J Phys Act Health. 2021 Aug 1;18(S1):S53-S63. doi: 10.1123/jpah.2021-0178.
Physical activity is central to the management and control of many chronic health conditions. The authors examined trends during the past 2 decades in the prevalence of US adults with and without select chronic health conditions who met the minimal aerobic physical activity guideline.
The 1998-2018 National Health Interview Survey data were analyzed. Prevalence of meeting the minimal aerobic physical activity guideline among adults with and without 6 chronic health conditions was estimated across 3-year intervals. Linear and higher-order trends were assessed overall and by age group.
During the past 2 decades, prevalence of meeting the aerobic guideline increased among adults with diabetes, hypertension, coronary heart disease, stroke, cancer, and arthritis. However, the absolute increase in prevalence was lower among adults with hypertension, coronary heart disease, and arthritis compared to counterparts without each condition, respectively. Prevalence was persistently lower among those with most chronic health conditions, except cancer, and among older adults compared to their counterparts.
Although rising trends in physical activity levels among adults with chronic health conditions are encouraging for improving chronic disease management, current prevalence remains low, particularly among older adults. Increasing physical activity should remain a priority for chronic disease management and control.
身体活动对于许多慢性健康问题的管理和控制至关重要。作者研究了过去 20 年来，美国患有和不患有某些特定慢性健康问题的成年人中，符合最低有氧体力活动指南的比例的变化趋势。
对 1998 年至 2018 年全国健康访谈调查数据进行了分析。在 3 年的时间间隔内，估计了患有和不患有 6 种慢性健康问题的成年人中，符合最低有氧体力活动指南的比例。对整体和按年龄组评估了线性和更高阶趋势。
在过去的 20 年里，患有糖尿病、高血压、冠心病、中风、癌症和关节炎的成年人中，符合有氧运动指南的比例有所增加。然而，与没有这些疾病的成年人相比，高血压、冠心病和关节炎患者的患病率增加幅度较低。除了癌症，大多数患有慢性健康问题的成年人以及老年人的患病率持续较低。
尽管患有慢性健康问题的成年人的身体活动水平呈上升趋势，这对改善慢性疾病管理是令人鼓舞的，但目前的患病率仍然较低，特别是在老年人中。增加身体活动应仍然是慢性疾病管理和控制的重点。
