上海交通大学学报(医学版) ›› 2023, Vol. 43 ›› Issue (11): 1348-1358.doi: 10.3969/j.issn.1674-8115.2023.11.002
• 心脑血管慢病专题 • 上一篇
王雅玉1,2(), 蒋惠如2, 叶梦月3, 李萍1,2, 袁安彩2, 张薇2,4(), 卜军2()
收稿日期:
2023-04-07
接受日期:
2023-09-19
出版日期:
2023-11-28
发布日期:
2023-11-28
通讯作者:
张薇,卜军
E-mail:wangyy0108@hotmail.com;zhangwei050080@renji.com;pujun310@hotmail.com
作者简介:
王雅玉(1998—),女,硕士生;电子信箱:wangyy0108@hotmail.com。
基金资助:
WANG Yayu1,2(), JIANG Huiru2, YE Mengyue3, LI Ping1,2, YUAN Ancai2, ZHANG Wei2,4(), PU Jun2()
Received:
2023-04-07
Accepted:
2023-09-19
Online:
2023-11-28
Published:
2023-11-28
Contact:
ZHANG Wei,PU Jun
E-mail:wangyy0108@hotmail.com;zhangwei050080@renji.com;pujun310@hotmail.com
Supported by:
摘要:
目的·通过上海社区老年人群队列基线调查,比较社区脑卒中人群与非脑卒中人群的体力活动情况,探索脑卒中人群不同类型体力活动的参与情况。方法·自2019年2月—8月建立的上海社区老年人群队列中,根据纳排标准筛选研究对象。根据自我报告是否有脑卒中史将研究对象分为非脑卒中组与脑卒中组,采用倾向性评分匹配法控制年龄与性别将2组进行2∶1配对。收集2组人群的基线特征资料,采用国际体力活动调查表(International Physical Activity Questionnaire,IPAQ)对研究对象过去1周与运动、交通和家务相关的体力活动状况进行调查。采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评估研究对象的睡眠质量;采用7项广泛性焦虑障碍量表(Generalized Anxiety Disorder,GAD-7)和患者健康问卷抑郁量表(Patient Health Questionnaire-9,PHQ-9)分别评估对象的焦虑及抑郁状况。比较脑卒中组与非脑卒中组的上述特征,采用多因素Logistic回归模型比较2组人群不同类型体力活动的参与情况。结果·在纳入的17 948人中,脑卒中组有993人(5.5%),非脑卒中组有16 955人(94.5%);经倾向性评分匹配后,非脑卒中组1 984人(66.7%),脑卒中组992人(33.3%)。2组人群在文化程度、退休前职业、腰围、体质量指数、睡眠状况、焦虑症状、抑郁症状、既往疾病史方面差异均具有统计学意义(均P<0.05)。体力活动方面,女性脑卒中人群相比非脑卒中人群每日进行中等强度运动时间更短,1周的骑行、步行天数更少,每日骑行时间更短,差异均具有统计学意义(均P<0.05)。男性和女性脑卒中组1周做家务天数以及每日做家务时间相较于非脑卒中组均处于较低水平,而每日久坐时间处于较高水平,差异均具有统计学意义(均P=0.000)。在体力活动水平方面,脑卒中组达到中、高水平的男性和女性比例均低于非脑卒中组,差异具有统计学意义(均P=0.000)。经多因素Logistic回归模型校正性别、年龄、职业、焦虑症状、高脂血症史、心房颤动史、慢性胃炎史、髋臀骨折史后,脑卒中人群参与剧烈运动的水平较低,1周内不进行家务劳动和每日久坐时间>180 min的比例较高,处于中、高活动水平的比例较低(均P<0.05)。结论·上海社区有脑卒中史的老年人群家务劳动参与频率与时长、体力活动水平较非脑卒中人群均处于较低水平,且久坐时间更长。
中图分类号:
王雅玉, 蒋惠如, 叶梦月, 李萍, 袁安彩, 张薇, 卜军. 上海社区老年人群脑卒中与体力活动的关联性研究[J]. 上海交通大学学报(医学版), 2023, 43(11): 1348-1358.
WANG Yayu, JIANG Huiru, YE Mengyue, LI Ping, YUAN Ancai, ZHANG Wei, PU Jun. Association between stroke and physical activities in Shanghai Community Elderly Cohort[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2023, 43(11): 1348-1358.
Characteristic | Before PSM | After PSM① | |||||||
---|---|---|---|---|---|---|---|---|---|
Non-stroke (n=16 955) | Stroke (n=993) | F/χ2 value | P value | Non-stroke (n=1 984) | Stroke (n=992) | F/χ2 value | P value | ||
Age/year | 68.6±6.0 | 72.2±7.1 | 69.190 | 0.000 | 72.1±7.1 | 72.2±7.1 | 0.007 | 0.936 | |
Gender/n(%) | 4.515 | 0.034 | 0.581 | 0.446 | |||||
Male | 7 843 (46.3) | 425 (42.8) | 821 (41.4) | 425 (42.8) | |||||
Female | 9 112 (53.7) | 568 (57.2) | 1 163 (58.6) | 567 (57.2) | |||||
Education level/n(%) | 44.617 | 0.000 | 42.806 | 0.000 | |||||
Primary school and below | 5 843 (34.5) | 330 (33.2) | 869 (43.8) | 329 (33.2) | |||||
Middle school/high school | 10 252 (60.5) | 564 (56.8) | 1 007 (50.8) | 564 (56.9) | |||||
College and above | 860 (5.1) | 99 (10.0) | 108 (5.4) | 99 (10.0) | |||||
Pre-retirement occupation/n(%) | 180.860 | 0.000 | 89.721 | 0.000 | |||||
Worker | 5 464 (32.2) | 399 (40.2) | 652 (32.9) | 399 (40.2) | |||||
Farmer | 9 515 (56.1) | 367 (37.0) | 1 072 (54.1) | 357 (37.0) | |||||
Technical personnel/medical staff/teacher | 699 (4.1) | 85 (8.6) | 107 (5.4) | 85 (8.6) | |||||
Administrative personnel | 853 (5.0) | 103 (10.4) | 107 (5.4) | 103 (10.4) | |||||
Others | 421 (2.5) | 39 (3.9) | 44 (2.2) | 38 (3.8) | |||||
Waist circumference/n(%) | 22.786 | 0.000 | 11.919 | 0.000 | |||||
Normal | 10 385 (65.7) | 510 (57.8) | 1 202 (64.7) | 510 (57.8) | |||||
Abnormal② | 5 425 (34.3) | 372 (42.2) | 657 (35.3) | 372 (42.2) | |||||
Waist-to-hip ratio/n(%) | 3.332 | 0.068 | 0.564 | 0.453 | |||||
Normal | 5 280 (33.4) | 268 (30.4) | 592 (31.8) | 268 (30.4) | |||||
Abnormal③ | 10 530 (66.6) | 613 (69.6) | 1 267 (68.2) | 613 (69.6) | |||||
BMI/n(%) | 14.589 | 0.002 | 18.069 | 0.000 | |||||
Underweight (<18.5 kg·m-2) | 417 (2.6) | 10 (1.1) | 64 (3.4) | 10 (1.1) | |||||
Normal (18.5‒ <24.0 kg·m-2) | 6 595 (41.5) | 351 (38.9) | 788 (42.0) | 351 (38.9) | |||||
Overweight (24.0‒ <28.0 kg·m-2) | 6 554 (41.3) | 383 (42.5) | 753 (40.1) | 383 (42.5) | |||||
Obese (≥28.0 kg·m-2) | 2 308 (14.5) | 158 (17.5) | 271 (14.4) | 158 (17.5) | |||||
Self-reported sleep status/n(%) | 212.704 | 0.000 | 79.594 | 0.000 | |||||
Very good | 12 193 (71.9) | 543 (54.7) | 1 359 (68.5) | 543 (54.7) | |||||
Fairly good | 3 580 (21.1) | 282 (28.4) | 451 (22.7) | 281 (28.3) | |||||
Fairly poor | 1 056 (6.2) | 134 (13.5) | 161 (8.1) | 134 (13.5) | |||||
Poor | 126 (0.7) | 34 (3.4) | 13 (0.7) | 34 (3.4) | |||||
Anxiety symptom/n(%) | 129.636 | 0.000 | 50.626 | 0.000 | |||||
No symptom | 16 552 (97.6) | 910 (91.6) | 1 931 (97.3) | 910 (91.7) | |||||
Mild symptom | 301 (1.8) | 58 (5.8) | 44 (2.2) | 58 (5.8) | |||||
Moderate and major symptom | 102 (0.6) | 25 (2.5) | 9 (0.5) | 24 (2.4) | |||||
Depressive symptom/n(%) | 151.577 | 0.000 | 58.312 | 0.000 | |||||
No symptom | 16 294 (96.1) | 877 (88.3) | 1 898 (95.7) | 877 (88.4) | |||||
Mild symptom | 533 (3.1) | 82 (8.3) | 70 (3.5) | 82 (8.3) | |||||
Moderate and major symptom | 128 (0.8) | 34 (3.4) | 16 (0.8) | 33 (3.3) | |||||
Disease status | |||||||||
Hypertension/n(%) | 9 630 (56.8) | 743 (74.8) | 124.966 | 0.000 | 1 156 (58.3) | 742 (74.8) | 78.241 | 0.000 | |
Diabetes/n(%) | 2 747 (16.2) | 257 (25.9) | 63.066 | 0.000 | 313 (15.8) | 257 (25.9) | 43.835 | 0.000 | |
Hyperlipidemia/n(%) | 1 727 (10.2) | 297 (29.9) | 364.730 | 0.000 | 197 (9.9) | 297 (29.9) | 191.274 | 0.000 | |
Coronary heart disease/n(%) | 2 050 (12.1) | 269 (27.1) | 187.562 | 0.000 | 266 (13.4) | 269 (27.1) | 84.298 | 0.000 | |
Atrial fibrillation/n(%) | 244 (1.4) | 49 (4.9) | 71.582 | 0.000 | 35 (1.8) | 49 (4.9) | 24.364 | 0.000 | |
Heart failure/n(%) | 45 (0.3) | 19 (1.9) | 71.696 | 0.000 | 9 (0.5) | 19 (1.9) | 15.136 | 0.000 | |
Chronic gastritis/n(%) | 885 (5.2) | 120 (12.1) | 83.237 | 0.000 | 102 (5.2) | 120 (12.1) | 45.730 | 0.000 | |
Hip fracture/n(%) | 220 (1.3) | 10 (1.0) | 0.632 | 0.427 | 26 (1.3) | 10 (1.0) | 0.522 | 0.470 |
表1 上海社区脑卒中和非脑卒中老年人群PSM前后基线特征比较
Tab 1 Comparison of baseline characteristics between the stroke group and non-stroke group in Shanghai Community Elderly Cohort before and after PSM
Characteristic | Before PSM | After PSM① | |||||||
---|---|---|---|---|---|---|---|---|---|
Non-stroke (n=16 955) | Stroke (n=993) | F/χ2 value | P value | Non-stroke (n=1 984) | Stroke (n=992) | F/χ2 value | P value | ||
Age/year | 68.6±6.0 | 72.2±7.1 | 69.190 | 0.000 | 72.1±7.1 | 72.2±7.1 | 0.007 | 0.936 | |
Gender/n(%) | 4.515 | 0.034 | 0.581 | 0.446 | |||||
Male | 7 843 (46.3) | 425 (42.8) | 821 (41.4) | 425 (42.8) | |||||
Female | 9 112 (53.7) | 568 (57.2) | 1 163 (58.6) | 567 (57.2) | |||||
Education level/n(%) | 44.617 | 0.000 | 42.806 | 0.000 | |||||
Primary school and below | 5 843 (34.5) | 330 (33.2) | 869 (43.8) | 329 (33.2) | |||||
Middle school/high school | 10 252 (60.5) | 564 (56.8) | 1 007 (50.8) | 564 (56.9) | |||||
College and above | 860 (5.1) | 99 (10.0) | 108 (5.4) | 99 (10.0) | |||||
Pre-retirement occupation/n(%) | 180.860 | 0.000 | 89.721 | 0.000 | |||||
Worker | 5 464 (32.2) | 399 (40.2) | 652 (32.9) | 399 (40.2) | |||||
Farmer | 9 515 (56.1) | 367 (37.0) | 1 072 (54.1) | 357 (37.0) | |||||
Technical personnel/medical staff/teacher | 699 (4.1) | 85 (8.6) | 107 (5.4) | 85 (8.6) | |||||
Administrative personnel | 853 (5.0) | 103 (10.4) | 107 (5.4) | 103 (10.4) | |||||
Others | 421 (2.5) | 39 (3.9) | 44 (2.2) | 38 (3.8) | |||||
Waist circumference/n(%) | 22.786 | 0.000 | 11.919 | 0.000 | |||||
Normal | 10 385 (65.7) | 510 (57.8) | 1 202 (64.7) | 510 (57.8) | |||||
Abnormal② | 5 425 (34.3) | 372 (42.2) | 657 (35.3) | 372 (42.2) | |||||
Waist-to-hip ratio/n(%) | 3.332 | 0.068 | 0.564 | 0.453 | |||||
Normal | 5 280 (33.4) | 268 (30.4) | 592 (31.8) | 268 (30.4) | |||||
Abnormal③ | 10 530 (66.6) | 613 (69.6) | 1 267 (68.2) | 613 (69.6) | |||||
BMI/n(%) | 14.589 | 0.002 | 18.069 | 0.000 | |||||
Underweight (<18.5 kg·m-2) | 417 (2.6) | 10 (1.1) | 64 (3.4) | 10 (1.1) | |||||
Normal (18.5‒ <24.0 kg·m-2) | 6 595 (41.5) | 351 (38.9) | 788 (42.0) | 351 (38.9) | |||||
Overweight (24.0‒ <28.0 kg·m-2) | 6 554 (41.3) | 383 (42.5) | 753 (40.1) | 383 (42.5) | |||||
Obese (≥28.0 kg·m-2) | 2 308 (14.5) | 158 (17.5) | 271 (14.4) | 158 (17.5) | |||||
Self-reported sleep status/n(%) | 212.704 | 0.000 | 79.594 | 0.000 | |||||
Very good | 12 193 (71.9) | 543 (54.7) | 1 359 (68.5) | 543 (54.7) | |||||
Fairly good | 3 580 (21.1) | 282 (28.4) | 451 (22.7) | 281 (28.3) | |||||
Fairly poor | 1 056 (6.2) | 134 (13.5) | 161 (8.1) | 134 (13.5) | |||||
Poor | 126 (0.7) | 34 (3.4) | 13 (0.7) | 34 (3.4) | |||||
Anxiety symptom/n(%) | 129.636 | 0.000 | 50.626 | 0.000 | |||||
No symptom | 16 552 (97.6) | 910 (91.6) | 1 931 (97.3) | 910 (91.7) | |||||
Mild symptom | 301 (1.8) | 58 (5.8) | 44 (2.2) | 58 (5.8) | |||||
Moderate and major symptom | 102 (0.6) | 25 (2.5) | 9 (0.5) | 24 (2.4) | |||||
Depressive symptom/n(%) | 151.577 | 0.000 | 58.312 | 0.000 | |||||
No symptom | 16 294 (96.1) | 877 (88.3) | 1 898 (95.7) | 877 (88.4) | |||||
Mild symptom | 533 (3.1) | 82 (8.3) | 70 (3.5) | 82 (8.3) | |||||
Moderate and major symptom | 128 (0.8) | 34 (3.4) | 16 (0.8) | 33 (3.3) | |||||
Disease status | |||||||||
Hypertension/n(%) | 9 630 (56.8) | 743 (74.8) | 124.966 | 0.000 | 1 156 (58.3) | 742 (74.8) | 78.241 | 0.000 | |
Diabetes/n(%) | 2 747 (16.2) | 257 (25.9) | 63.066 | 0.000 | 313 (15.8) | 257 (25.9) | 43.835 | 0.000 | |
Hyperlipidemia/n(%) | 1 727 (10.2) | 297 (29.9) | 364.730 | 0.000 | 197 (9.9) | 297 (29.9) | 191.274 | 0.000 | |
Coronary heart disease/n(%) | 2 050 (12.1) | 269 (27.1) | 187.562 | 0.000 | 266 (13.4) | 269 (27.1) | 84.298 | 0.000 | |
Atrial fibrillation/n(%) | 244 (1.4) | 49 (4.9) | 71.582 | 0.000 | 35 (1.8) | 49 (4.9) | 24.364 | 0.000 | |
Heart failure/n(%) | 45 (0.3) | 19 (1.9) | 71.696 | 0.000 | 9 (0.5) | 19 (1.9) | 15.136 | 0.000 | |
Chronic gastritis/n(%) | 885 (5.2) | 120 (12.1) | 83.237 | 0.000 | 102 (5.2) | 120 (12.1) | 45.730 | 0.000 | |
Hip fracture/n(%) | 220 (1.3) | 10 (1.0) | 0.632 | 0.427 | 26 (1.3) | 10 (1.0) | 0.522 | 0.470 |
Characteristic | Male | Female | |||||||
---|---|---|---|---|---|---|---|---|---|
Non-stroke (n=821) | Stroke (n=425) | F/χ2 value | P value | Non-stroke (n=1 163) | Stroke (n=567) | F/χ2 value | P value | ||
Exercises situation | |||||||||
Regular exercises/n(%) | 0.107 | 0.744 | 2.315 | 0.128 | |||||
Not regular | 508 (61.9) | 267 (62.8) | 755 (64.9) | 389 (68.6) | |||||
Regular exercises | 313 (38.1) | 158 (37.2) | 408 (35.1) | 178 (31.4) | |||||
Exercises status/n(%) | 4.668 | 0.198 | 5.514 | 0.138 | |||||
No exercises | 506 (61.8) | 266 (62.7) | 755 (64.9) | 388 (68.6) | |||||
Only moderate exercises | 267 (32.6) | 143 (33.7) | 381 (32.8) | 172 (30.4) | |||||
Only vigorous exercises | 23 (2.8) | 11 (2.6) | 20 (1.7) | 3 (0.5) | |||||
Both moderate and vigorous exercises | 23 (2.8) | 4 (0.9) | 7 (0.6) | 3 (0.5) | |||||
Days of vigorous exercises last week/n(%) | 4.090 | 0.129 | 2.918 | 0.232 | |||||
0 d | 773 (94.6) | 409 (96.9) | 1 136 (97.8) | 560 (98.9) | |||||
1‒5 d | 3 (0.4) | 2 (0.5) | 5 (0.4) | 1 (0.2) | |||||
6‒7 d | 41 (5.0) | 11 (2.6) | 21 (1.8) | 5 (0.9) | |||||
Daily vigorous exercises time/n(%) | 4.709 | 0.095 | 3.236 | 0.198 | |||||
0 min/d | 773 (94.4) | 409 (96.5) | 1136 (97.7) | 560 (98.9) | |||||
>0‒30 min/d | 14 (1.7) | 8 (1.9) | 9 (0.8) | 2 (0.4) | |||||
>30 min/d | 32 (3.9) | 7 (1.7) | 18 (1.5) | 4 (0.7) | |||||
Total vigorous exercises time last week/n(%) | 3.481 | 0.175 | 2.918 | 0.175 | |||||
0 min | 773 (94.6) | 409 (96.9) | 1 136 (97.8) | 560 (98.9) | |||||
>0‒150 min | 5 (0.6) | 1 (0.2) | 5 (0.4) | 1 (0.2) | |||||
>150 min | 39 (4.8) | 12 (2.8) | 21 (1.8) | 5 (0.9) | |||||
Days of moderate exercises last week/n(%) | 0.184 | 0.912 | 1.399 | 0.497 | |||||
0 d | 529 (64.7) | 277 (65.5) | 775 (66.9) | 391 (69.1) | |||||
1‒4 d | 21 (2.6) | 12 (2.8) | 36 (3.1) | 20 (3.5) | |||||
5‒7 d | 267 (32.7) | 134 (31.7) | 348 (30.0) | 155 (27.4) | |||||
Daily moderate exercises time/n(%) | 0.572 | 0.903 | 11.040 | 0.012 | |||||
0 min/d | 529 (64.6) | 277 (65.3) | 775 (66.6) | 391 (69.1) | |||||
>0‒45 min/d | 87 (10.6) | 48 (11.3) | 90 (7.7) | 62 (11.0) | |||||
>45‒60 min/d | 126 (15.4) | 64 (15.1) | 219 (18.8) | 89 (15.7) | |||||
>60 min/d | 77 (9.4) | 35 (8.3) | 79 (6.8) | 24 (4.2) | |||||
Total moderate exercises time last week/n(%) | 2.300 | 0.512 | 6.013 | 0.111 | |||||
0 min | 529 (64.7) | 277 (65.5) | 775 (66.9) | 391 (69.1) | |||||
>0‒150 min | 15 (1.8) | 13 (3.1) | 21 (1.8) | 18 (3.2) | |||||
>150‒300 min | 77 (9.4) | 36 (8.5) | 102 (8.8) | 51 (9.0) | |||||
>300 min | 196 (24.0) | 97 (22.9) | 261 (22.5) | 106 (18.7) | |||||
Transportation activities | |||||||||
Cycling days last week/n(%) | 4.336 | 0.114 | 26.993 | 0.000 | |||||
0 d | 644 (78.6) | 352 (83.0) | 977 (84.0) | 526 (92.9) | |||||
1‒4 d | 47 (5.7) | 24 (5.7) | 64 (5.5) | 16 (2.8) | |||||
5‒7 d | 128 (15.6) | 48 (11.3) | 122 (10.5) | 24 (4.2) | |||||
Daily cycling time/n(%) | 3.804 | 0.149 | 27.982 | 0.000 | |||||
0 min/d | 642 (78.4) | 352 (83.0) | 977 (84.0) | 526 (92.9) | |||||
>0‒30 min/d | 100 (12.2) | 42 (9.9) | 113 (9.7) | 29 (5.1) | |||||
>30 min/d | 77 (9.4) | 30 (7.1) | 73 (6.3) | 11 (1.9) | |||||
Days of walking last week/n(%) | 2.656 | 0.265 | 10.336 | 0.006 | |||||
≤3 d | 381 (46.5) | 207 (48.8) | 537 (46.2) | 237 (41.9) | |||||
4‒6 d | 55 (6.7) | 19 (4.5) | 89 (7.7) | 27 (4.8) | |||||
7 d | 383 (46.8) | 198 (46.7) | 537 (46.2) | 302 (53.4) | |||||
Daily walking time/n(%) | 0.947 | 0.623 | 1.964 | 0.375 | |||||
≤30 min/d | 550 (67.2) | 283 (66.7) | 764 (65.7) | 358 (63.3) | |||||
>30‒60 min/d | 208 (25.4) | 103 (24.3) | 333 (28.6) | 167 (29.5) | |||||
>60 min/d | 61 (7.4) | 38 (9.0) | 66 (5.7) | 41 (7.2) | |||||
Household Work | |||||||||
Days of doing housework last week/n(%) | 40.410 | 0.000 | 29.935 | 0.000 | |||||
0 d | 142 (17.3) | 141 (33.3) | 76 (6.5) | 81 (14.3) | |||||
1‒4 d | 47 (5.7) | 19 (4.5) | 19 (1.6) | 14 (2.5) | |||||
5‒7 d | 631 (77.0) | 264 (62.3) | 1 068 (91.8) | 471 (83.2) | |||||
Daily housework time/n(%) | 44.055 | 0.000 | 34.649 | 0.000 | |||||
0 min/d | 142 (17.3) | 141 (33.3) | 76 (6.5) | 81 (14.3) | |||||
>0‒60 min/d | 338 (41.2) | 159 (37.6) | 263 (22.6) | 147 (26.0) | |||||
>60‒120 min/d | 267 (32.6) | 92 (22.2) | 554 (47.6) | 220 (38.9) | |||||
>120 min/d | 73 (8.9) | 29 (6.9) | 270 (23.2) | 118 (20.8) | |||||
Daily sedentary time/n(%) | 35.163 | 0.000 | 42.733 | 0.000 | |||||
≤120 min/d | 403 (49.3) | 149 (35.1) | 587 (50.5) | 219 (38.8) | |||||
>120‒180 min/d | 144 (17.6) | 78 (18.4) | 233 (20.1) | 98 (17.3) | |||||
>180‒240 min/d | 169 (20.7) | 96 (22.6) | 210 (18.1) | 127 (21.4) | |||||
>240 min/d | 102 (12.5) | 101 (23.8) | 132 (11.4) | 121 (21.4) | |||||
Physical activity level/n(%) | 18.990 | 0.000 | 28.769 | 0.000 | |||||
Low | 67 (8.2) | 68 (16.0) | 51 (4.4) | 58 (10.2) | |||||
Moderate | 343 (41.8) | 175 (41.2) | 346 (29.8) | 192 (33.9) | |||||
High | 411 (50.1) | 182 (42.8) | 766 (65.9) | 317 (55.9) |
表2 上海社区脑卒中和非脑卒中老年人群体力活动特征分析
Tab 2 Physical activity characteristics of the stroke group and non-stroke group in Shanghai Community Elderly Cohort
Characteristic | Male | Female | |||||||
---|---|---|---|---|---|---|---|---|---|
Non-stroke (n=821) | Stroke (n=425) | F/χ2 value | P value | Non-stroke (n=1 163) | Stroke (n=567) | F/χ2 value | P value | ||
Exercises situation | |||||||||
Regular exercises/n(%) | 0.107 | 0.744 | 2.315 | 0.128 | |||||
Not regular | 508 (61.9) | 267 (62.8) | 755 (64.9) | 389 (68.6) | |||||
Regular exercises | 313 (38.1) | 158 (37.2) | 408 (35.1) | 178 (31.4) | |||||
Exercises status/n(%) | 4.668 | 0.198 | 5.514 | 0.138 | |||||
No exercises | 506 (61.8) | 266 (62.7) | 755 (64.9) | 388 (68.6) | |||||
Only moderate exercises | 267 (32.6) | 143 (33.7) | 381 (32.8) | 172 (30.4) | |||||
Only vigorous exercises | 23 (2.8) | 11 (2.6) | 20 (1.7) | 3 (0.5) | |||||
Both moderate and vigorous exercises | 23 (2.8) | 4 (0.9) | 7 (0.6) | 3 (0.5) | |||||
Days of vigorous exercises last week/n(%) | 4.090 | 0.129 | 2.918 | 0.232 | |||||
0 d | 773 (94.6) | 409 (96.9) | 1 136 (97.8) | 560 (98.9) | |||||
1‒5 d | 3 (0.4) | 2 (0.5) | 5 (0.4) | 1 (0.2) | |||||
6‒7 d | 41 (5.0) | 11 (2.6) | 21 (1.8) | 5 (0.9) | |||||
Daily vigorous exercises time/n(%) | 4.709 | 0.095 | 3.236 | 0.198 | |||||
0 min/d | 773 (94.4) | 409 (96.5) | 1136 (97.7) | 560 (98.9) | |||||
>0‒30 min/d | 14 (1.7) | 8 (1.9) | 9 (0.8) | 2 (0.4) | |||||
>30 min/d | 32 (3.9) | 7 (1.7) | 18 (1.5) | 4 (0.7) | |||||
Total vigorous exercises time last week/n(%) | 3.481 | 0.175 | 2.918 | 0.175 | |||||
0 min | 773 (94.6) | 409 (96.9) | 1 136 (97.8) | 560 (98.9) | |||||
>0‒150 min | 5 (0.6) | 1 (0.2) | 5 (0.4) | 1 (0.2) | |||||
>150 min | 39 (4.8) | 12 (2.8) | 21 (1.8) | 5 (0.9) | |||||
Days of moderate exercises last week/n(%) | 0.184 | 0.912 | 1.399 | 0.497 | |||||
0 d | 529 (64.7) | 277 (65.5) | 775 (66.9) | 391 (69.1) | |||||
1‒4 d | 21 (2.6) | 12 (2.8) | 36 (3.1) | 20 (3.5) | |||||
5‒7 d | 267 (32.7) | 134 (31.7) | 348 (30.0) | 155 (27.4) | |||||
Daily moderate exercises time/n(%) | 0.572 | 0.903 | 11.040 | 0.012 | |||||
0 min/d | 529 (64.6) | 277 (65.3) | 775 (66.6) | 391 (69.1) | |||||
>0‒45 min/d | 87 (10.6) | 48 (11.3) | 90 (7.7) | 62 (11.0) | |||||
>45‒60 min/d | 126 (15.4) | 64 (15.1) | 219 (18.8) | 89 (15.7) | |||||
>60 min/d | 77 (9.4) | 35 (8.3) | 79 (6.8) | 24 (4.2) | |||||
Total moderate exercises time last week/n(%) | 2.300 | 0.512 | 6.013 | 0.111 | |||||
0 min | 529 (64.7) | 277 (65.5) | 775 (66.9) | 391 (69.1) | |||||
>0‒150 min | 15 (1.8) | 13 (3.1) | 21 (1.8) | 18 (3.2) | |||||
>150‒300 min | 77 (9.4) | 36 (8.5) | 102 (8.8) | 51 (9.0) | |||||
>300 min | 196 (24.0) | 97 (22.9) | 261 (22.5) | 106 (18.7) | |||||
Transportation activities | |||||||||
Cycling days last week/n(%) | 4.336 | 0.114 | 26.993 | 0.000 | |||||
0 d | 644 (78.6) | 352 (83.0) | 977 (84.0) | 526 (92.9) | |||||
1‒4 d | 47 (5.7) | 24 (5.7) | 64 (5.5) | 16 (2.8) | |||||
5‒7 d | 128 (15.6) | 48 (11.3) | 122 (10.5) | 24 (4.2) | |||||
Daily cycling time/n(%) | 3.804 | 0.149 | 27.982 | 0.000 | |||||
0 min/d | 642 (78.4) | 352 (83.0) | 977 (84.0) | 526 (92.9) | |||||
>0‒30 min/d | 100 (12.2) | 42 (9.9) | 113 (9.7) | 29 (5.1) | |||||
>30 min/d | 77 (9.4) | 30 (7.1) | 73 (6.3) | 11 (1.9) | |||||
Days of walking last week/n(%) | 2.656 | 0.265 | 10.336 | 0.006 | |||||
≤3 d | 381 (46.5) | 207 (48.8) | 537 (46.2) | 237 (41.9) | |||||
4‒6 d | 55 (6.7) | 19 (4.5) | 89 (7.7) | 27 (4.8) | |||||
7 d | 383 (46.8) | 198 (46.7) | 537 (46.2) | 302 (53.4) | |||||
Daily walking time/n(%) | 0.947 | 0.623 | 1.964 | 0.375 | |||||
≤30 min/d | 550 (67.2) | 283 (66.7) | 764 (65.7) | 358 (63.3) | |||||
>30‒60 min/d | 208 (25.4) | 103 (24.3) | 333 (28.6) | 167 (29.5) | |||||
>60 min/d | 61 (7.4) | 38 (9.0) | 66 (5.7) | 41 (7.2) | |||||
Household Work | |||||||||
Days of doing housework last week/n(%) | 40.410 | 0.000 | 29.935 | 0.000 | |||||
0 d | 142 (17.3) | 141 (33.3) | 76 (6.5) | 81 (14.3) | |||||
1‒4 d | 47 (5.7) | 19 (4.5) | 19 (1.6) | 14 (2.5) | |||||
5‒7 d | 631 (77.0) | 264 (62.3) | 1 068 (91.8) | 471 (83.2) | |||||
Daily housework time/n(%) | 44.055 | 0.000 | 34.649 | 0.000 | |||||
0 min/d | 142 (17.3) | 141 (33.3) | 76 (6.5) | 81 (14.3) | |||||
>0‒60 min/d | 338 (41.2) | 159 (37.6) | 263 (22.6) | 147 (26.0) | |||||
>60‒120 min/d | 267 (32.6) | 92 (22.2) | 554 (47.6) | 220 (38.9) | |||||
>120 min/d | 73 (8.9) | 29 (6.9) | 270 (23.2) | 118 (20.8) | |||||
Daily sedentary time/n(%) | 35.163 | 0.000 | 42.733 | 0.000 | |||||
≤120 min/d | 403 (49.3) | 149 (35.1) | 587 (50.5) | 219 (38.8) | |||||
>120‒180 min/d | 144 (17.6) | 78 (18.4) | 233 (20.1) | 98 (17.3) | |||||
>180‒240 min/d | 169 (20.7) | 96 (22.6) | 210 (18.1) | 127 (21.4) | |||||
>240 min/d | 102 (12.5) | 101 (23.8) | 132 (11.4) | 121 (21.4) | |||||
Physical activity level/n(%) | 18.990 | 0.000 | 28.769 | 0.000 | |||||
Low | 67 (8.2) | 68 (16.0) | 51 (4.4) | 58 (10.2) | |||||
Moderate | 343 (41.8) | 175 (41.2) | 346 (29.8) | 192 (33.9) | |||||
High | 411 (50.1) | 182 (42.8) | 766 (65.9) | 317 (55.9) |
Variable | Non-stroke (n=1 984) | Stroke (n=992) | Model① | |
---|---|---|---|---|
OR (95%CI) | P value | |||
Exercises situation | ||||
Exercises status/n(%) | 0.038 | |||
No exercises | 1 261 (63.6) | 654 (66.1) | 1.00 | |
Only moderate exercises | 648 (32.7) | 315 (31.8) | 0.95 (0.79‒1.14) | |
Only vigorous exercises | 43 (2.2) | 14 (1.4) | 0.60 (0.31‒1.17) | |
Both moderate and vigorous exercises | 30 (1.5) | 7 (0.7) | 0.33 (0.12‒0.89) | |
Days of vigorous exercises last week/n(%) | 0.023 | |||
0 d | 1 909 (96.5) | 969 (98.1) | 1.00 | |
1‒5 d | 8 (0.4) | 3 (0.3) | 1.22 (0.19‒8.02) | |
6‒7 d | 62 (3.1) | 16 (1.6) | 0.40 (0.18‒0.87) | |
Daily vigorous exercises time/n(%) | 0.033 | |||
0 min/d | 1 909 (96.3) | 969 (97.9) | 1.00 | |
>0‒30 min/d | 23 (1.2) | 10 (1.0) | 0.90 (0.30‒2.67) | |
>30 min/d | 50 (2.5) | 11 (1.1) | 0.37 (0.16‒0.91) | |
Days of moderate exercises last week/n(%) | 0.948 | |||
0 d | 1 304 (66.0) | 668 (67.5) | 1.00 | |
1‒4 d | 57 (2.9) | 32 (3.2) | 0.83 (0.37‒1.86) | |
5‒7 d | 615 (31.3) | 289 (29.2) | 1.00 (0.75‒1.32) | |
Daily moderate exercises time/n(%) | 0.943 | |||
0 min/d | 1 304 (65.8) | 668 (67.5) | 1.00 | |
>0‒45 min/d | 177 (8.9) | 110 (11.1) | 0.87 (0.55‒1.35) | |
>45‒60 min/d | 345 (17.4) | 153 (15.5) | 1.09 (0.76‒1.57) | |
>60 min/d | 156 (7.9) | 59 (6.0) | 0.92 (0.57‒1.47) | |
Transportation activities | ||||
Cycling days last week/n(%) | 0.070 | |||
0 d | 1 621 (81.8) | 878 (88.7) | 1.00 | |
1‒4 d | 111 (5.6) | 40 (4.0) | 0.81 (0.46‒1.42) | |
5‒7 d | 250 (12.6) | 72 (7.3) | 0.70 (0.48‒1.03) | |
Daily cycling time/n(%) | 0.093 | |||
0 min/d | 1 619 (81.7) | 878 (88.7) | 1.00 | |
>0‒30 min/d | 213 (10.7) | 71 (7.2) | 0.69 (0.45‒1.04) | |
>30 min/d | 150 (7.6) | 41 (4.1) | 0.77 (0.48‒1.23) | |
Days of walking last week/n(%) | 0.393 | |||
≤3 d | 918 (46.3) | 444 (44.8) | 1.00 | |
4‒6 d | 144 (7.3) | 46 (4.6) | 0.74 (0.51‒1.07) | |
7 d | 920 (46.4) | 500 (50.5) | 1.14 (0.96‒1.36) | |
Daily walking time/n(%) | 0.535 | |||
≤30 min/d | 1 314 (66.3) | 641 (64.4) | 1.00 | |
>30‒60 min/d | 541 (27.3) | 270 (27.3) | 1.01 (0.84‒1.21) | |
>60 min/d | 127 (6.4) | 79 (8.0) | 1.14 (0.83‒1.56) | |
Household Work | ||||
Days of doing housework last week/n(%) | 0.000 | |||
0 d | 218 (11.0) | 222 (22.4) | 1.00 | |
1‒4 d | 66 (3.3) | 33 (3.3) | 0.55 (0.33‒0.92) | |
5‒7 d | 1 699 (85.7) | 735 (74.2) | 0.45 (0.35‒0.58) | |
Daily housework time/n(%) | 0.001 | |||
0 min/d | 218 (11.0) | 222 (22.4) | 1.00 | |
>0‒60 min/d | 601 (30.3) | 306 (30.9) | 0.51 (0.39‒0.67) | |
>60‒120 min/d | 821 (41.4) | 314 (31.7) | 0.40 (0.30‒0.53) | |
>120 min/d | 343 (17.3) | 147 (14.9) | 0.43 (0.31‒0.59) | |
Daily sedentary time/n(%) | 0.000 | |||
≤120 min/d | 990 (50.0) | 368 (37.2) | 1.00 | |
>120‒180 min/d | 377 (19.0) | 176 (17.8) | 1.23 (0.97‒1.55) | |
>180‒240 min/d | 379 (19.1) | 223 (22.5) | 1.44 (1.15‒1.80) | |
>240 min/d | 234 (11.8) | 222 (22.4) | 2.08 (1.61‒2.68) | |
Physical activity level/n(%) | 0.000 | |||
Low | 118 (5.9) | 126 (12.7) | 1.00 | |
Moderate | 689 (34.7) | 367 (37.0) | 0.53 (0.38‒0.74) | |
High | 1 177 (59.3) | 499 (50.3) | 0.41 (0.29‒0.58) |
表3 上海社区脑卒中与非脑卒中老年人群体力活动参与率比较
Tab 3 Comparison of physical activity participation rate between stroke group and non-stroke group in Shanghai Community Elderly Cohort
Variable | Non-stroke (n=1 984) | Stroke (n=992) | Model① | |
---|---|---|---|---|
OR (95%CI) | P value | |||
Exercises situation | ||||
Exercises status/n(%) | 0.038 | |||
No exercises | 1 261 (63.6) | 654 (66.1) | 1.00 | |
Only moderate exercises | 648 (32.7) | 315 (31.8) | 0.95 (0.79‒1.14) | |
Only vigorous exercises | 43 (2.2) | 14 (1.4) | 0.60 (0.31‒1.17) | |
Both moderate and vigorous exercises | 30 (1.5) | 7 (0.7) | 0.33 (0.12‒0.89) | |
Days of vigorous exercises last week/n(%) | 0.023 | |||
0 d | 1 909 (96.5) | 969 (98.1) | 1.00 | |
1‒5 d | 8 (0.4) | 3 (0.3) | 1.22 (0.19‒8.02) | |
6‒7 d | 62 (3.1) | 16 (1.6) | 0.40 (0.18‒0.87) | |
Daily vigorous exercises time/n(%) | 0.033 | |||
0 min/d | 1 909 (96.3) | 969 (97.9) | 1.00 | |
>0‒30 min/d | 23 (1.2) | 10 (1.0) | 0.90 (0.30‒2.67) | |
>30 min/d | 50 (2.5) | 11 (1.1) | 0.37 (0.16‒0.91) | |
Days of moderate exercises last week/n(%) | 0.948 | |||
0 d | 1 304 (66.0) | 668 (67.5) | 1.00 | |
1‒4 d | 57 (2.9) | 32 (3.2) | 0.83 (0.37‒1.86) | |
5‒7 d | 615 (31.3) | 289 (29.2) | 1.00 (0.75‒1.32) | |
Daily moderate exercises time/n(%) | 0.943 | |||
0 min/d | 1 304 (65.8) | 668 (67.5) | 1.00 | |
>0‒45 min/d | 177 (8.9) | 110 (11.1) | 0.87 (0.55‒1.35) | |
>45‒60 min/d | 345 (17.4) | 153 (15.5) | 1.09 (0.76‒1.57) | |
>60 min/d | 156 (7.9) | 59 (6.0) | 0.92 (0.57‒1.47) | |
Transportation activities | ||||
Cycling days last week/n(%) | 0.070 | |||
0 d | 1 621 (81.8) | 878 (88.7) | 1.00 | |
1‒4 d | 111 (5.6) | 40 (4.0) | 0.81 (0.46‒1.42) | |
5‒7 d | 250 (12.6) | 72 (7.3) | 0.70 (0.48‒1.03) | |
Daily cycling time/n(%) | 0.093 | |||
0 min/d | 1 619 (81.7) | 878 (88.7) | 1.00 | |
>0‒30 min/d | 213 (10.7) | 71 (7.2) | 0.69 (0.45‒1.04) | |
>30 min/d | 150 (7.6) | 41 (4.1) | 0.77 (0.48‒1.23) | |
Days of walking last week/n(%) | 0.393 | |||
≤3 d | 918 (46.3) | 444 (44.8) | 1.00 | |
4‒6 d | 144 (7.3) | 46 (4.6) | 0.74 (0.51‒1.07) | |
7 d | 920 (46.4) | 500 (50.5) | 1.14 (0.96‒1.36) | |
Daily walking time/n(%) | 0.535 | |||
≤30 min/d | 1 314 (66.3) | 641 (64.4) | 1.00 | |
>30‒60 min/d | 541 (27.3) | 270 (27.3) | 1.01 (0.84‒1.21) | |
>60 min/d | 127 (6.4) | 79 (8.0) | 1.14 (0.83‒1.56) | |
Household Work | ||||
Days of doing housework last week/n(%) | 0.000 | |||
0 d | 218 (11.0) | 222 (22.4) | 1.00 | |
1‒4 d | 66 (3.3) | 33 (3.3) | 0.55 (0.33‒0.92) | |
5‒7 d | 1 699 (85.7) | 735 (74.2) | 0.45 (0.35‒0.58) | |
Daily housework time/n(%) | 0.001 | |||
0 min/d | 218 (11.0) | 222 (22.4) | 1.00 | |
>0‒60 min/d | 601 (30.3) | 306 (30.9) | 0.51 (0.39‒0.67) | |
>60‒120 min/d | 821 (41.4) | 314 (31.7) | 0.40 (0.30‒0.53) | |
>120 min/d | 343 (17.3) | 147 (14.9) | 0.43 (0.31‒0.59) | |
Daily sedentary time/n(%) | 0.000 | |||
≤120 min/d | 990 (50.0) | 368 (37.2) | 1.00 | |
>120‒180 min/d | 377 (19.0) | 176 (17.8) | 1.23 (0.97‒1.55) | |
>180‒240 min/d | 379 (19.1) | 223 (22.5) | 1.44 (1.15‒1.80) | |
>240 min/d | 234 (11.8) | 222 (22.4) | 2.08 (1.61‒2.68) | |
Physical activity level/n(%) | 0.000 | |||
Low | 118 (5.9) | 126 (12.7) | 1.00 | |
Moderate | 689 (34.7) | 367 (37.0) | 0.53 (0.38‒0.74) | |
High | 1 177 (59.3) | 499 (50.3) | 0.41 (0.29‒0.58) |
1 | IHME. GBD results [R/OL]. [2023-03-17]. https://vizhub.healthdata.org/gbd-results/. |
2 | GBD Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet Neurol, 2021, 20(10): 795-820. |
3 | 《中国脑卒中防治报告2020》编写组. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-144. |
Report on stroke prevention and treatment in China Writing Group. Brief report on stroke prevention and treatment in China, 2020[J]. Chinese Journal of Cerebrovascular Diseases, 2022, 19(2): 136-144. | |
4 | PELLICCIA A, SHARMA S, GATI S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease[J]. Eur Heart J, 2021, 42(1): 17-96. |
5 | GORELICK P B. The global burden of stroke: persistent and disabling[J]. Lancet Neurol, 2019, 18(5): 417-418. |
6 | TURAN T N, KASAB S A, NIZAM A, et al. Type and duration of exercise in the SAMMPRIS trial[J]. Neurologist, 2019, 24(1): 10-12. |
7 | HENDRICKX W, VLIETSTRA L, VALKENET K, et al. General lifestyle interventions on their own seem insufficient to improve the level of physical activity after stroke or TIA: a systematic review[J]. BMC Neurol, 2020, 20(1): 168. |
8 | YU L L, LIANG Q, ZHOU W, et al. Association between physical activity and stroke in a middle-aged and elderly Chinese population[J]. Medicine, 2018, 97(51): e13568. |
9 | LACHMAN S, BOEKHOLDT S M, LUBEN R N, et al. Impact of physical activity on the risk of cardiovascular disease in middle-aged and older adults: EPIC Norfolk prospective population study[J]. Eur J Prev Cardiol, 2018, 25(2): 200-208. |
10 | HALLAL P C, ANDERSEN L B, BULL F C, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects[J]. Lancet, 2012, 380(9838): 247-257. |
11 | 蒋惠如, 李峥, 马卓然, 等. 上海社区老年人群队列心脑血管疾病单患、共患基线情况及生活方式特征[J]. 上海交通大学学报(医学版), 2022, 42(3): 282-289. |
JIANG H R, LI Z, MA Z R, et al. Baseline characteristics and lifestyle factors of single and co-morbidity of cardio-cerebrovascular diseases in Shanghai Community Elderly Cohort[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022, 42(3): 282-289. | |
12 | 屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 265-268. |
QU N N, LI K J. Study on the reliability and validity of international physical activity questionnaire (Chinese vision, IPAQ)[J]. Chinese Journal of Epidemiology, 2004, 25(3): 265-268. | |
13 | CRAIG C L, MARSHALL A L, SJÖSTRÖM M, et al. International Physical Activity Questionnaire: 12-country reliability and validity[J]. Med Sci Sports Exerc, 2003, 35(8): 1381-1395. |
14 | 樊萌语, 吕筠, 何平平. 国际体力活动问卷中体力活动水平的计算方法[J]. 中华流行病学杂志, 2014, 35(8): 961-964. |
FAN M Y, LÜ Y, HE P P. Chinese guidelines for data processing and analysis concerning the International Physical Activity Questionnaire[J]. Chinese Journal of Epidemiology, 2014, 35(8): 961-964. | |
15 | STAMATAKIS E, HILLSDON M, PRIMATESTA P. Domestic physical activity in relationship to multiple CVD risk factors[J]. Am J Prev Med, 2007, 32(4): 320-327. |
16 | CHENG W K, ZHANG Z, CHENG W S, et al. Associations of leisure-time physical activity with cardiovascular mortality: a systematic review and meta-analysis of 44 prospective cohort studies[J]. Eur J Prev Cardiol, 2018, 25(17): 1864-1872. |
17 | SOARES-MIRANDA L, SISCOVICK D S, PSATY B M, et al. Physical activity and risk of coronary heart disease and stroke in older adults: the cardiovascular health study[J]. Circulation, 2016, 133(2): 147-155. |
18 | ALI A L, TABASSUM D, BAIG S S, et al. Effect of exercise interventions on health-related quality of life after stroke and transient ischemic attack: a systematic review and meta-analysis[J]. Stroke, 2021, 52(7): 2445-2455. |
19 | ZHAO M, VEERANKI S P, LI S X, et al. Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88, 140 US adults[J]. Br J Sports Med, 2019, 53(22): 1405-1411. |
20 | CLARÁ A, BERENGUER G, PÉREZ-FERNÁNDEZ S, et al. Analysis of the dose-response relationship of leisure-time physical activity to cardiovascular disease and all-cause mortality: the REGICOR study[J]. Rev Esp Cardiol (Engl Ed), 2021, 74(5): 414-420. |
21 | LEOPOLD T, SCHULZ F. Health and housework in later life: a longitudinal study of retired couples[J]. J Gerontol B Psychol Sci Soc Sci, 2020, 75(1): 184-194. |
22 | MOSCHNY A, PLATEN P, KLAASSEN-MIELKE R, et al. Physical activity patterns in older men and women in Germany: a cross-sectional study[J]. BMC Public Health, 2011, 11: 559. |
23 | 《中国人群身体活动指南》编写委员会. 中国人群身体活动指南(2021)[J]. 中国慢性病预防与控制, 2022, 30(1): 1-2. |
Composing and Editorial Board of Physical Activity Guidelines for Chinese. Physical Activity Guidelines for Chinese (2021)[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2022, 30(1): 1-2. | |
24 | WILMOT E G, EDWARDSON C L, ACHANA F A, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis[J]. Diabetologia, 2012, 55(11): 2895-2905. |
25 | YOUNG D R, HIVERT M F, ALHASSAN S, et al. Sedentary behavior and cardiovascular morbidity and mortality: a science advisory from the American Heart Association[J]. Circulation, 2016, 134(13): e262-e279. |
26 | KATZMARZYK P T, CHURCH T S, CRAIG C L, et al. Sitting time and mortality from all causes, cardiovascular disease, and cancer[J]. Med Sci Sports Exerc, 2009, 41(5): 998-1005. |
27 | CHOMISTEK A K, MANSON J E, STEFANICK M L, et al. Relationship of sedentary behavior and physical activity to incident cardiovascular disease: results from the Women′s Health Initiative[J]. J Am Coll Cardiol, 2013, 61(23): 2346-2354. |
28 | BULL F C, AL-ANSARI S S, BIDDLE S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462. |
29 | LAVIE C J, OZEMEK C, CARBONE S, et al. Sedentary behavior, exercise, and cardiovascular health[J]. Circ Res, 2019, 124(5): 799-815. |
30 | 张乐芸, 张振香, 林蓓蕾, 等. 脑卒中病人久坐行为相关研究进展[J]. 护理研究, 2021, 35(3): 432-436. |
ZHANG L Y, ZHANG Z X, LIN B L, et al. Research progress of sedentary behavior in stroke patients[J]. Chinese Nursing Research, 2021, 35(3): 432-436. |
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