Physically Active Lifestyles Research Group (USQ-PALs), Centre for Health Research, University of Southern Queensland, Springfield Central, QLD 4300, Australia.
Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, NSW 2006, Australia; Charles Perkins Centre Epidemiology Unit, Charles Perkins Centre, University of Sydney, Sydney, NSW 2006, Australia.
J Sport Health Sci. 2023 Mar;12(2):186-193. doi: 10.1016/j.jshs.2021.01.002. Epub 2021 Jan 9.
Emerging epidemiological evidence suggests that compared to engaging in 1 activity mode alone, a combination of moderate-to-vigorous physical activity (MVPA: brisk walking/jogging, cycling) and muscle-strengthening exercise (MSE: push-ups/sit-ups, using weight machines) has more favorable associations with optimal weight status. However, few studies have examined the dose-dependent and joint associations of MVPA and MSE with obesity.
Based on cross-sectional analyses of the European Health Interview Survey Wave 2 (2013-2014), we examined prevalence ratios (PRs) of joint and stratified associations between MVPA (4 categories: (i) 0 min/week, (ii) 1-149 min/week, (iii) 150-299 min/week, and (iv) ≥300 min/week) and MSE (3 categories: (i) 0 day/week, (ii) 1 day/week, and (iii) ≥2 days/week) with body mass index-defined obesity (body mass index of ≥30.0 kg/m) using Poisson regression with robust error variance. PRs were examined unadjusted and adjusted for sociodemographic and lifestyle characteristics (e.g., sex, age, education, income, and smoking status).
Data were available for 280,456 adults (≥18 years), of which 46,166 (15.5%) were obese. The interaction MVPA × MSE guideline adherence was statistically significant for obesity (p ≤ 0.05). The joint MVPA-MSE analysis showed that compared to the reference group (i.e., no MVPA and no MSE), the PRs followed a dose-dependent pattern, with the lowest observed among those reporting ≥150 MVPA min/week and ≥1 MSE days/week (PR: 0.43; 95% confidence interval: 0.41-0.46). When stratified across each MVPA strata, the PRs were mostly lower among those engaging in MSE 1 day/week, as compared to those doing MSE ≥2 days/week.
There was evidence for a dose-dependent association between joint MVPA-MSE with a reduced prevalence of obesity. Public health strategies for the prevention and management of obesity should recommend both MVPA and MSE.
新兴的流行病学证据表明，与单独进行一种活动模式相比，中高强度体力活动（MVPA：快走/慢跑、骑自行车）和肌肉强化运动（MSE：俯卧撑/仰卧起坐、使用举重器械）相结合与最佳体重状态有更有利的关联。然而，很少有研究检查 MVPA 和 MSE 与肥胖的剂量依赖性和联合关联。
基于欧洲健康访谈调查第二波（2013-2014 年）的横断面分析，我们使用泊松回归分析了 MVPA（4 个类别：（i）0 分钟/周，（ii）1-149 分钟/周，（iii）150-299 分钟/周，和（iv）≥300 分钟/周）和 MSE（3 个类别：（i）0 天/周，（ii）1 天/周，和（iii）≥2 天/周）与体重指数定义的肥胖（体重指数≥30.0kg/m）之间的联合和分层关联的比值比（PR），使用泊松回归分析具有稳健误差方差。PR 未经调整和调整了社会人口统计学和生活方式特征（例如，性别、年龄、教育、收入和吸烟状况）。
数据可用于 280456 名成年人（≥18 岁），其中 46166 人（15.5%）肥胖。MVPA×MSE 指南依从性的交互作用对肥胖具有统计学意义（p≤0.05）。MVPA-MSE 联合分析表明，与参考组（即无 MVPA 和无 MSE）相比，PR 呈现出剂量依赖性模式，每周至少进行 150 分钟 MVPA 和至少 1 天 MSE 的人群观察到的 PR 最低（PR：0.43；95%置信区间：0.41-0.46）。当按每个 MVPA 分层时，与每周进行 MSE≥2 天的人群相比，每周进行 MSE1 天的人群的 PR 大多较低。
MVPA-MSE 联合与肥胖患病率降低之间存在剂量依赖性关联。预防和管理肥胖的公共卫生策略应同时推荐 MVPA 和 MSE。
