背景:非传染性疾病(NCD)在全球范围内引起的关注令人担忧,因为它与全球年死亡率的80%有关。非传染性疾病威胁正在上升,原因是,其中,不断老龄化的人口,因此,将促进健康老龄化的努力放在许多国家健康议程的前列。身体活动已被认为是追求健康老龄化的重要因素之一。然而,在马来西亚,大约三分之一的人身体不活跃。这项研究的目的是确定退休前政府医护人员中缺乏体育锻炼的患病率及其相关因素。
方法:这项横断面研究于2023年5月至6月在吉隆坡退休前的政府医护人员中进行,马来西亚。所需的样本量为233,并使用比例随机抽样来招募回答自我管理的在线问卷的潜在受访者。使用全球身体活动问卷(GPAQ)来测量身体活动水平,并使用SPSS版本29进行数据分析。
结果:从分发的233份问卷中,共收到214份完整的答复,给出91.8%的应答率。退休前医护人员缺乏体育锻炼的患病率为39.7%,而普通人群仅为29.9%。缺乏体育锻炼的重要预测因素包括高等教育水平(SPM,STPM,或证书持有人)(AOR=13.4,95%CI:2.47-72.65),非马来人国籍(AOR=4.7,95%CI:1.23-18.38),个人障碍(AOR=1.6,95%CI:1.35-1.79),社会障碍(AOR=1.21,95%CI:1.06-1.39),和物理环境障碍(AOR=1.468,95%CI:1.221-1.765)。
结论:这项研究显示,退休前医护人员缺乏体力活动的患病率令人担忧,甚至高于马来西亚的普通人群。调查结果强调了将预防策略集中在非马来工人和受教育程度较低的工人中的重要性。解决所有物理问题也至关重要,社会,以及缺乏身体活动的环境障碍。通过优先考虑这些因素,雇主和利益相关者将能够建立更好的工作场所健康促进,并更有效地解决缺乏身体活动的问题。
BACKGROUND: The rising worldwide concern of Non-Communicable Diseases (NCD) is alarming as it is associated with 80% of annual global mortality. NCD threat is rising due to, among others, the increasing ageing population, thus putting the efforts to promote health ageing at the forefront of many countries\' health agenda. Physical activity has been recognised as one of the significant factors in the pursuit of healthy ageing. Nevertheless, approximately one third of individuals in Malaysia are physically inactive. The aim of this study is to determine the prevalence of physical inactivity and its associated factors among pre-retirement government healthcare workers.
METHODS: This cross-sectional study was conducted from May to June 2023 among pre-retirement government healthcare workers in Kuala Lumpur, Malaysia. The sample size required was 233 and proportionate random sampling was used to recruit potential respondents who answered self-administered online questionnaires. Global Physical Activity Questionnaire (GPAQ) was used to measure the level of physical activity and data analysis was performed using SPSS version 29.
RESULTS: A total of 214 complete responses were received from the 233 questionnaires distributed, giving a response rate of 91.8%. The prevalence of physical inactivity among pre-retirement healthcare workers was 39.7% as compare only 29.9% in general population. Significant predictors for physical inactivity included higher education levels (SPM, STPM, or certificate holders) (AOR = 13.4, 95% CI: 2.47-72.65), non-Malay ethinicity (AOR = 4.7, 95% CI: 1.23-18.38), personal barriers (AOR = 1.6, 95% CI:1.35-1.79), social barriers (AOR = 1.21, 95% CI: 1.06-1.39), and physical environment barriers (AOR = 1.468, 95% CI: 1.221-1.765).
CONCLUSIONS: This study shows a worrying prevalence of physical inactivity among pre-retirement healthcare workers that is even higher than the general population in Malaysia. The findings highlight the importance of focusing the preventive strategies among non-Malay workers and those with lower education levels. It is also vital to address all the physical, social, and environmental barriers towards physical inactivity. By prioritising these factors, employers and stakeholders will be able to establish better workplace health promotion and address the issue of physical inactivity more efficiently.