男性台湾成年人的吸烟状况与健康相关体能表现之间的关联。
Associations between cigarette smoking status and health-related physical fitness performance in male Taiwanese adults.
机构信息
Department of Physical Education, Fu Jen Catholic University, New Taipei City, Taiwan.
Research and Development Center for Physical Education, Health, and Information Technology, College of Education, Fu Jen Catholic University, New Taipei City, Taiwan.
出版信息
Front Public Health. 2022 Aug 18;10:880572. doi: 10.3389/fpubh.2022.880572. eCollection 2022.
BACKGROUND
The highest proportion of smoking behavior occurs in male adults in Taiwan. However, to our knowledge, no study has investigated the relationship between smoking behavior and health-related physical fitness according to education level, health status, betel nut-chewing status and obesity in male adults aged 18 years or older in Taiwan.
AIMS
This study aimed to determine the associations between cigarette smoking and health-related physical fitness performance in male Taiwanese adults.
METHODS
This was a cross-sectional study conducted on 27,908 male adults (aged 23-64 years) who participated in Taiwan's National Physical Fitness Survey 2014-2015. Data from a standardized structured questionnaire, anthropometric variables, and health-related physical fitness measurements were analyzed. Individuals were categorized as never smoking cigarettes, former smoker, and current smoker. Multiple linear regression analysis was performed to evaluate the association between cigarette smoking and health-related physical fitness performance.
RESULTS
Never smoking group exhibited a lower ( < 0.05) proportion of abdominal obesity, higher ( < 0.05) proportion of perceived good health status, and greater ( < 0.05) performance in 1-min sit-up and sit-and-reach tests when compared with current smoking and former smoking group. Former smoking group had the highest ( < 0.05) performance in 3-min step test among all groups. Current smoker was significantly negatively ( < 0.05) associated with 3-min step, 1-min sit-up and sit-and-reach tests. Notably, former smoker was significantly positively ( < 0.05) associated with 3-min step and 1-min sit-up tests, but still negatively ( < 0.05) associated with sit-and-reach performance.
CONCLUSION
Current smoker was associated with an increased the risk of abdominal obesity, reduced the perceived health status and health-related physical fitness performance. Quitting smoking had beneficial effect on the perceived good health status, cardiorespiratory and muscular fitness in male Taiwanese adults, but not on flexibility performance. Further research on the ameliorate mechanism underlying this phenomenon is warranted.
背景
在台湾，吸烟行为发生率最高的人群为成年男性。然而，据我们所知，目前尚无研究根据教育程度、健康状况、嚼槟榔状况和肥胖情况，探讨吸烟行为与成年男性健康相关体能之间的关系。
目的
本研究旨在确定吸烟与台湾成年男性健康相关体能表现之间的关系。
方法
这是一项横断面研究，纳入了 27908 名年龄在 23-64 岁之间的台湾男性成年人（2014-2015 年参与了台湾国民体质监测）。分析了来自标准化结构化问卷、人体测量学变量和健康相关体能测量的数据。将个体分为从不吸烟、曾经吸烟和当前吸烟。采用多元线性回归分析评估吸烟与健康相关体能表现之间的关联。
结果
与当前吸烟和曾经吸烟组相比，从不吸烟组的腹部肥胖比例较低（<0.05）、感觉健康状况较好的比例较高（<0.05）、1 分钟仰卧起坐和坐立前伸测试的表现也较好（<0.05）。在所有组中，曾经吸烟组在 3 分钟台阶测试中的表现最高（<0.05）。当前吸烟者在 3 分钟台阶测试、1 分钟仰卧起坐和坐立前伸测试中与健康相关的体能表现显著负相关（<0.05）。值得注意的是，曾经吸烟者在 3 分钟台阶测试和 1 分钟仰卧起坐测试中与健康相关的体能表现显著正相关（<0.05），但与坐立前伸测试的表现仍呈显著负相关（<0.05）。
结论
当前吸烟者发生腹部肥胖的风险增加，感觉健康状况和健康相关体能表现降低。戒烟对台湾成年男性的健康感觉、心肺功能和肌肉力量有益，但对柔韧性表现无改善作用。需要进一步研究这种现象的改善机制。
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