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背景增加体力活动是否是防治代谢综合征(MS)组分个数的有效方法,目前尚存在争议。目的探讨MS组分个数与体力活动水平,从而寻找预防MS的有效方法。方法采用全球运动水平调查表(GPAQ)问卷调查790例健康体检者的体力活动水平。按GPAQ的标准,分低、中、高3个不同体力活动水平,比较不同水平的血脂、空腹血糖、血压、体质量指数(BMI)的差异。以2004年中华医学会糖尿病学分会(CDS)建议MS诊断标准,按MS的组成个数分类,分为0到4个组分类别,寻找MS组分个数与体力活动水平的关系。结果高体力活动水平组,年龄较小,BMI、空腹血糖、三酰甘油、低密度脂蛋白胆固醇、胆固醇、收缩压、舒张压水平较低。有序多分类反应变量logistic回归分析示男性是MS组分个数的危险因素,男性是女性的2.487倍;体力活动水平是MS组分个数的保护性因素,高水平体力活动是低水平0.104倍,中等水平是低水平的0.238倍。按年龄<60及≥60岁进行分层,在≥60岁组中,男性及低水平体力活动是MS组分个数的危险因素,男性是女性的1.598倍,高水平是低水平0.114倍,中等水平是低水平的0.342倍;而年龄不是危险因素。而<60岁组,男性、低体力活动水平、年龄是MS组分个数的危险因素,男性是女性的3.396倍,<30岁是30～60岁的0.563倍;高水平是低水平0.128倍,中等水平是低水平的0.217倍。结论体力活动水平与MS组分个数相关,低体力活动水平是MS组分个数的危险因素。
Background It is still controversial whether increasing physical activity is an effective method to prevent and control the number of metabolic syndrome (MS) components. Objective To explore the number of MS components and physical activity level in order to find an effective way to prevent MS. Methods The physical activity level of 790 healthy subjects was surveyed by GPAQ questionnaire. According to the standard of GPAQ, we divided three levels of physical activity, including low, middle and high, to compare different levels of blood lipid, fasting blood glucose, blood pressure and body mass index (BMI). According to MS diagnostic criteria suggested by CDS in 2004, the diagnostic criteria of MS were divided into 0 to 4 component categories to find the relationship between the number of MS components and the level of physical activity. Results In the group of high physical activity, the age, BMI, fasting blood glucose, triglyceride, low density lipoprotein cholesterol, cholesterol, systolic blood pressure and diastolic blood pressure were lower. Logistic regression analysis showed that men were the risk factors for the number of MS components, 2.487 times more than men; physical activity level was the protective factor of the number of MS components, and high level of physical activity was low 0.104 Times, medium level is low level 0.238 times. Stratified by age <60 and ≥60 years old, men and low-level physical activity were the risk factors for the number of MS components in men over 60 years of age. Men were 1.598 times as many as women and 0.114 times as high as men. Medium level is 0.342 times lower than the low level; while age is not a risk factor. The <60-year-old group, male, low level of physical activity and age were the risk factors for the number of MS components, which was 3.396 times of that of women, <0.563 times of <30 years old> 30-60 years old and 0.128 times of high level , Medium level is 0.217 times lower level. Conclusion The level of physical activity is related to the number of MS components. The level of low physical activity is a risk factor for the number of MS components.