久坐行为与成年人多种慢性疾病的关联研究

目的 了解成年人久坐行为现状,探讨久坐行为与多种慢性病之间的关系。 方法 2018年采用多阶段分层整群抽样方法,对四川省15394名常住居民进行问卷调查,获得人口社会学、健康及相关行为等信息,采用logistic回归模型分析久坐行为与多种慢性病的关系。 结果 共纳入14073人,平均年龄为（53.10±15.65）岁,日静坐时间>7h占8.08%,5~7h占22.51%,3~5h占34.02%,<3h占35.39%。日静坐时间越长的居民患高血压、糖尿病、骨关节疾病、慢性阻塞性肺病和消化系统疾病的几率更高。本研究发现在控制了社会人口学特征、体力活动及共病等因素的影响后,日静坐时长3h以上易增加骨关节疾病（OR=1.352,95%CI:1.168~1.563）及消化系统疾病（OR=1.469,95%CI:1.144~1.887）的患病几率。日静坐时长5h以上易增加糖尿病（OR=1.302,95%CI:1.023~1.657）的患病几率。日静坐时长7h以上易增加高血压（OR=1.293,95%CI:1.068~1.565）及慢性阻塞性肺病（OR=2.046,95%CI:1.591~2.630）的患病几率。日静坐时间越长、患多种慢性病的可能性越高。 结论 成年人的久坐行为与多种慢性病发生相关,减少久坐行为可能有助于降低成年人患慢性病的几率。

Association between sedentary behavior and multiple chronic diseases in adults

To understand the status quo of sedentary behavior among adults and explore the relationship betweensedentary behavior and multiple chronic diseases. Methods A multi － stage stratified cluster sampling method was used toconduct a questionnaire survey of 15,394 permanent residents in Sichuan Province in 2018,so as to obtain demographicsociology,health and related behaviors and other information. Logistic regression model was adopted to analyze the relationshipbetween sedentary behavior and a variety of chronic diseases. Ｒesults A total of 14,073 participants were included,with anaverage age of ( 53. 10 ± 15. 65) years. Sedentary time for 7 hours per day accounted for 8. 08% ,22. 51% for 5 ～ 7 hours,34. 02% for 3 － 5 hours,and 35. 39% for ＜ 3 hours. The longer the sitting time was,the higher the risk of hypertension,diabetes,bone and joint diseases,chronic obstructive pulmonary disease and digestive system diseases. After controlling theinfluence of social demographic characteristics,physical activity,comorbidity and other factors,sitting quietly for more than 3hours a day tended to increase the odds of bone and joint diseases ( OＲ = 1. 352,95% CI: 1. 168 ～ 1. 563) and digestivesystem diseases ( OＲ = 1. 469,95% CI: 1. 144 ～ 1. 887) . Sitting quietly for more than 5 hours per day tended to increase theodds of diabetes ( OＲ = 1. 302,95% CI: 1. 023 ～ 1. 657) . Sitting quietly for more than 7 hours per day tended to increase theodds of hypertension ( OＲ = 1. 293,95% CI: 1. 068 ～ 1. 565) and chronic obstructive pulmonary disease ( OＲ = 2. 046,95%CI: 1. 591 ～ 2. 630) . The longer the daily sit － in time,the higher the possibility of suffering from various chronic diseases.Conclusion Sedentary behavior among adults is associated with a variety of chronic diseases. Ｒeducing sedentary behavior mayhelp reduce the probability of chronic and multiple diseases among adults