Mensink G B, Deketh M, Mul M D, Schuit A J, Hoffmeister H
Robert Koch Institute, Berlin, Germany.
Epidemiology. 1996 Jul;7(4):391-7. doi: 10.1097/00001648-199607000-00009.
We compared various indices for physical activity and their association with cardiovascular risk factors as well as total and cardiovascular disease mortality. We used data from three independent national representative samples in Germany, with a total of 7,689 men and 7,747 women age 25-69 years. Persons with high conditioning physical activity had more favorable risk factor levels compared with sedentary persons, after adjustment for age, body mass index, smoking, survey period, and socioeconomic status. We observed a clear association with mortality only for intense physical activity. The rate ratio (RR) for total mortality was 0.36 [95% confidence interval (CI) = 0.16-0.79] and 0.26 (95% CI = 0.08-0.83) for cardiovascular disease mortality for men spending more than 2 hours per week on sports, compared with sedentary men. Among women, the corresponding RR for total mortality was 0.28 (95% CI = 0.07-1.17). The effect of physical activity on cardiovascular disease mortality among women was not clear owing to few fatal cardiovascular events.
我们比较了多种身体活动指标及其与心血管危险因素以及全因死亡率和心血管疾病死亡率的关联。我们使用了来自德国三个独立的全国代表性样本的数据，共有7689名男性和7747名年龄在25至69岁之间的女性。在对年龄、体重指数、吸烟情况、调查时期和社会经济地位进行调整后，与久坐不动的人相比，具备高体能的身体活动者的危险因素水平更有利。我们仅观察到高强度身体活动与死亡率之间存在明显关联。与久坐不动的男性相比，每周进行体育活动超过2小时的男性，其全因死亡率的率比（RR）为0.36[95%置信区间（CI）=0.16 - 0.79]，心血管疾病死亡率的率比为0.26（95%CI = 0.08 - 0.83）。在女性中，相应的全因死亡率RR为0.28（95%CI = 0.07 - 1.17）。由于致命性心血管事件较少，身体活动对女性心血管疾病死亡率的影响尚不清楚。
