Department of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States.
School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom.
Front Public Health. 2021 Nov 24;9:660624. doi: 10.3389/fpubh.2021.660624. eCollection 2021.
Physical activity decreases the risk of long-term health consequences including cardiac diseases. According to the American Health Association (AHA), adults should perform at least 75 min of vigorous physical activity (PA) or 150 min of moderate PA per week to impact long-term health. Results of previous studies are varied and have yet to integrate perceived access to facilities with AHA PA guidelines. We investigated whether access to free or low-cost recreational facilities was associated with meeting the AHA PA guidelines. This cross-sectional study utilized data extracted from the Family Life, Activity, Sun, Health, and Eating (FLASHE) database collected in 2017 ( = 1,750). The main exposure variable was access to free or low-cost recreational facilities. The main outcome variable was meeting the AHA guidelines of 150 min moderate PA or 75 min vigorous PA per week. Covariates included age, sex, level of education, overall health, BMI, ethnicity, hours of work per week, income, and time living at current address. Unadjusted and adjusted logistic regression analysis were used to calculate measures of odds ratio (OR) and corresponding 95% confidence interval (CI). Of the 1,750 included participants, 61.7% ( = 1,079) reported to have access to recreational facilities. Of those with access to facilities, 69.9% met AHA PA guidelines while 30.4% did not. After adjusting for covariates, participants who reported access to recreational facilities were 42% more likely to meet AHA PA guidelines compared with participants who did not (adjusted OR 1.42; 95% CI 1.14-1.76). Secondary results suggest that healthier individuals were more likely to have met AHA PA guidelines. Having access to free or low-cost recreational facilities such as parks, walking trails, bike paths and courts was associated with meeting the AHA PA guidelines. Increasing prevalence and awareness of neighborhood recreational facilities could assist in access to these facilities and increase the ability of individuals to meet AHA PA guidelines. Future research should determine which types of recreational facilities impact physical activity strongest and discover methods of increasing their awareness.
身体活动可降低包括心脏病在内的长期健康后果的风险。根据美国健康协会（AHA）的说法，成年人每周至少应进行 75 分钟的剧烈身体活动（PA）或 150 分钟的中等强度 PA，以影响长期健康。先前研究的结果各不相同，尚未将感知到的设施可达性与 AHA PA 指南相结合。我们研究了免费或低成本娱乐设施的可达性是否与满足 AHA PA 指南相关。这项横断面研究利用了 2017 年从家庭生活、活动、阳光、健康和饮食（FLASHE）数据库中提取的数据（n=1750）。主要暴露变量是获得免费或低成本娱乐设施的机会。主要结局变量是每周达到 AHA 指南规定的 150 分钟中等强度 PA 或 75 分钟剧烈强度 PA。协变量包括年龄、性别、教育程度、总体健康状况、BMI、种族、每周工作小时数、收入和目前居住地址的居住时间。未调整和调整后的逻辑回归分析用于计算优势比（OR）和相应的 95%置信区间（CI）的度量值。在纳入的 1750 名参与者中，61.7%（n=1079）报告有机会使用娱乐设施。在有设施使用机会的人群中，69.9%的人符合 AHA PA 指南，而 30.4%的人不符合。在调整了协变量后，与没有使用设施的参与者相比，报告有机会使用娱乐设施的参与者更有可能符合 AHA PA 指南（调整后的 OR 1.42；95%CI 1.14-1.76）。次要结果表明，健康状况较好的人更有可能符合 AHA PA 指南。使用公园、步行道、自行车道和球场等免费或低成本的娱乐设施与符合 AHA PA 指南相关。增加对社区娱乐设施的普及度和认识度可以帮助人们获得这些设施，并提高他们达到 AHA PA 指南的能力。未来的研究应确定哪些类型的娱乐设施对身体活动的影响最大，并探索提高其认识度的方法。
