Patel Nikhil Anil, Kianoush Sina, Jia Xiaoming, Nambi Vijay, Koh Stephanie, Patel Jaideep, Saeed Anum, Ahmed Ahmed Ibrahim, Al-Mallah Mouaz, Agarwala Anandita, Virani Salim S, Al Rifai Mahmoud
Department of Medicine, Baylor College of Medicine, Houston, TX.
Section of Cardiology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
Kans J Med. 2022 Aug 22;15(2):267-272. doi: 10.17161/kjm.vol15.17592. eCollection 2022.
Adequate physical activity is an integral requirement for achieving cardiovascular health. Physical inactivity is the fourth leading cause of death worldwide. Hence, it is important to identify racial/ethnic groups that are less likely to achieve sufficient physical activity levels, and to address barriers to meeting physical activity requirements.
Cross-sectional data from the 2006-2015 National Health Interview Survey (NHIS) were used to compare self-reported sufficient physical activity among different racial/ethnic groups: non-Hispanic (NH) Whites, NH Blacks, NH Asians, and Hispanics in the United States. Sufficient physical activity was defined as ≥ 150 minutes per week of moderate-intensity physical activity, ≥ 75 minutes per week of vigorous-intensity physical activity, or ≥ 150 minutes per week of moderate and vigorous physical activity.
The study sample consisted of 296,802 individuals, mean age ± standard error age 46.4 ± 0.10 years, 52% women, 70% NH White, 12% NH Black, 5% NH Asian, and 14% Hispanic. The prevalence of sufficient physical activity in the overall population was 46%, while it was 48% among NH Whites, 39% among NH Blacks, 45% among NH Asians, and 40% among Hispanics. In multivariable-adjusted models (odds ratio; 95% confidence interval), NH Blacks (0.79; 0.64,0.97), NH Asians (0.72; 0.62,0.85) and Hispanics (0.71; 0.61,0.82) were significantly less likely to engage in sufficient physical activity compared with NH Whites. Older age, women, and low income were inversely associated with sufficient physical activity, while a college education or higher was associated directly with it.
NH Black and Asian Americans and Hispanic adults were less likely to engage in sufficient physical activity levels compared with Whites. It is important to address barriers to meeting physical activity thresholds to help achieve optimal cardiovascular health.
充足的体育活动是实现心血管健康的一项不可或缺的要求。缺乏体育活动是全球第四大死因。因此，确定不太可能达到足够体育活动水平的种族/族裔群体，并解决满足体育活动要求的障碍非常重要。
使用2006 - 2015年国家健康访谈调查（NHIS）的横断面数据，比较美国不同种族/族裔群体（非西班牙裔（NH）白人、NH黑人、NH亚裔和西班牙裔）自我报告的充足体育活动情况。充足的体育活动定义为每周至少150分钟的中等强度体育活动、每周至少75分钟的高强度体育活动，或每周至少150分钟的中等强度和高强度体育活动。
研究样本包括296,802人，平均年龄±标准误年龄为46.4±0.10岁，女性占52%，NH白人占70%，NH黑人占12%，NH亚裔占5%，西班牙裔占14%。总体人群中充足体育活动的患病率为46%，NH白人中为48%，NH黑人中为39%，NH亚裔中为45%，西班牙裔中为40%。在多变量调整模型（优势比；95%置信区间）中，与NH白人相比，NH黑人（0.79；0.64,0.97）、NH亚裔（0.72；0.62,0.85）和西班牙裔（0.71；0.61,0.82）进行充足体育活动的可能性显著降低。年龄较大、女性和低收入与充足体育活动呈负相关，而大学及以上学历与之呈正相关。
与白人相比，NH黑人和亚裔美国人和西班牙裔成年人进行充足体育活动水平的可能性较小。解决达到体育活动阈值的障碍对于帮助实现最佳心血管健康非常重要。
