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

doi:10.3969/j.issn.1006-9771.2024.04.010

Abstract

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

CLC Number:

SU Zhaoyin, KANG Weihan, LIU Yatao, LÜ Yuan, Michael NERLICH. Relationship between physical activity levels and stroke risk among middle-aged and older adults in China based on CHARLS data[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 449-453.

Figures/Tables 3

Table 1

Table 2

Table 3

References 27

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项目	发生脑卒中(n = 1368)	未发生脑卒中(n = 18027)	χ²值	P值
性别
男	698	8395	10.131	< 0.001
女	670	9632
年龄			306.509	< 0.001
< 65岁	549	11525
≥ 65岁	819	6502
婚姻状态			66.023	< 0.001
已婚	971	13623
分居	90	1668
离异	16	251
丧偶	283	2379
未婚	8	106
居住地			3.024	0.387
城或镇中心区	326	4388
城乡或镇乡结合区	153	2224
农村	888	11382
特殊区域	1	33
受教育程度			21.074	< 0.001
小学及以下	964	11642
初中	255	4022
高中及中专	129	1938
大学及以上	20	425
运动强度			172.863	< 0.001
低强度	390	3014
中强度	423	4731
高强度	555	10282

项目	OR	95%CI	P值	项目	OR	95%CI	P值
性别				居住地
男	1.000			城或镇中心区	1.000
女	0.836	0.749~0.933	0.001	城乡或乡镇结合区	0.926	0.759~1.130	0.448
年龄				农村	1.050	0.921~1.198	0.466
< 65岁	1.000			特殊区域	0.585	0.079~4.347	0.601
≥ 65岁	1.049	1.043~1.055	< 0.001	受教育程度
婚姻状态				小学及以下	1.000
已婚	1.000			初中	0.766	0.664~0.883	< 0.001
分居	2.004	1.091~3.683	0.025	高中及中专	0.804	0.665~0.972	0.024
离异	0.894	0.537~1.489	0.668	大学及以上	0.568	0.361~0.894	0.015
丧偶	1.669	1.452~1.919	< 0.001	运动强度
未婚	1.059	0.515~2.179	0.877	低强度	1.000
				中强度	0.691	0.598~0.799	< 0.001
				高强度	0.417	0.364~0.478	< 0.001

项目	OR	95%CI	P值
性别
女	0.834	0.746~0.933	0.001
年龄
≥ 65岁	2.398	2.139~2.668	< 0.001
运动强度
中强度	0.755	0.652~0.874	< 0.001
高强度	0.498	0.433~0.572	< 0.001

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

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