PDF(Pubmed)
Abstract：
BACKGROUND: Insufficient physical activity (PA) is a major risk factor for non-communicable diseases (NCDs) and one of the leading causes of premature mortality worldwide. This study examined the prevalence and independent determinants of insufficient PA among adults resident of Tehran utilizing Tehran Cohort Study Data (TeCS).
METHODS: We used the recruitment phase data from the TeCS with complete data on PA. PA was assessed through a Likert-scaled question and categorized into three groups. Utilizing data from the 2016 national census, the age- and sex-weighted prevalence of insufficient PA in Tehran was determined. The adjusted logistic regression model is used to neutralize influencing factors and determine the factors associated with insufficient PA.
RESULTS: The weighted prevalence of insufficient PA was 16.9% among the 8213 adult citizens of Tehran, with a greater prevalence among females (19.0% vs. 14.8% among males). Additionally, older age groups, unemployed, housewives, and illiterate educated participants displayed a much higher prevalence of insufficient PA (p < 0.001). Moreover, Tehran\'s central and southern districts had higher rates of insufficient PA. Concerning the adjusted regression model, older age (Odds ratio [OR]: 4.26, 95% confidence interval [95% CI]: 3.24-5.60, p < 0.001), a lower education level (p < 0.001), unemployment (OR: 1.80, 95% CI: 1.28-2.55, p = 0.001), being a housewife (OR: 1.44, 95% CI: 1.15-1.80, p = 0.002), higher body mass index (BMI) (OR for BMI > 30: 1.85, 95% CI: 1.56-2.18, p < 0.001), opium consumption (OR: 1.92, 95% CI: 1.46-2.52, p < 0.001), diabetes mellitus (OR: 1.25, 95% CI: 1.06-1.48, p = 0.008), hypertension (OR: 1.29, 95% CI: 1.11-1.50, p = 0.001), and coronary artery diseases (OR: 1.30, 95% CI: 1.05-1.61, p = 0.018), were significantly associated with insufficient PA.
CONCLUSIONS: The identified associated factors serve as a valuable guide for policymakers in developing tailored intervention strategies to address the needs of high-risk populations, particularly among older adults and females.
METHODS: We used the recruitment phase data from the TeCS with complete data on PA. PA was assessed through a Likert-scaled question and categorized into three groups. Utilizing data from the 2016 national census, the age- and sex-weighted prevalence of insufficient PA in Tehran was determined. The adjusted logistic regression model is used to neutralize influencing factors and determine the factors associated with insufficient PA.
RESULTS: The weighted prevalence of insufficient PA was 16.9% among the 8213 adult citizens of Tehran, with a greater prevalence among females (19.0% vs. 14.8% among males). Additionally, older age groups, unemployed, housewives, and illiterate educated participants displayed a much higher prevalence of insufficient PA (p < 0.001). Moreover, Tehran\'s central and southern districts had higher rates of insufficient PA. Concerning the adjusted regression model, older age (Odds ratio [OR]: 4.26, 95% confidence interval [95% CI]: 3.24-5.60, p < 0.001), a lower education level (p < 0.001), unemployment (OR: 1.80, 95% CI: 1.28-2.55, p = 0.001), being a housewife (OR: 1.44, 95% CI: 1.15-1.80, p = 0.002), higher body mass index (BMI) (OR for BMI > 30: 1.85, 95% CI: 1.56-2.18, p < 0.001), opium consumption (OR: 1.92, 95% CI: 1.46-2.52, p < 0.001), diabetes mellitus (OR: 1.25, 95% CI: 1.06-1.48, p = 0.008), hypertension (OR: 1.29, 95% CI: 1.11-1.50, p = 0.001), and coronary artery diseases (OR: 1.30, 95% CI: 1.05-1.61, p = 0.018), were significantly associated with insufficient PA.
CONCLUSIONS: The identified associated factors serve as a valuable guide for policymakers in developing tailored intervention strategies to address the needs of high-risk populations, particularly among older adults and females.
摘要：
背景：体力活动不足（PA）是非传染性疾病（NCD）的主要危险因素，也是全球范围内过早死亡的主要原因之一。这项研究利用德黑兰队列研究数据（TeCS）研究了德黑兰成年人中PA不足的患病率和独立决定因素。
方法：我们使用了TeCS的招募阶段数据和PA的完整数据。PA通过Likert缩放问题进行评估，并分为三组。利用2016年全国人口普查数据，确定了德黑兰地区PA不足的年龄和性别加权患病率.调整后的logistic回归模型用于中和影响因素，并确定与PA不足相关的因素。
结果：在德黑兰的8213名成年公民中，PA不足的加权患病率为16.9％，在女性中患病率更高(19.0%vs.男性占14.8%）。此外,老年群体,失业,家庭主妇,受过文盲教育的参与者表现出更高的PA不足患病率（p<0.001）。此外，德黑兰中部和南部地区的PA不足率较高。关于调整后的回归模型，年龄较大(赔率[OR]：4.26，95%置信区间[95%CI]：3.24-5.60，p<0.001)，教育水平较低(p<0.001)，失业率(OR：1.80，95%CI：1.28-2.55，p=0.001)，作为家庭主妇（OR：1.44，95%CI：1.15-1.80，p=0.002），较高的体重指数（BMI）（BMI>30的OR：1.85，95％CI：1.56-2.18，p<0.001），鸦片消费量（OR：1.92，95%CI：1.46-2.52，p<0.001），糖尿病（OR：1.25，95%CI：1.06-1.48，p=0.008），高血压（OR：1.29，95%CI：1.11-1.50，p=0.001），和冠状动脉疾病（OR：1.30，95%CI：1.05-1.61，p=0.018），与PA不足显著相关。
结论：所确定的相关因素为决策者制定量身定制的干预策略以满足高危人群的需求提供了宝贵的指导。尤其是老年人和女性。
方法：我们使用了TeCS的招募阶段数据和PA的完整数据。PA通过Likert缩放问题进行评估，并分为三组。利用2016年全国人口普查数据，确定了德黑兰地区PA不足的年龄和性别加权患病率.调整后的logistic回归模型用于中和影响因素，并确定与PA不足相关的因素。
结果：在德黑兰的8213名成年公民中，PA不足的加权患病率为16.9％，在女性中患病率更高(19.0%vs.男性占14.8%）。此外,老年群体,失业,家庭主妇,受过文盲教育的参与者表现出更高的PA不足患病率（p<0.001）。此外，德黑兰中部和南部地区的PA不足率较高。关于调整后的回归模型，年龄较大(赔率[OR]：4.26，95%置信区间[95%CI]：3.24-5.60，p<0.001)，教育水平较低(p<0.001)，失业率(OR：1.80，95%CI：1.28-2.55，p=0.001)，作为家庭主妇（OR：1.44，95%CI：1.15-1.80，p=0.002），较高的体重指数（BMI）（BMI>30的OR：1.85，95％CI：1.56-2.18，p<0.001），鸦片消费量（OR：1.92，95%CI：1.46-2.52，p<0.001），糖尿病（OR：1.25，95%CI：1.06-1.48，p=0.008），高血压（OR：1.29，95%CI：1.11-1.50，p=0.001），和冠状动脉疾病（OR：1.30，95%CI：1.05-1.61，p=0.018），与PA不足显著相关。
结论：所确定的相关因素为决策者制定量身定制的干预策略以满足高危人群的需求提供了宝贵的指导。尤其是老年人和女性。
