Barrett E M, Hussey J, Darker C D
Discipline of Physiotherapy, School of Medicine, Trinity College Dublin, St James's Hospital, Dublin 8, Ireland.
Department of Public Health and Primary Care, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland.
Public Health. 2016 Jul;136:80-6. doi: 10.1016/j.puhe.2016.02.020. Epub 2016 Apr 3.
To investigate the physical activity of adults attending primary care services in the Republic of Ireland and to determine whether the location (urban/rural) and deprivation of the primary care centre influenced physical activity.
Cross sectional study.
Stratified random sampling based on urban/rural location and deprivation was used to identify three primary care centres from a list of established primary care teams in the Leinster region. The International Physical Activity Questionnaire (IPAQ) was used to collate data on physical activity category (low/moderate/high), total weekly activity (MET-minutes/week) and weekly walking (MET-minutes/week) of participants.
Data from 885 participants with a median age of 39 years (IQR 31-53) were analysed. There were significant differences in physical activity between the primary care areas (P < 0.001). Rural mixed deprivation participants were the least active with almost 60% of this group (59.4%, n = 177) classified as inactive (535 median MET-minutes/week, IQR 132-1197). Urban deprived participants were the most active (low active 37.6%, n = 111, 975 median MET-minutes/week, IQR 445-1933). Upon adjustment for multiple factors, rural participants (OR = 2.81, 95% CI 1.97-4.01), urban non-deprived participants (OR = 1.61, 95% CI 1.08-2.39), females (OR = 1.66, 95% CI 1.23-2.23) and older adults (OR = 1.01, 95% CI 1.00-1.02) were more likely to be categorised as low active. Overall 47.2% (n = 418) of all participants were classified within the low physical activity category.
Significant disparities exist in the physical activity levels of primary care populations. This has important implications for the funding and planning of physical activity interventions.
调查爱尔兰共和国接受初级保健服务的成年人的身体活动情况，并确定初级保健中心的位置（城市/农村）和贫困程度是否会影响身体活动。
横断面研究。
基于城市/农村位置和贫困程度进行分层随机抽样，从伦斯特地区已建立的初级保健团队名单中确定三个初级保健中心。使用国际身体活动问卷（IPAQ）收集参与者的身体活动类别（低/中/高）、每周总活动量（代谢当量分钟/周）和每周步行量（代谢当量分钟/周）的数据。
分析了885名参与者的数据，他们的年龄中位数为39岁（四分位间距31 - 53岁）。初级保健区域之间的身体活动存在显著差异（P < 0.001）。农村混合贫困参与者的身体活动最少，该组中近60%（59.4%，n = 177）被归类为不活跃（每周代谢当量分钟中位数为535，四分位间距132 - 1197）。城市贫困参与者最活跃（低活跃度为37.6%，n = 111，每周代谢当量分钟中位数为975，四分位间距445 - 1933）。在对多个因素进行调整后，农村参与者（比值比 = 2.81，95%置信区间1.97 - 4.01）、城市非贫困参与者（比值比 = 1.61，95%置信区间1.08 - 2.39）、女性（比值比 = 1.66，95%置信区间1.23 - 2.23）和老年人（比值比 = 1.01，95%置信区间1.00 - 1.02）更有可能被归类为低活跃度。总体而言，所有参与者中有47.2%（n = 418）被归类为低身体活动类别。
初级保健人群的身体活动水平存在显著差异。这对身体活动干预措施的资金投入和规划具有重要意义。
