2015年陕西省25岁及以上人群身体活动不足归因死亡及其对期望寿命的影响分析

目的探讨2015年陕西省≥25岁人群不同性别、城乡身体活动不足对死亡和期望寿命的影响。方法利用2015年陕西省慢性病及其危险因素监测数据、死因监测数据、全球疾病负担中身体活动不足相关疾病及其相对危险度数据，计算陕西省≥25岁人群身体活动不足相关疾病的归因分值，及其造成的归因死亡数和期望寿命损失。结果全死因死亡中，≥25岁人群归因于身体活动不足的死亡为3.65%，其中男性3.09%、女性4.50%，城市3.68%、农村3.46%。 身体活动不足导致糖尿病、结直肠癌、缺血性脑卒中、缺血性心脏病、乳腺癌死亡的归因分值分别为15.21%、13.09%、11.00%、8.78%、8.07%。 身体活动不足归因死亡总数为1173人，造成归因死亡最多的疾病是缺血性心脏病（627人），其次是缺血性脑卒中（384人）。 身体活动不足造成人群期望寿命损失0.37岁，其中男性损失0.31岁、女性损失0.44岁，城市损失0.36岁、农村损失0.37岁。结论身体活动不足会影响陕西省居民的身体健康，增加身体活动可减少相关疾病的归因死亡，提高人群期望寿命。

Influence of insufficient physical activity on mortality and life expectancy in adults aged 25 years and above in Shaanxi, 2015

ObjectiveTo evaluate the influence of insufficient physical activity on mortality and life expectancy in adults aged ≥25 years in Shaanxi province in 2015.MethodsThe chronic disease and risk Factor surveillance data, the death cause surveillance data in Shaanxi in 2015 and data of insufficient physical activity associated diseases and related risks from Global Burden of Disease (GBD) study were used. The population attributable fraction (PAF) of insufficient physical activity associated diseases, the deaths caused by insufficient physical activity associated diseases and loss of life expectancy in adults aged ≥25 years in Shaanxi in 2015 were calculated.ResultsThe overall PAF for all causes of death due to insufficient physical activity in adults aged ≥25 years was 3.65%, with 4.50% in women and 3.09% in men, 3.68% in urban area and 3.46% in rural area. The disease-specific insufficient physical activity associated diseases PAF were 15.21% for diabetes, 13.09% for colon and rectum cancer, 11.00% for ischemic stroke, 8.78% for ischemic heart disease and 8.07% for breast cancer. The attributed death numbers due to insufficient physical activity in the adults was 1 173. The disease causing the highest death number was ischemic heart disease (627), followed by ischemic stroke (384). Due to insufficient physical activity, the total life expectancy was expected to decrease by 0.37 years, with 0.31 years in men and 0.44 years in women, 0.36 years in urban area and 0.37 years in rural area.ConclusionInsufficient physical activity can affect the health of adults in Shaanxi. Promoting physical activity can reduce the deaths attributed to related diseases and increase life expectancy in population.