Wang Yu-Shan, Liu Bo, Jiang Yan, Liu Zhong-Hua, Yao Hua
Center of Health Management, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China.
Shanghai Key Laboratory of Tuberculosis, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
Chronic Dis Transl Med. 2017 Feb 2;3(2):129-134. doi: 10.1016/j.cdtm.2017.01.001. eCollection 2017 Jun 25.
Stroke is the leading cause of death and disability, and is closely related to a lack of exercise. Currently, most Chinese medical staff members lack exercise and may be at risk for stroke. We sought to determine the risk factors for stroke and study the significance of health-related physical fitness testing in stroke prevention among Chinese medical staff members.
A total of 627 subjects from Urumqi, Xinjiang, China, were included in the study and a survey was conducted from 1st January 2016 to 1st February 2016. Stroke screening and health-related physical fitness testing were completed according to the standard protocol, and the related data were analyzed.
Based on the screening, 27.6% ( = 173) of the subjects were at high risk for stroke. The top risk factors for stroke in these subjects were dyslipidemia, lack of exercise or mild physical activity, being overweight or obese, and high blood pressure. Body weight, body mass index, body fat, visceral fat area, body fat percentage, and basal metabolic rate were significantly higher ( < 0.01) in subjects at high risk for stroke than in subjects who were not at high risk. Lung capacity, step index, grip test, vertical jump, and sit-up/push-up index were significantly lower ( < 0.01) in subjects at high risk for stroke than in subjects who were not at high risk.
A large proportion of China's on-the-job medical personnel is at high risk for stroke. This may be related to the nature of the profession and warrants more attention from the society. The health-related physical fitness measurement parameters in subjects at high risk for stroke were significantly different from those in subjects who were not at high risk. Screening and health-related physical fitness testing in medical staff members may contribute to stroke prevention. More rigorous controlled clinical trials will be needed in the future.
中风是导致死亡和残疾的主要原因，且与缺乏运动密切相关。目前，大多数中国医护人员缺乏运动，可能面临中风风险。我们旨在确定中风的风险因素，并研究健康相关体能测试在预防中国医护人员中风方面的意义。
本研究纳入了来自中国新疆乌鲁木齐的627名受试者，并于2016年1月1日至2016年2月1日进行了一项调查。根据标准方案完成中风筛查和健康相关体能测试，并对相关数据进行分析。
根据筛查，27.6%（n = 173）的受试者处于中风高风险。这些受试者中风的主要风险因素为血脂异常、缺乏运动或轻度体力活动、超重或肥胖以及高血压。中风高风险受试者的体重、体重指数、体脂肪、内脏脂肪面积、体脂百分比和基础代谢率显著高于（P < 0.01）非高风险受试者。中风高风险受试者的肺活量、步频指数、握力测试、纵跳和仰卧起坐/俯卧撑指数显著低于（P < 0.01）非高风险受试者。
中国在职医护人员中很大一部分处于中风高风险。这可能与职业性质有关，值得社会更多关注。中风高风险受试者与非高风险受试者的健康相关体能测量参数存在显著差异。医护人员的筛查和健康相关体能测试可能有助于预防中风。未来需要更严格的对照临床试验。
