Quan Zhengri, Yin Hang, Zhang Yaqun
School of Physical Education, Changchun Normal University, Changchun, China.
School of Sports Medicine, Anshan Normal University, Anshan, China.
Medicine (Baltimore). 2025 Apr 18;104(16):e42140. doi: 10.1097/MD.0000000000042140.
In China, the number of elderly people with high blood lipids is increasing, and it is crucial to find practical methods to reduce the risk of high blood lipids in the elderly. This study explores the relationship between physical activity (PA) and hyperlipidemia in middle-aged and elderly people in China, providing new evidence for the prevention and treatment of hyperlipidemia through PA. This study investigated the association between PA and hyperlipidemia in 1779 middle-aged and elderly Chinese individuals. The Charles database from 2018 is the source of the data. This survey used a self-made personal information questionnaire, the Chinese version of the international PA questionnaire, and a self-assessment questionnaire for high blood lipids and personal information to evaluate the levels of high blood lipids and PA. Multiple logistic regression analysis is used to identify risk variables for hyperlipidemia and PA, while multi-level linear regression analysis is used to evaluate the correlation between PA and the likelihood of hyperlipidemia. The detection rate of hyperlipidemia symptoms was 13.4%, and the asymptomatic detection rate was 86.6%. 43.8% of people engage in high PA, while 50.2% engage in low PA. There is a significant correlation (P < .05) between PA and symptoms of hyperlipidemia in middle-aged and elderly people. After adjusting demographic variables (residence, education level, gender, age, widowhood or not), health status characteristics and living habits (arthritis, bad mood, diabetes, disability, asthma, self-assessment health, memory disease, stroke, depression), the correlation between PA and hyperlipidemia symptoms was still statistically significant (P < .05). The strong association between high blood lipids and PA provides information for developing targeted therapies for elderly individuals with high blood lipids in order to ensure efficacy and inclusiveness, improve PA levels, enhance the mental health of the elderly, reduce their risk of hyperlipidemia, while taking into account certain demographic and lifestyle characteristics.
在中国,老年高血脂人群数量不断增加,因此找到切实可行的方法来降低老年人高血脂风险至关重要。本研究探讨了中国中老年人身体活动(PA)与高脂血症之间的关系,为通过PA预防和治疗高脂血症提供了新证据。本研究调查了1779名中国中老年人PA与高脂血症之间的关联。数据来源于2018年的查尔斯数据库。本次调查使用自制的个人信息问卷、国际PA问卷中文版以及高脂血症与个人信息自评问卷来评估高脂血症和PA水平。采用多元逻辑回归分析确定高脂血症和PA的风险变量,同时采用多水平线性回归分析评估PA与高脂血症发生可能性之间的相关性。高脂血症症状检出率为13.4%,无症状检出率为86.6%。43.8%的人进行高强度PA,而50.2%的人进行低强度PA。中老年人PA与高脂血症症状之间存在显著相关性(P < .05)。在调整人口统计学变量(居住地、教育程度、性别、年龄、是否丧偶)、健康状况特征和生活习惯(关节炎、情绪不佳、糖尿病、残疾、哮喘、自评健康状况、记忆疾病、中风、抑郁)后,PA与高脂血症症状之间的相关性仍具有统计学意义(P < .05)。高血脂与PA之间的强关联为制定针对老年高血脂患者的靶向治疗方案提供了信息,以确保疗效和包容性,提高PA水平,增强老年人心理健康,降低其高脂血症风险,同时考虑某些人口统计学和生活方式特征。