Grupo de Nutrición, Subdirección de Investigación Científica y Tecnológica, Dirección de Investigación en Salud Pública, Instituto Nacional de Salud, Bogotá, D.C., Colombia.
Biomedica. 2023 Dec 29;43(Sp. 3):99-109. doi: 10.7705/biomedica.7014.
Introduction. Physical inactivity and sedentary behaviors were shown to be risk factors in the prevalence of diseases such as obesity. Objective. To conduct an analysis of the relationship between physical activity, sedentary lifestyle and nutritional status in the population aged 18 to 64 years in Colombia, 2015. Materials and methods. A secondary analysis of the 2015 Colombian nutrition survey was done, using sociodemographic variables (age, sex, ethnicity, geographic area, region, wealth index), along with weight, height, physical activity and sedentary lifestyle. Proportions and 95% confidence intervals, chi-square, logistic regression and odds ratio were estimated. Results. The analyzed population included 16,607 individuals (54.8% women and 45.2% men) aged 18 to 64 years. Men were more overweight (37.6%) than women, while obesity was more frequent in women (22.1%). It was observed that 48.3% did not meet the physical activity recommendations; 56.9% of adults spent two or more hours a day watching screens. There was a significant association (p<0.050) between non-compliance with physical activity recommendations and obesity. In addition, complying with the physical activity recommendation decreases the probability of obesity by 1.25 times. Conclusion. Obesity is a health problem for the adult population, with a higher prevalence in women and in those over 30 years old. It is related to non-compliance with the recommendations about physical activity and sedentary behaviors (which are more prevalent in Afro-descendants), high wealth quartile status, and to reside in urban areas and to live in the Bogotá area.
引言。身体活动不足和久坐行为已被证明是肥胖等疾病流行的危险因素。目的。分析哥伦比亚 2015 年 18 至 64 岁人群中身体活动、久坐行为与营养状况之间的关系。材料和方法。对 2015 年哥伦比亚营养调查进行二次分析,使用社会人口学变量(年龄、性别、种族、地理区域、地区、财富指数)以及体重、身高、身体活动和久坐行为。估计了比例和 95%置信区间、卡方检验、逻辑回归和优势比。结果。分析人群包括 16607 名 18 至 64 岁的个体(54.8%为女性,45.2%为男性)。男性超重(37.6%)的比例高于女性,而肥胖(22.1%)则更常见于女性。观察到 48.3%的人未达到身体活动建议的标准;56.9%的成年人每天花两小时或更多时间观看屏幕。不遵守身体活动建议与肥胖之间存在显著关联(p<0.050)。此外,遵守身体活动建议可使肥胖的概率降低 1.25 倍。结论。肥胖是成年人的健康问题,女性和 30 岁以上人群的肥胖患病率更高。肥胖与不遵守身体活动和久坐行为的建议有关(非裔人群中更为普遍),还与高财富四分位状态以及居住在城市地区和波哥大地区有关。