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每日久坐时间与心血管疾病风险:2002年芬兰全国FINRISK研究

Daily Sedentary Time and Risk of Cardiovascular Disease: The National FINRISK 2002 Study.

作者信息

Borodulin Katja, Kärki Anja, Laatikainen Tiina, Peltonen Markku, Luoto Riitta

机构信息

National Institute for Health and Welfare, Chronic Disease Prevention Dept, Helsinki, Finland.

出版信息

J Phys Act Health. 2015 Jul;12(7):904-8. doi: 10.1123/jpah.2013-0364. Epub 2014 Aug 22.

Abstract

BACKGROUND

Daily sitting time may be a risk factor for incident cardiovascular disease (CVD); however, this has not yet been extensively studied. Our aim was to study the association of total sitting time with the risk of CVD.

METHODS

Participants (n = 4516, free of CVD at baseline) from the National FINRISK 2002 Study were followed for fatal and nonfatal CVD using national registers. Participants underwent a health examination and completed questionnaires, including total daily sitting time.

RESULTS

During a mean follow-up of 8.6 years, 183 incident CVD cases occurred. Sitting on a typical weekday, at baseline, was statistically significantly associated with fatal and nonfatal incident CVD. The hazard ratios (with 95% confidence intervals, CI) for the total amount of sitting were 1.05 (95% CI, 1.00-1.10) in the age and gender adjusted model and 1.06 (95% CI, 1.01-1.11) in the fully adjusted model, including age, gender, employment status, education, BMI, smoking status, leisure time physical activity, use of vegetables and fruit, alcohol use, blood pressure or its medication, and cholesterol or its medication.

CONCLUSIONS

Our findings suggest that total amount of daily sitting is a risk factor for incident CVD. More research is needed to understand the etiology of sedentary behavior and CVD.

摘要

背景

每日久坐时间可能是心血管疾病(CVD)发病的一个风险因素;然而,这一点尚未得到广泛研究。我们的目的是研究总久坐时间与CVD风险之间的关联。

方法

对来自2002年芬兰全国FINRISK研究的参与者(n = 4516,基线时无CVD),利用国家登记系统对致命和非致命性CVD进行随访。参与者接受了健康检查并完成了问卷调查,包括每日总久坐时间。

结果

在平均8.6年的随访期间,发生了183例CVD发病病例。在基线时,典型工作日的久坐时间与致命和非致命性CVD发病在统计学上显著相关。在年龄和性别调整模型中,久坐总时长的风险比(及95%置信区间,CI)为1.05(95%CI,1.00 - 1.10),在完全调整模型中为1.06(95%CI,1.01 - 1.11),完全调整模型纳入了年龄、性别、就业状况、教育程度、体重指数、吸烟状况、休闲时间身体活动、蔬菜水果摄入、饮酒、血压或其用药情况以及胆固醇或其用药情况。

结论

我们的研究结果表明,每日久坐总时长是CVD发病的一个风险因素。需要更多研究来了解久坐行为和CVD的病因。

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