Schott K, Hunger M, Lampert T, Spengler S, Mess F, Mielck A
Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München, Neuherberg.
Neuherberg, Helmholtz-Zentrum München.
Gesundheitswesen. 2016 Oct;78(10):630-636. doi: 10.1055/s-0034-1398556. Epub 2015 Mar 11.
Energy consumption, i. e., the metabolic equivalent of task (MET), provides a precise assessment of physical activity (PA). Studies on social inequalities of PA have hardly used this possibility, however. The analyses are based on the 'Motorik-Modul (MoMo) of the KiGGS study (German Health Interview and Examination Survey for Children and Adolescents) conducted between 2003 and 2006 (n=1 757; age group 11-17 years). PA has been assessed in 3 settings (sport club in school, other sport club, leisure time). 3 dependent variables were distinguished by combining the following criteria: at least 21 MET-hours per week, intensity between 3 and 6 METs, at least 7 hours a week. The main independent variables are: type of school and socioeconomic status (SES) of the parents. 'Two part models' have been used to assess social difference in PA among those who are physically active. PA is much more common in the higher SES groups. Looking at the MET-hours, though, there are just little differences among those who are physically active (regressions coefficient for low vs. high SES: 1.15; 95% conf. interv. 0.99-1.33). Social differences can be seen mainly for the proportion of adolescents being physically active, not for the extent of PA among those who are physically active. Therefore, the central request should be to increase the proportion of adolescents performing any PA in the low SES group.
能量消耗,即代谢当量任务(MET),可对身体活动(PA)进行精确评估。然而,关于身体活动社会不平等的研究几乎未利用这一可能性。分析基于2003年至2006年进行的KiGGS研究(德国儿童和青少年健康访谈与检查调查)中的“运动模块(MoMo)”(n = 1757;年龄组11 - 17岁)。在三种环境(学校体育俱乐部、其他体育俱乐部、休闲时间)中评估了身体活动。通过组合以下标准区分了三个因变量:每周至少21 MET小时、强度在3至6 MET之间、每周至少7小时。主要自变量为:学校类型和父母的社会经济地位(SES)。已使用“两部分模型”来评估身体活跃者中身体活动的社会差异。身体活动在较高社会经济地位群体中更为常见。不过,从MET小时数来看,身体活跃者之间差异不大(低社会经济地位与高社会经济地位的回归系数:1.15;95%置信区间0.99 - 1.33)。社会差异主要体现在身体活跃的青少年比例上,而非身体活跃者的身体活动程度。因此,核心要求应是提高低社会经济地位群体中进行任何身体活动的青少年比例。