Xie C, Ma A J, Xie J, Jiang B, Fang K, Wei Y Q, Dong Z
Beijing Center for Disease Prevention and Control, Beijing 100013, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Mar 10;43(3):373-379. doi: 10.3760/cma.j.cn112338-20210727-00589.
To understand the regular exercise status and influencing factors in 18-64 year-old labor force population in Beijing, and provide evidences for behavioral intervention. Data were collected from Beijing Adult Non-communicable and Chronic Diseases and Risk Factors Surveillance Program from August to December, 2017. The stratified cluster sampling method was used to select 13 240 survey subjects throughout the city. The valid sample size included in this study were 11 604 persons aged 18 to 64 years. Questionnaire was used to collection the information about basic demographic characteristics, chronic disease history and physical activity prevalence of the study subjects. The body height and weight were measured by standard methods. Fasting venous blood samples were collected for the detection of fasting blood glucose, blood lipids and other biochemical indicators. Software SPSS 20.0 was used fort complex sampling sample weighting and data analysis. The proportions of the study subjects who did regular exercise and never had leisure-time activity in 18-64 year-old labor force population in Beijing were 23.74% (95%: 21.51%-26.12%) and 64.34% (95%: 61.66%-66.94%) respectively; The average daily physical activity time was 23.44 min (95%: 21.16-25.71), and the total daily sedentary behavior time was 6.96 hours (95%: 6.80-7.13). With the increase of age, the proportions of the study subjects who did regular exercise and never had leisure-time activity increased (=0.006, <0.001). With the increase of educational level, the proportion of those who did regular exercise increased (<0.001), and the proportion of those who never had leisure-time activity decreased (<0.001); the higher the level of physical activity, the higher the regular exercise proportion (<0.001); the proportions of employed people who did regular exercise was lower than those in unemployed people (<0.001); the proportions of women never had leisure-time activity was higher than those in men (=0.024). The results of multivariate analysis showed that older age and higher education level were positive factors for regular exercise (35- years old: =0.653, 95%: 0.530-0.804, <0.001; 50-64 years old: =0.695, 95%: 0.560-0.864, =0.001; high school/technical secondary school/technical School: =0.679, 95%: 0.593-0.777, <0.001; college graduation: =0.478, 95%: 0.387-0.590, <0.001; bachelor degree and above: =0.435, 95%: 0.347-0.546, <0.001), while employment (=1.631, 95%: 1.330-2.000, <0.001) and married/cohabitation (=1.340, 95%: 1.093-1.644, =0.038) were negative factors for regular exercise. The rate of regular exercise in 18-64 year-old labor force population in Beijing needs to be improved. Older age and high educational level were positive factors for regular exercise, while being married and employed were negative factors for it.
了解北京市18 - 64岁劳动力人群的规律运动状况及影响因素,为行为干预提供依据。数据来源于2017年8月至12月的北京市成人慢性病与危险因素监测项目。采用分层整群抽样方法在全市选取13240名调查对象。本研究纳入的有效样本量为11604名18至64岁的人群。通过问卷调查收集研究对象的基本人口学特征、慢性病病史及身体活动流行情况等信息。采用标准方法测量身高和体重。采集空腹静脉血样检测空腹血糖、血脂等生化指标。使用SPSS 20.0软件进行复杂抽样样本加权及数据分析。北京市18 - 64岁劳动力人群中规律运动和从不进行休闲活动的人群比例分别为23.74%(95%:21.51% - 26.12%)和64.34%(95%:61.66% - 66.94%);平均每日身体活动时间为23.44分钟(95%:21.16 - 25.71),每日久坐行为总时间为6.96小时(95%:6.80 - 7.13)。随着年龄增长,规律运动和从不进行休闲活动的研究对象比例增加(趋势检验P = 0.006,从不进行休闲活动P < 0.001)。随着教育水平提高,规律运动的比例增加(P < 0.001),从不进行休闲活动的比例降低(P < 0.001);身体活动水平越高,规律运动比例越高(P < 0.001);在职人员规律运动的比例低于失业人员(P < 0.001);女性从不进行休闲活动的比例高于男性(P = 0.024)。多因素分析结果显示,年龄较大和教育水平较高是规律运动的积极因素(35 - 岁:OR = 0.653,95%:0.530 - 0.804,P < 0.001;50 - 64岁:OR = 0.695,95%:0.560 - 0.864,P = 0.001;高中/中专/技校:OR = 0.679,95%:0.593 - 0.777,P < 0.001;大专毕业:OR = 0.478, 95%:0.387 - 0.590,P < 0.001;本科及以上:OR = 0.435,95%:0.347 - 0.546,P < 0.001),而就业(OR = 1.631,95%:1.330 - 2.000,P < 0.001)和已婚/同居(OR = 1.340,95%:1.093 - 1.644,P = 0.038)是规律运动的消极因素。北京市18 - 64岁劳动力人群的规律运动率有待提高。年龄较大和教育水平较高是规律运动的积极因素,而结婚和就业是消极因素。