Abell Laura P, Tanase Kelly A, Gilmore Madison L, Winnicki Anna E, Holmes Victor L, Hartos Jessica L
Department of Physician Assistant Studies, University of North Texas Health Science Center, Fort Worth, TX, USA.
Womens Health (Lond). 2019 Jan-Dec;15:1745506519871186. doi: 10.1177/1745506519871186.
While physical activity is important for health, many women do not meet recommended levels, particularly mothers. The purpose of this study was to assess whether physical activity levels differ by number of children at home in women aged 25-44 in the general US population.
This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance System data for females aged 25-44 (N = 6266) from California, Colorado, New York, Texas, and Utah. Ordered logistic regression analysis assessed the relationship between physical activity levels and number of children at home while controlling for state and demographic, socioeconomic, and health-related factors.
About half of participants reported "inactive" or "insufficiently active" physical activity levels and about two-thirds reported having one or more children at home. The results of adjusted analysis indicated that physical activity level was significantly related to having one child (adjusted odds ratio = 0.75, 95% confidence interval = 0.63, 0.89), two children (adjusted odds ratio = 0.79; 95% confidence interval = 0.67, 0.93), and three or more children (adjusted odds ratio = 0.80, 95% confidence interval = 0.67, 0.94) at home.
Overall, physical activity levels were significantly related to presence of children at home for women aged 25-44, but increasing number of children at home did not impact effect size. For women aged 25-44 in a primary care setting, a moderate prevalence of inactive or insufficiently active physical activity may be expected. Providers should address physical activity with all patients in this target population during well-visits, but particularly for women with children at home; educate patients about the health benefits of regular physical activity; and provide resources that will help them integrate physical activity into their daily lifestyles.
虽然体育活动对健康很重要,但许多女性未达到推荐水平,尤其是母亲。本研究的目的是评估美国普通人群中25 - 44岁女性的体育活动水平是否因家中子女数量而异。
这项横断面分析使用了2017年行为危险因素监测系统中来自加利福尼亚州、科罗拉多州、纽约州、得克萨斯州和犹他州的25 - 44岁女性(N = 6266)的数据。有序逻辑回归分析评估了体育活动水平与家中子女数量之间的关系,同时控制了州、人口统计学、社会经济和健康相关因素。
约一半的参与者报告体育活动水平为“不活跃”或“活动不足”,约三分之二的参与者报告家中有一个或多个孩子。调整分析结果表明,体育活动水平与家中有一个孩子(调整后的优势比 = 0.75,95%置信区间 = 0.63,0.89)、两个孩子(调整后的优势比 = 0.79;95%置信区间 = 0.67,0.93)以及三个或更多孩子(调整后的优势比 = 0.80,95%置信区间 = 0.67,0.94)显著相关。
总体而言,25 - 44岁女性的体育活动水平与家中有孩子显著相关,但家中孩子数量增加并未影响效应大小。对于初级保健机构中25 - 44岁的女性,预计不活跃或活动不足的体育活动患病率中等。医疗服务提供者应在健康检查期间与该目标人群中的所有患者讨论体育活动问题,尤其是家中有孩子的女性;向患者宣传定期体育活动对健康的益处;并提供有助于他们将体育活动融入日常生活方式的资源。