Leung Willie, Sung Ming-Chih, Lee Jinhyun, Jung Jaehun, Fiscella Nicole, Shi Lu
Department of Health Sciences and Human Performance, College of Natural and Health Sciences, The University of Tampa, Tampa, FL, USA.
Department of Human Performance and Health, College of Education, Human Performance, and Health, University of South Carolina Upstate, Spartanburg, SC, USA.
J Phys Act Health. 2024 Mar 18;21(5):465-471. doi: 10.1123/jpah.2023-0109. Print 2024 May 1.
The current physical activity guidelines recommend engagement in strength activities at least 2 days per week. Currently, there is a lack of literature examining strength activities among people with disabilities. The purpose of this study is to estimate and compare the prevalence of engagement in strength activities and adherence to strength activity guidelines among adults with and without disabilities in the United States.
A total of 1,005,644 adults (18-80 y old) with and without disabilities from the 2013 to 2017 Behavioral Risk Factor Surveillance System were included in this secondary data analysis. Descriptive analyses were performed to describe the prevalence of strength activity behaviors of adults with and without disabilities. Logistic and Poisson regression models were performed to evaluate the relative contribution of disability status on strength activity behaviors.
A higher proportion of participants without disabilities (46.42%, 95% CI, 46.18-46.65) reported engaging in strength activities compared with participants with disabilities (30.68%, 95% CI, 30.29-31.08; P < .01). Participants with disabilities were less likely to engage in strength activities (odds ratio = 0.51, 95% CI, 0.50-0.52; adjusted odds ratio = 0.75, 95% CI, 0.73-0.77) and meet strength activity guidelines (odds ratio = 0.56, 95% CI, 0.54-0.57; adjusted odds ratio = 0.75, 95% CI, 0.73-0.77) than participants without disabilities.
Experiencing a disability is associated with lower engagement in strength activities; thus, it is important to identify effective and efficient approaches to promoting strength activities among people with disabilities.
当前的身体活动指南建议每周至少进行2天的力量训练活动。目前，缺乏关于残疾人力量训练活动的文献。本研究的目的是估计和比较美国有残疾和无残疾成年人参与力量训练活动的患病率以及对力量训练活动指南的遵守情况。
这项二次数据分析纳入了2013年至2017年行为危险因素监测系统中的1,005,644名有残疾和无残疾的成年人（18 - 80岁）。进行描述性分析以描述有残疾和无残疾成年人力量训练活动行为的患病率。进行逻辑回归和泊松回归模型以评估残疾状况对力量训练活动行为的相对影响。
与残疾参与者（30.68%，95%置信区间，30.29 - 31.08；P <.01）相比，无残疾参与者中报告参与力量训练活动的比例更高（46.42%，95%置信区间，46.18 - 46.65）。残疾参与者参与力量训练活动的可能性较小（优势比 = 0.51，95%置信区间，0.50 - 0.52；调整后优势比 = 0.75，95%置信区间，0.73 - 0.77），并且达到力量训练活动指南的可能性也较小（优势比 = 0.56，95%置信区间，0.54 - 0.57；调整后优势比 = 0.75，95%置信区间，0.73 - 0.77）。
残疾与力量训练活动参与度较低有关；因此，确定有效且高效的方法来促进残疾人的力量训练活动非常重要。
