Leppe Zamora Jaime, Leppe Zamora Marco, Roa-Alcaino Sonia, Sarmiento Olga Lucía
School of Physiotherapy, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Av. Plaza 680, Santiago 7610658, Chile.
Occupational Health and Community Supervisor, Buses Hualpén, Puerto Santiago 195, Santiago 9061267, Chile.
Epidemiologia (Basel). 2025 Mar 20;6(1):15. doi: 10.3390/epidemiologia6010015.
BACKGROUND/OBJECTIVES: Sedentary behavior (SB) and physical activity (PA) are key determinants of health in occupational settings. This study aimed to analyze the levels of SB, PA, and their associations with health outcomes among Chilean workers using data from the National Health Survey-2017.
A secondary analysis of 2042 workers aged ≥18 years was conducted. Occupations were classified using ISCO-08, and SB/PA were assessed using the Global Physical Activity Questionnaire (GPAQ). Health outcomes included musculoskeletal symptoms, hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular risk.
Of the participants, 49.8% were women, and the mean age was 45 years (±13.7). The median SB was 120 min/day, with 32.6% accumulating ≥4 h/day. "Managers" exhibited the highest SB (median: 270 min/day). The median total PA was 123 min/day, and "Skilled agricultural, forestry, and fishery workers" reported the highest PA (median: 330 min/day). The SB (≥4 h/day) was significantly associated with musculoskeletal symptoms (OR: 1.61, 95% CI: 1.21-2.14) and hypertension (OR: 1.53, 95% CI: 1.07-2.18). PA showed no significant protective effect.
SB and PA vary significantly across occupational groups. SB is associated with musculoskeletal symptoms. Health promotion programs should be tailored to specific occupational groups.
背景/目的:久坐行为(SB)和身体活动(PA)是职业环境中健康的关键决定因素。本研究旨在利用2017年全国健康调查的数据,分析智利工人的久坐行为、身体活动水平及其与健康结果的关联。
对2042名年龄≥18岁的工人进行了二次分析。职业使用国际标准职业分类-08(ISCO-08)进行分类,久坐行为/身体活动使用全球身体活动问卷(GPAQ)进行评估。健康结果包括肌肉骨骼症状、高血压、糖尿病、代谢综合征和心血管风险。
参与者中,49.8%为女性,平均年龄为45岁(±13.7)。久坐行为的中位数为每天120分钟,32.6%的人每天累计久坐时间≥4小时。“经理”的久坐行为时间最长(中位数:每天270分钟)。总身体活动的中位数为每天123分钟,“熟练农业、林业和渔业工人”的身体活动量最高(中位数:每天330分钟)。每天久坐时间≥4小时与肌肉骨骼症状(比值比:1.61,95%置信区间:1.21-2.14)和高血压(比值比:1.53,95%置信区间:1.07-2.18)显著相关。身体活动未显示出显著的保护作用。
久坐行为和身体活动在不同职业群体中差异显著。久坐行为与肌肉骨骼症状相关。健康促进计划应针对特定职业群体量身定制。