Physically Active Lifestyles Research Group (USQ PALs), Centre for Health Research, Institute for Resilient Regions, University of Southern Queensland, Queensland, Australia.
Social and Health Sciences in Sport, Institute of Sport Science, University of Bayreuth, Bavaria, Germany.
Scand J Med Sci Sports. 2021 May;31(5):1096-1104. doi: 10.1111/sms.13922. Epub 2021 Feb 25.
Despite the 2016 German "National Recommendations for Physical Activity and Physical Activity Promotion" stating that adults (≥18 years) should engage in: [a] ≥150 minutes of aerobic moderate-to-vigorous-intensity physical activity/week (MVPA); and [b] ≥2 days/week of muscle-strengthening exercise (MSE), there is limited research on the descriptive epidemiology on the adherence to these guidelines among German adults. This study describes the prevalence and correlates of physical activity guideline adherence among a nationally representative sample of German adults. Data were drawn from the 2014 German Health Update survey, collected via a combination of web-based and mail surveys. Self-reported physical activity levels were assessed using the previously validated European Health Interview Survey Physical Activity Questionnaire. Weighted prevalence levels of the sample meeting the aerobic MVPA (≥150 minutes/week), MSE (≥2 times/week), and combined MVPA-MSE guidelines were calculated. Poisson regressions were used to assess prevalence ratios for physical activity guideline adherence categories across sociodemographic and lifestyle-related variables. Out of 24,016 participants (response rate = 27.6%), aged ≥ 18 years, 45.3% (95% CI: 44.5%-46.0%), 29.4% (95% CI: 28.7%-30.1%), and 22.6% (95% CI: 21.9%-23.2%) met the aerobic MVPA, MSE, and combined guidelines, respectively. Population sub-groups less likely to meet the combined guidelines included those with poor self-rated health, being unemployed, low socioeconomic status, being a current smoker, and those being overweight or obese. Since ~ 80% of German adults do not meet the nationally recommended combined aerobic MVPA-MSE physical activity guidelines, there is a necessity for large-scale public health interventions promoting both aerobic MVPA and MSE.
尽管 2016 年德国的“国家体力活动和体力活动促进建议”指出，成年人（≥18 岁）应：[a]每周进行≥150 分钟的中等至剧烈强度有氧运动（MVPA）；[b]每周进行≥2 天的肌肉强化锻炼（MSE），但关于德国成年人遵守这些指南的描述性流行病学研究有限。本研究描述了德国成年人中遵守这些指南的体力活动水平的流行率和相关性。数据来自 2014 年德国健康更新调查，通过网络和邮件调查相结合收集。使用先前验证过的欧洲健康访谈调查体力活动问卷评估自我报告的体力活动水平。计算符合有氧运动 MVPA（≥150 分钟/周）、MSE（≥2 次/周）和综合 MVPA-MSE 指南的样本的加权流行率水平。使用泊松回归评估社会人口统计学和与生活方式相关变量的体力活动指南遵守类别之间的流行率比。在 24016 名年龄≥18 岁的参与者中（回应率=27.6%），45.3%（95%CI：44.5%-46.0%）、29.4%（95%CI：28.7%-30.1%）和 22.6%（95%CI：21.9%-23.2%）分别符合有氧运动 MVPA、MSE 和综合指南。不太可能符合综合指南的人群亚组包括自评健康状况不佳、失业、社会经济地位低、当前吸烟者以及超重或肥胖者。由于~80%的德国成年人不符合国家推荐的综合有氧 MVPA-MSE 体力活动指南，因此需要大规模的公共卫生干预措施来促进有氧运动 MVPA 和 MSE。
