不同休閒身體活動型式及身體活動總量對中年男性心臟血管疾病危險率之影響

Type and Amount of Leisure Time Physical Activity in Relation to the Risk of Cardiovascular Disease in Middle-Aged Men

郭世傑(Shih-Chieh Kuo) ； 吳忠芳(Chung-Fung Wu) ； 涂鵬斐(Pang-Fei Tu)

《興大體育學刊》 13期 (2014/01) Pp. 49-60

摘要

雖然已有許多研究指出身體活動對心血管疾病的效果，但有關身體活動內容對心血管疾病的影響仍有不同的爭論，因此本研究之主要目的，在於針對不同身體活動型式及其身體活動總量對心血管疾病危險率之變化做進一步分析與預測。本研究以45－60歲之中年男性為受試對象，利用流行病學方式郵寄問卷，共得有效問卷462份，將所有資料登錄並以羅吉斯迴歸統計分析後發現：無論從事休閒慢跑、走路或其他休閒身體活動之受試者皆較平時無身體活動習慣之受試者有較低之心血管疾病危險率（勝算比〔OR〕=0.32，0.51，0.36；95%信賴區間〔CI〕=0.18－0.56，0.27－0.97，0.17－0.78）。受試者每週慢跑公里數在10－19公里、20－29公里、30－39公里及40公里以上之受試者比每週慢跑公里數在10公里以下之受試者（包括無身體活動習慣之受試者），有顯著較低罹患心血管疾病的危險率（OR=0.35，0.74，0.28，0.19；95% CI=0.15－0.81，0.38－1.43，0.11-0.74，0.10－0.54），而每週從事不同休閒走路公里數之受試者，雖然在心血管疾病危險率有隨每週公里數增加而減少之趨勢，但彼此之間並未達統計上之顯著水準。規律從事休閒身體活動如慢跑或走路，顯然較無規律身體活動者有較低罹患心血管疾病之危險率。而每週慢跑10公里以上，更可以有效降低心血管疾病的罹患風險。

關鍵字

休閒身體活動 ； 心血管疾病 ； 慢跑 ； 走路

並列摘要

Studies have shown an inverse relationship between leisure time physical activity and risk of cardiovascular disease, but data on type and amount are sparse and remain controversial. The objective of this study was to assess the type and amount of physical activity in relation to the risk of cardiovascular disease among middle-aged men. By the method of epidemiology, mail questionnaires were used to collect data for the study. 462 valid questionnaires for cardiovascular disease study were obtained, and the aged of all participants was 45 to 60 years. After logistic regression statistical analysis, the results were concluded. The results of physical activity type and amount were each associated with the risk of cardiovascular disease. Among these men, The ORs (95% confidence interval [CI]) for running, walking and engaging in another type of physical activity compared with no regular physical activity, were 0.32 (0.18-0.56), 0.51 (0.27-0.97), and 0.36 (0.17-0.78). Men who had running paces of 10-19 km/week, 30-39 km/week and more than 40 km/week were associated with a reduced cardiovascular disease risk (OR=0.35, 0.28, 0.19; 95% CI=0.15-0.81, 0.11-0.74, 0.10-0.54) at least compared with men who ran less than 10 km/week. For walking pace, there were no significant differences in the risk of cardiovascular disease. These data indicated that regular participation in leisure time physical activity like running and walking was associated with a reduced risk of cardiovascular disease, for running , that amount of weekly running for more than 10 km/week were reduce the risk of cardiovascular disease suffer.

並列關鍵字

physical activity ； cardiovascular disease ； running ； walking

參考文獻

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