摘要
目的分析社区成年人心肺耐力下降情况及其影响因素。方法采用聚类抽样法选取2022-10-08至2022-11-31无锡市梁溪社区、滨湖社区成年人730例作为研究对象。采用一般资料调查问卷、12项一般健康问卷(GHQ-12)、中文版病人健康问卷抑郁自评量表(PHQ-9)、广泛性焦虑量表(GAD-7)、失眠严重程度指数量表(ISI)调查受试者的临床资料。采用GMCS-GLC3功率车测定受试者的最大摄氧量(VO2max),将VO2max百分制评分体系得分≥60分者纳入心肺耐力正常组,<60分者纳入心肺耐力下降组。采用多因素Logistic回归分析探讨社区成年人心肺耐力下降的影响因素。结果730例受试者中,心肺耐力下降70例(9.6%)。两组性别、年龄、BMI、规律饮食情况、正常吃早餐情况、早餐口味、蔬菜摄入情况、日常饮食的追求、血脂异常者占比、血糖异常者占比、运动次数、GHQ-12评分及中文版PHQ-9评分比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,性别[OR=0.453,95%CI(0.244~0.839)]、年龄[OR=0.348,95%CI(0.185~0.654)]、BMI[24.0~28.0 kg/m^(2):OR=5.347,95%CI(2.051~13.942);>28.0 kg/m^(2):OR=15.977,95%CI(6.092~41.899)]、血脂异常[OR=2.496,95%CI(1.351~4.612)]、运动次数[OR=4.177,95%CI(2.333~7.480)]、中文版PHQ-9评分[OR=1.106,95%CI(1.030~1.187)]是社区成年人心肺耐力下降的独立影响因素(P<0.05)。结论社区成年人心肺耐力下降发生率为9.6%。性别、年龄、BMI、血脂异常、运动次数、抑郁程度是社区成年人心肺耐力下降的独立影响因素。
Objective To analyse the situation of cardiopulmonary endurance in community adults and its influencing factors.Methods A total of 730 cases of adults in Liangxi community and Binhu community in Wuxi City from October 8 to November 31 in 2022 were selected by cluster sampling method as study subjects.Clinical data of subjects were investigated by General Information Questionnaire,General Health Questionnaire-12(GHQ-12),Chinese version of Patient Health Questionnaire-9(PHQ-9),General Anxiety Disorder-7(GAD-7),Insomnia Severity Index(ISI).The GMCS-GLC3 power cart was used to determine the maximum oxygen uptake(VO2max),and those with VO2max percentage scoring system score≥60 were included in the normal cardiopulmonary endurance group,and those with VO2max percentage scoring system score<60 were included in the decreased cardiopulmonary endurance group.Multivariate Logistic regression analysis was used to explore the influencing factors of decreased cardiopulmonary endurance in community adults.Results Among 730 cases of community adults,with 70 cases(9.6%)decreased cardiopulmonary endurance.There were significant differences of gender,age,BMI,dietary patterns,normal breakfast situation,breakfast flavour,vegetable intake situation,the pursuit of daily diet,proportion of patients with abnormal blood lipid,and abnormal blood glucose,the number of exercises,GHQ-12 score and Chinese version of PHQ-9 score between the two groups(P<0.05).The results of multivariate Logistic regression analysis showed that gender[OR=0.453,95%CI(0.244-0.839)],age[OR=0.348,95%CI(0.185-0.654)],BMI{BMI 24.0-28.0 kg/m^(2)[OR=5.347,95%CI(2.051-13.942)];BMI>28.0 kg/m^(2)[OR=15.977,95%CI(6.092-41.899)]},abnormal blood lipid[OR=2.496,95%CI(1.351-4.612)],the number of exercises[OR=4.177,95%CI(2.333-7.480)],and Chinese version of PHQ-9 score[OR=1.106,95%CI(1.030-1.187)]were independent influencing factors of decreased cardiopulmonary endurance in community adults(P<0.05).Conclusion The prevalence of decreased cardiopulmonary endurance among community adults is 9.6%.Gender,age,BMI,abnormal blood lipid,the number of exercises,and depression degree are independent influencing factors of decreased cardiopulmonary endurance in community adults.
作者
陶夏岚
计樱莹
方萍
谢玉宝
王彤
TAO Xialan;JI Yingying;FANG Ping;XIE Yubao;WANG Tong(Nanjing Medical University,Nanjing 210029,China;Department of Rehabilitation Treatment,Wuxi Huishan District Rehabilitation Hospital,Wuxi 214100,China;Department of Science and Education,Wuxi Central Rehabilitation Hospital,Wuxi 214100,China;Department of Rehabilitation,Wuxi Xinwu District Rehabilitation Hospital,Wuxi 214100,China;Department of Rehabilitation Medicine Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210006,China)
出处
《实用心脑肺血管病杂志》
2025年第8期78-84,共7页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
江苏省中医药科技发展计划项目(MS2021046)。
关键词
心肺适应性
心肺耐力
成年人
社区
影响因素分析
Cardiorespiratory fitness
Cardiopulmonary endurance
Adults
Community
Root cause analysis
