《中国康复理论与实践》

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (4): 449-453.doi: 10.3969/j.issn.1006-9771.2024.04.010

• 应用研究 • 上一篇    下一篇

中国中老年人身体活动水平与脑卒中发生的相关性：基于CHARLS数据

粟昭隐1, 康巍瀚1, 刘亚涛2(), 吕媛3, Michael NERLICH4   

  1. 1.兰州大学第一临床医学院，甘肃兰州市 730000
    2.兰州大学第一医院，甘肃兰州市 730000
    3.兰州大学第二临床医学院，甘肃兰州市 730000
    4.德国雷根斯堡大学医院，德国雷根斯堡 80333
  • 收稿日期:2024-02-03 修回日期:2024-03-11 出版日期:2024-04-25 发布日期:2024-05-08
  • 通讯作者: 刘亚涛，E-mail： doctorliuyt@163.com
  • 作者简介:粟昭隐(2002-)，男，苗族，广西柳州市人，本科生。
  • 基金资助:
    1.科学技术部高端外国专家项目(G2019028023);科学技术部高端外国专家项目(G2020028007);2.兰州大学学生创新创业行动计划(20230060103);兰州大学学生创新创业行动计划(20230060114);3.兰州大学医学教育创新发展项目(lzuyxcx-2022-99);4.甘肃省联合科研基金项目(23JRRA1496)

Relationship between physical activity levels and stroke risk among middle-aged and older adults in China based on CHARLS data

SU Zhaoyin1, KANG Weihan1, LIU Yatao2(), LÜ Yuan3, Michael NERLICH4   

  1. 1. The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu 730000, China
    2. The First Hospital of Lanzhou University, Lanzhou, Gansu 730000, China
    3. The Second Clinical Medical College of Lanzhou University, Lanzhou, Gansu 730000, China
    4. The University Hospital of Regensburg, Regensburg 80333, Germany
  • Received:2024-02-03 Revised:2024-03-11 Published:2024-04-25 Online:2024-05-08
  • Contact: LIU Yatao, E-mail: doctorliuyt@163.com
  • Supported by:
    Ministry of Science and Technology High Foreign Expert Project(G2019028023);Ministry of Science and Technology High Foreign Expert Project(G2020028007);Lanzhou University Student Innovation and Entrepreneurship Action Plan(20230060103);Lanzhou University Student Innovation and Entrepreneurship Action Plan(20230060114);Lanzhou University Medical Education Innovation and Development Project(lzuyxcx-2022-99);Gansu Joint Research Fund(23JRRA1496)

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摘要：

目的 探究中国中老年人身体活动水平与脑卒中发生的关联。

方法 分析中国健康与养老追踪调查(CHARLS) 2020年数据中19 395例受访者的自我报告数据。

结果 发生脑卒中1 368例(7.05%)。年龄≥ 65岁(OR = 1.049, 95%CI 1.043~1.055, P < 0.001)、与配偶分居(OR = 2.004, 95%CI 1.091~3.683, P = 0.025)、丧偶(OR = 1.669, 95%CI 1.452~1.919, P < 0.001)是脑卒中发生的危险因素。相比于教育水平为小学，初中(OR = 0.766, 95%CI 0.664~0.883, P < 0.001)、高中及中专(OR = 0.804, 95%CI 0.665~0.972, P = 0.024)、大学及以上(OR = 0.568, 95%CI 0.361~0.894, P = 0.015)是脑卒中发生的保护因素；与低强度身体活动水平相比，中强度身体活动水平(OR = 0.691, 95%CI 0.598~0.799, P < 0.001)、高强度身体活动水平(OR = 0.417, 95%CI 0.364~0.478, P < 0.001)是脑卒中发生率的保护因素。调整婚姻状态、受教育程度后，年龄≥ 65岁(OR = 2.398, 95%CI 2.139~2.668, P < 0.001)、女性(OR = 0.834, 95%CI 0.746~0.933, P = 0.001)、中强度身体活动水平(OR = 0.755, 95%CI 0.652~0.874, P < 0.001)、高强度身体活动水平(OR = 0.498, 95%CI 0.433~0.572, P < 0.001)仍与脑卒中的发生相关。

结论 适度身体活动可能降低脑卒中的发生风险。

关键词: 脑卒中, 中老年人, 身体活动, 中国健康与养老追踪调查

Abstract:

Objective To investigate the association between levels of physical activity and incidence of stroke among middle-aged and older individuals in China.

Methods The self-reported data of 19 395 respondents from the China Health and Retirement Longitudinal Study (CHARLS) 2020 dataset were analyzed.

Results There were 1 368 cases of stroke (7.05%). The participants aged ≥ 65 years (OR = 1.049, 95%CI 1.043 to 1.055, P < 0.001), living separately from their spouse (OR = 2.004, 95%CI 1.091 to 3.683, P = 0.025) and widowed (OR = 1.669, 95%CI 1.452 to 1.919, P < 0.001) were in more risk of stroke. Compared to participants accepting education of primary school, individuals accepting education of middle school (OR = 0.766, 95%CI 0.664 to 0.883, P < 0.001), high school and technical school (OR = 0.804, 95%CI 0.665 to 0.972, P = 0.024), and higher school or above (OR = 0.568, 95%CI 0.361 to 0.894, P = 0.015) were in less risk of stroke; as well as the individuals with moderate-intensity physical activity (OR = 0.691, 95%CI 0.598 to 0.799, P < 0.001) and high-intensity physical activity (OR = 0.417, 95%CI 0.364 to 0.478, P < 0.001) compared with those with low-intensity physical activity. After adjusting for marital status and education levels, aged ≥ 65 years (OR = 2.398, 95%CI 2.139 to 2.668, P < 0.001), females (OR = 0.834, 95%CI 0.746 to 0.933, P =0.001), moderate-intensity (OR = 0.755, 95%CI 0.652 to 0.874, P < 0.001) and high-intensity (OR = 0.498, 95%CI 0.433 to 0.572, P < 0.001) physical activity remained related factors of stroke.

Conclusion Appropriate physical activity may reduce the risk of stroke.

Key words: stroke, middle-aged and older adults, physical activity, China Health and Retirement Longitudinal Study

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