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社区居住老年人久坐行为相关的社会人口学、行为和健康因素:一项全国性横断面研究

Sociodemographic, Behavioural, and Health Factors Associated with Sedentary Behaviour in Community-Dwelling Older Adults: A Nationwide Cross-Sectional Study.

作者信息

Jang Dong Kee, Park Mina, Kim Yeo Hyung

机构信息

Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of Korea.

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

出版信息

J Clin Med. 2023 Jul 29;12(15):5005. doi: 10.3390/jcm12155005.

Abstract

Few studies have focused on factors associated with sedentary behaviour among older Asian adults. This study aimed to identify factors independently associated with prolonged sedentary times in Korean older adults. We included 8273 community-dwelling older adults aged ≥65 years who participated in the Korean National Health and Nutrition Examination Survey. Self-reported sedentary times were assessed via the Global Physical Activity Questionnaire, and sedentary times of ≥420 min/day were considered 'long'. Complex-sample multivariable-adjusted logistic regression analyses were conducted to investigate the factors associated with long sedentary times. Among the participants, 4610 (55.72%) had long sedentary times that were associated with advanced age (odds ratio [OR], 2.49; 95% confidence interval [CI], 2.05-3.01), female sex (OR, 1.32; 95% CI, 1.11-1.57), unemployment (OR, 1.23; 95% CI, 1.09-1.38), living alone (OR, 1.24; 95% CI, 1.08-1.43), urban residence (OR, 1.35; 95% CI, 1.14-1.61), and insufficient aerobic exercise (OR, 1.80; 95% CI, 1.60-2.02). Among health factors, obesity (OR, 1.27; 95% CI, 1.12-1.45), diabetes (OR, 1.17; 95% CI, 1.04-1.32), cardiovascular diseases (OR, 1.30; 95% CI, 1.11-1.52), and arthritis (OR, 1.26; 95% CI, 1.11-1.43) had positive associations with long sedentary times. A tailored approach that considered various sociodemographic, behavioural, and health factors is needed to reduce sedentary behaviour in this population.

摘要

很少有研究关注亚洲老年人群久坐行为的相关因素。本研究旨在确定韩国老年人久坐时间延长的独立相关因素。我们纳入了8273名年龄≥65岁、居住在社区且参加了韩国国民健康与营养检查调查的老年人。通过全球体力活动问卷评估自我报告的久坐时间,每天久坐时间≥420分钟被视为“久坐时间长”。采用复杂样本多变量调整逻辑回归分析来研究与久坐时间长相关的因素。在参与者中,4610人(55.72%)久坐时间长,这与高龄(比值比[OR],2.49;95%置信区间[CI],2.05 - 3.01)、女性(OR,1.32;95% CI,1.11 - 1.57)、失业(OR,1.23;95% CI,1.09 - 1.38)、独居(OR,1.24;95% CI,1.08 - 1.43)、城市居住(OR,1.35;95% CI,1.14 - 1.61)以及有氧运动不足(OR,1.80;95% CI,1.60 - 2.02)有关。在健康因素方面,肥胖(OR,1.27;95% CI,1.12 - 1.45)、糖尿病(OR,1.17;95% CI,1.04 - 1.32)、心血管疾病(OR, 1.30;95% CI, 1.11 - 1.52)和关节炎(OR,1.26;95% CI,1.11 - 1.43)与久坐时间长呈正相关。需要一种考虑各种社会人口学、行为和健康因素的针对性方法来减少该人群的久坐行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3804/10419473/b7e06e2b3abf/jcm-12-05005-g001.jpg

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