategies to promote physical activity should be targeted on population subgroups who are inactive.
本研究利用2006年第三次全国健康与发病率调查（NHMS III）的数据，按性别对33949名18岁及以上成年人的样本进行分析，探讨社会人口学因素与身体活动不足之间的关联。使用全球身体活动问卷（GPAQ第1版）测量身体活动水平。身体活动不足定义为来自三个不同生活领域的总身体活动水平低于每周600代谢当量分钟（METs-分钟/周）。进行了逻辑回归分析。总体身体活动不足的患病率为43.7%（95%CI：42.9-44.5）。平均总身体活动水平为894.2 METs-分钟/周。工作、出行和休闲时间领域的平均METs-分钟/周分别为518.4、288.1和134.8。多变量逻辑回归分析表明，女性比男性更有可能身体活动不足（调整后比值比[aOR]=1.62；95%CI：1.53-1.72）。在女性中，家庭主妇（aOR = 1.78；95%CI：1.56-2.03）、寡妇/离婚者（aOR = 1.23；95%CI：1.05-1.43）以及未接受正规教育者（aOR = 1.20；95%CI：1.01-1.43）被发现与身体活动不足显著相关。城市居民、65岁及以上的老年人、私营企业员工、非工作群体以及月家庭收入水平在5000马来西亚林吉特及以上者，在男性、女性及综合组（两者）中似乎都与身体活动不足持续相关。应针对不活动的人群亚组制定促进身体活动的具体健康干预策略。
