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加速度计测量的职业和非职业体力活动中的补偿效应研究。

An examination of compensation effects in accelerometer-measured occupational and non-occupational physical activity.

作者信息

Gay Jennifer L, Buchner David M, Smith Jessalyn, He Chunla

机构信息

Department of Health Promotion & Behavior, University of Georgia, Athens, GA, USA.

Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA.

出版信息

Prev Med Rep. 2017 Aug 5;8:55-59. doi: 10.1016/j.pmedr.2017.07.013. eCollection 2017 Dec.

Abstract

Self-report data suggests a large proportion of total physical activity (PA) occurs at work. However, adults with higher levels of occupational PA may compensate by engaging in less non-occupational PA. The study aims were to 1) estimate the intensity, volume, and duration of PA in American adults that occurs at work, and 2) determine if those more active at work are less active outside of work. A cross-sectional sample of full-time employed adults ( = 510) was recruited from Georgia city and county governments in 2013-2015. Participants wore an Actigraph GT3X + accelerometer for two weeks. In 2016, for 442 participants with complete data including work schedules and self-reported job titles, accelerometer wear minutes were classified as either occupational or non-occupational, and as sedentary, LPA (light-intensity PA), or MVPA (moderate-to-vigorous intensity PA). The proportion of daily PA that occurred during work was 41.2% for total PA, 41.0% for LPA, and 39.5% for MVPA. Higher levels of occupational LPA were associated with lower levels of non-occupational LPA ( = - 0.38,  < 0.0001). However, higher levels of occupational MVPA were associated with higher levels of non-occupational MVPA ( = 0.17,  < 0.0001). These associations remained significant in a MANOVA adjusting for labor sector and other covariates. On average, employed adults get more LPA and MVPA outside of work. Adults who do more occupational MVPA do not compensate by doing less non-occupational MVPA. In contrast, adults who do more occupational LPA do compensate by doing less non-occupational LPA. Evaluations of interventions to reduce sedentary behavior should be designed to detect compensation effects.

摘要

自我报告数据表明,总体身体活动(PA)的很大一部分发生在工作期间。然而,职业性身体活动水平较高的成年人可能会通过减少非职业性身体活动来进行补偿。本研究的目的是:1)估计美国成年人在工作中进行的身体活动的强度、量和持续时间;2)确定在工作中更活跃的人在工作之外是否活动较少。2013年至2015年,从佐治亚州的市县政府中招募了一个全职就业成年人的横断面样本(n = 510)。参与者佩戴Actigraph GT3X +加速度计两周。2016年,对于442名拥有包括工作时间表和自我报告职位在内的完整数据的参与者,加速度计佩戴分钟数被分类为职业性或非职业性,以及久坐、低强度身体活动(LPA)或中等至剧烈强度身体活动(MVPA)。工作期间发生的每日身体活动比例在总身体活动中为41.2%,在低强度身体活动中为41.0%,在中等至剧烈强度身体活动中为39.5%。较高水平的职业性低强度身体活动与较低水平的非职业性低强度身体活动相关(r = - 0.38,p < 0.0001)。然而,较高水平的职业性中等至剧烈强度身体活动与较高水平的非职业性中等至剧烈强度身体活动相关(r = 0.17,p < 0.0001)。在对行业部门和其他协变量进行多变量方差分析调整后,这些关联仍然显著。平均而言,就业成年人在工作之外进行更多的低强度身体活动和中等至剧烈强度身体活动。进行更多职业性中等至剧烈强度身体活动的成年人不会通过减少非职业性中等至剧烈强度身体活动来进行补偿。相比之下,进行更多职业性低强度身体活动的成年人会通过减少非职业性低强度身体活动来进行补偿。减少久坐行为的干预措施评估应设计用于检测补偿效应。

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