Li Yajie, Li Xianzhi, Yu Bin, Li Jingzhong, He Ruifeng, Nima Qucuo, Zhou Junmin
Tibet Center for Disease Control and Prevention, Lhasa, China.
Clinical Research Center, Panzhihua Central Hospital, Panzhihua, China.
Front Med (Lausanne). 2022 Jul 27;9:874456. doi: 10.3389/fmed.2022.874456. eCollection 2022.
To reveal the associations between multimorbidity and leisure-time physical activity (LTPA) by ethnicities in China.
Self-reported information on a range of occupational, household, transport, and LTPA was collected by interviewer-administered questionnaire. A total of 17 chronic diseases were assessed based on self-reported lifetime diagnoses or medical examinations. Multivariable logistic regression models were used to assess the associations between multimorbidity and the risks of low LTPA.
The mean age of all participants was 51.2 years old. Of all, 61.4% were women and 57.9% were from the Han population. A significantly negative association (OR = 0.92, 95% CI = 0.89-0.95) was found between multimorbidity and low LTPA, with a stronger association among minority populations (OR = 0.86, 95% CI = 0.82-0.91) than among the Han population (OR = 0.96, 95% CI = 0.92-1.01). For both the minority population and the Han population, digestive system multimorbidity and digestive-metabolic system multimorbidity had a significantly negative association with low LTPA. For the Han population, the association of intersystem multimorbidity for the circulatory-respiratory system (OR = 1.17, 95% CI = 1.04-1.31) with low LTPA was stronger than that of intrasystem multimorbidity for the circulatory (OR = 1.12, 95% CI = 1.01-1.25) and respiratory systems (OR = 1.14, 95% CI = 1.04-1.25).
There are significant associations between multimorbidity and low LTPA based on this large multiethnic population. Our findings suggest that LTPA-tailored interventions should be designed for specific ethnic groups according to different types of multimorbidity.
揭示中国不同民族的多种慢性病共病情况与休闲体育活动（LTPA）之间的关联。
通过访谈式问卷收集一系列关于职业、家庭、交通和休闲体育活动的自我报告信息。基于自我报告的终身诊断或医学检查评估了总共17种慢性病。使用多变量逻辑回归模型评估多种慢性病共病情况与低水平休闲体育活动风险之间的关联。
所有参与者的平均年龄为51.2岁。其中，61.4%为女性，57.9%来自汉族。多种慢性病共病情况与低水平休闲体育活动之间存在显著的负相关（OR = 0.92，95%CI = 0.89 - 0.95），少数族裔人群中的关联（OR = 0.86，95%CI = 0.82 - 0.91）比汉族人群（OR = 0.96，95%CI = 0.92 - 1.01）更强。对于少数族裔人群和汉族人群，消化系统多种慢性病共病以及消化 - 代谢系统多种慢性病共病与低水平休闲体育活动均存在显著负相关。对于汉族人群，循环 - 呼吸系统的系统间多种慢性病共病（OR = 1.17，95%CI = 1.04 - 1.31）与低水平休闲体育活动的关联比循环系统（OR = 1.12，95%CI = 1.01 - 1.25）和呼吸系统（OR = 1.14，95%CI = 1.04 - 1.25）的系统内多种慢性病共病更强。
基于这一大型多民族人群，多种慢性病共病情况与低水平休闲体育活动之间存在显著关联。我们的研究结果表明，应根据不同类型的多种慢性病共病情况为特定民族设计量身定制的休闲体育活动干预措施。
