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久坐不动与慢性健康问题。

Sedentarism and Chronic Health Problems.

作者信息

Goyal Jyoti, Rakhra Gurseen

机构信息

Department of Nutrition and Dietetics, School of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, New Delhi, India.

Department of Nutrition and Dietetics, School of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, India.

出版信息

Korean J Fam Med. 2024 Sep;45(5):239-257. doi: 10.4082/kjfm.24.0099. Epub 2024 Sep 19.

Abstract

Increased mechanization and technological advances have simplified our lives on the one hand and increased sedentary behaviors on the other hand, paving the way for emerging global health concerns, i.e., sedentarism, which could be the leading cause of all major chronic health problems worldwide. Sedentarism is a habitual behavior of choosing and indulging in low-energy expenditure activities (≤1.5 metabolic equivalents), such as chairtype (sitting, studying, traveling) or screen-type activities (TV, computers, mobile). With technological advancements, there is a significant transition in the lifestyles of people from being active (walking) to being more deskbound (sitting). Prolonged sitting can have unintended consequences for health with sitting time >7 h/d, leading to a 5% increase in all-cause mortality with each additional hour spent sitting (i.e., +7 h/d), while considering physical activity levels. This review will highlight how sedentarism is emerging as a major risk factor for the rising incidence of non-communicable diseases, especially among young adults and adults. Chronic diseases, such as obesity, diabetes, coronary heart disease, and cancer, are the leading causes of death worldwide. Hence, there is an urgent need for collective action to mitigate the burgeoning public health crisis posed by sedentarism in the 21st century. This paper intends to set in motion a call for all policymakers and public health professionals placed nationally or internationally to reach a consensus on ending sedentarism and provide viable resolutions for effective management of excessive sedentary behaviors and healthy adoption and maintenance of active lifestyles among individuals of all age groups.

摘要

机械化程度的提高和技术进步一方面简化了我们的生活,另一方面增加了久坐行为,为新出现的全球健康问题——久坐不动铺平了道路,而久坐不动可能是全球所有主要慢性健康问题的主要原因。久坐不动是一种选择并沉迷于低能量消耗活动(≤1.5代谢当量)的习惯行为,如坐式活动(坐着、学习、旅行)或屏幕类活动(看电视、使用电脑、玩手机)。随着技术进步,人们的生活方式发生了显著转变,从积极活动(步行)转变为更多时间伏案久坐(坐着)。久坐时间>7小时/天会对健康产生意想不到的后果,在考虑身体活动水平的情况下,每多坐一小时(即每天多坐7小时),全因死亡率就会增加5%。本综述将强调久坐不动如何成为非传染性疾病发病率上升的主要风险因素,尤其是在年轻人和成年人中。肥胖、糖尿病、冠心病和癌症等慢性疾病是全球主要死因。因此,迫切需要采取集体行动,以缓解21世纪久坐不动带来的日益严重的公共卫生危机。本文旨在呼吁所有国家或国际层面的政策制定者和公共卫生专业人员就消除久坐不动达成共识,并为有效管理过度久坐行为以及让各年龄段人群健康地采用和保持积极生活方式提供可行的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/11427223/ba6cc43fba29/kjfm-24-0099f1.jpg

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