Tomata Yasutake, Sato Noriko, Kogure Mana, Suto Syoko, Imai Yuki, Aoki Hitomi, Sugiyama Kemmyo, Suzuki Reiko, Sugawara Yumi, Watanabe Takashi, Nagatomi Ryoichi, Tsuji Ichiro
Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine.
Nihon Koshu Eisei Zasshi. 2015;62(2):66-72. doi: 10.11236/jph.62.2_66.
Interventions that promote physical activity to prevent psychological distress and disuse syndromes were carried out in disaster-stricken areas. However, the effect of these interventions to promote physical activity in disaster-stricken areas has not yet been fully clarified. The purpose of this study was to examine the health effects of promoting physical activity in a disaster-stricken area.
We conducted an exercise intervention as part of a health survey project among residents of Ishinomaki-city, Miyagi, Japan in 2012. To determine if changes in health condition differed between intervention participants and nonparticipants, health condition data from 81 participants were compared with data from 81 nonparticipants selected by propensity score matching. Factors including sex, age, original address (pre-quake), and six outcome variables (psychological distress [K6 score], subjective health status, sleep duration, sleep quality, frequency of outings, and time spent walking) were used for matching. A linear mixed model was used for statistical analysis.
There were no significant differences in K6 score between participants and nonparticipants (P=0.913). Significant improvements were observed in subjective health status (P=0.011) and outing frequency (P=0.002), but not in other outcome variables.
Subjective health status and outing frequency were significantly improved among participants of the exercise intervention. Exercise intervention may be an effective public health strategy in disaster-stricken areas.
在受灾地区开展了促进身体活动以预防心理困扰和废用综合征的干预措施。然而，这些干预措施对促进受灾地区身体活动的效果尚未完全阐明。本研究的目的是探讨在受灾地区促进身体活动对健康的影响。
2012年，我们在日本宫城县石卷市居民的健康调查项目中进行了一项运动干预。为了确定干预参与者和非参与者的健康状况变化是否存在差异，将81名参与者的健康状况数据与通过倾向得分匹配选择的81名非参与者的数据进行了比较。匹配因素包括性别、年龄、原住址（震前）以及六个结果变量（心理困扰[K6评分]、主观健康状况、睡眠时间、睡眠质量、外出频率和步行时间）。采用线性混合模型进行统计分析。
参与者和非参与者的K6评分无显著差异（P = 0.913）。主观健康状况（P = ）和外出频率（P = 0.002）有显著改善，但其他结果变量没有改善。
运动干预参与者的主观健康状况和外出频率显著改善。运动干预可能是受灾地区一种有效的公共卫生策略。 （注：原文中主观健康状况P值处缺失数据）
