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公立医院工作人员的体育活动、运动实践与心血管危险因素:一项轨迹分析

Physical Activity, Sport Practice and Cardiovascular Risk Factors in Workers From a Public Hospital: A Trajectory Analysis.

作者信息

Marques Elias Rui Gonçalves, Ieker Ana Silvia Degasperi, Dos Reis Lucas Lopes, Stabelini Neto Antônio, Sasaki Jeffer Eidi, Lopes Wendell Arthur, Costa Carla Eloise, Rinaldi Wilson

机构信息

UENP Laboratory - State University of Northern Paraná, Department of Health Sciences, Organization Research Group on Lifestyle, Exercise and Health - GPVES/UENP, Jacarezinho, Brazil.

Master's Program in Physical Education, State University of Maringá, Maringá, Brazil.

出版信息

Front Cardiovasc Med. 2021 Dec 17;8:740442. doi: 10.3389/fcvm.2021.740442. eCollection 2021.

DOI:10.3389/fcvm.2021.740442
PMID:34977170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8718439/
Abstract

Studies have demonstrated the positive effects of physical activity on cardiovascular risk factors. Longitudinal studies using modeled trajectories are necessary to understand patterns of physical activity and association with cardiovascular risk factors. To analyze the association between sports practice in young people and current physical activity with the trajectory of cardiovascular risk factors in workers at a public hospital. Four hundred and seventeen workers was followed for four years reporting Physical Activity, health status, lifestyle behaviors and socio-demographic characteristics. Group-based trajectory modeling identified the trajectories of PA and associations with time-stable and time-varying covariates. We considered a range of sociodemographic and health and lifestyle factors as potential covariates. The results shows the association between participation in sports activities in youth and current physical activity and trajectories of cardiovascular risk, adjusted for sex and age ( < 0.05). Adults who reported having played sports in their youth and are currently active have a lower risk of having a history of obesity and low HDL-c than workers who did not play sports in their youth and are currently sedentary 0.690 (0.565-0.844) obesity, 0.647 (0.500-0.837) low HDL-c. The practice of sports in youth and current physical activity is a protective factor against the trajectory of obesity and low HDL-c, mainly in female workers. Programs to encourage the practice of physical activity should be carried out in order to reduce cardiovascular risk factors and prevent chronic diseases in workers.

摘要

研究已经证明了体育活动对心血管危险因素的积极影响。使用模型轨迹的纵向研究对于了解体育活动模式及其与心血管危险因素的关联是必要的。为了分析年轻人的体育锻炼和当前身体活动与一家公立医院工作人员心血管危险因素轨迹之间的关联。对417名工作人员进行了为期四年的跟踪,记录他们的身体活动、健康状况、生活方式行为和社会人口学特征。基于群体的轨迹模型确定了身体活动的轨迹以及与时间稳定和随时间变化的协变量之间的关联。我们将一系列社会人口学、健康和生活方式因素视为潜在的协变量。结果显示,在调整性别和年龄后,青年时期参与体育活动和当前身体活动与心血管风险轨迹之间存在关联(P<0.05)。报告在青年时期参加过体育活动且目前仍活跃的成年人,与青年时期未参加体育活动且目前久坐不动的工作人员相比,有肥胖病史和低高密度脂蛋白胆固醇(HDL-c)的风险更低,肥胖的风险比为0.690(0.565 - 0.844),低HDL-c的风险比为0.647(0.500 - 0.837)。青年时期的体育锻炼和当前的身体活动是预防肥胖和低HDL-c轨迹的保护因素,主要针对女性工作人员。应开展鼓励体育活动的项目,以降低工作人员的心血管危险因素并预防慢性病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e1/8718439/7c18cbd9af67/fcvm-08-740442-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e1/8718439/c37ce2c474f1/fcvm-08-740442-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e1/8718439/7c18cbd9af67/fcvm-08-740442-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e1/8718439/c37ce2c474f1/fcvm-08-740442-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e1/8718439/7c18cbd9af67/fcvm-08-740442-g0002.jpg

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