Department of Kinesiology, Public Health Program, University of Texas at Arlington, 500 West Nedderman Drive, Arlington, TX, 75019-0259, USA.
Texas A&M Institute for Advancing Health through Agriculture, Dallas, USA.
J Racial Ethn Health Disparities. 2024 Aug;11(4):2346-2354. doi: 10.1007/s40615-023-01702-6. Epub 2023 Jul 10.
The 24-hour movement guidelines recommend that adults be physically active every day, get good sleep quality, and limit sedentary behavior to lower disease risk and improve quality of life. Adherence to these guidelines have not been evaluated among racially and ethnically diverse adults in the United States. The objectives were to: 1) estimate and compare the prevalence of guideline adherence among all adults and separated by age recommendations (ages 18-64; 65 + years); and 2) determine whether the odds of movement adherence differ by sociodemographics.
Self-reported data from 2017-2020 National Health and Nutrition Examination Survey (NHANES) were analyzed (n = 9,627) using multivariate logistic regression for all adults and age stratified. Sedentary behavior was measured by minutes of sedentary activity per day (< 480 minutes adherent). Sleep was measured by hours per night (7-9 hours adherent ages 18-64; 7-8 hours adherent ages > = 65). Physical activity was measured by minutes of recreational activity per week (150 + minutes adherent).
Guideline adherence among all adults was 23.7% (ages 18-64 = 26%: ages 65 + = 14.7%). Guideline adherence was highest among non-Hispanic Asians (28.1%) and lowest among non-Hispanic Blacks (19.2%) (p = .0070). Males (25.8%) were more likely to meet movement guidelines than females (21.8%; p = .0009). In adjusted models, the odds of meeting movement guidelines were lower among non-Hispanic Blacks (OR = 0.81; 95%CI = 0.66-0.98) compared to Whites, females (OR = 0.84; 95%CI = 0.72-0.97) compared to males, and lower education (OR = 0.22; 95%CI = 0.14- 0.35) compared to adults with a college degree or higher.
Future interventions should be developed to improve guideline adherence tailored to particular at-risk groups.
24 小时运动指南建议成年人每天进行身体活动、保证高质量睡眠、限制久坐行为，以降低疾病风险并提高生活质量。然而，这些指南在不同种族和民族的美国成年人中尚未得到评估。本研究的目的是：1）评估和比较所有成年人以及按年龄建议（18-64 岁；65 岁及以上）分层的成年人中遵守指南的流行率；2）确定遵守运动指南的可能性是否因社会人口统计学特征而异。
使用 2017-2020 年全国健康和营养检查调查（NHANES）的自我报告数据（n=9627），使用多变量逻辑回归对所有成年人和年龄分层进行分析。久坐行为通过每天的久坐时间（<480 分钟）来衡量。睡眠通过每晚的睡眠时间（18-64 岁为 7-9 小时；65 岁及以上为 7-8 小时）来衡量。身体活动通过每周的娱乐性活动时间（150 分钟以上）来衡量。
所有成年人中，遵守指南的比例为 23.7%（18-64 岁为 26%：65 岁及以上为 14.7%）。非西班牙裔亚裔（28.1%）遵守率最高，非西班牙裔黑种人（19.2%）最低（p=0.0070）。男性（25.8%）比女性（21.8%）更有可能遵守运动指南（p=0.0009）。在调整后的模型中，与白人相比，非西班牙裔黑种人（OR=0.81；95%CI=0.66-0.98），女性（OR=0.84；95%CI=0.72-0.97）比男性，以及教育程度较低（OR=0.22；95%CI=0.14-0.35）比具有大学学历或更高学历的成年人，遵守运动指南的可能性较低。
未来应制定干预措施，以提高针对特定高危人群的指南遵守率。
