Physical activity and sedentary leisure time and their associations with BMI, waist circumference, and percentage body fat in 0.5 million adults: the China Kadoorie Biobank study

被引:167
|
作者
Du, Huaidong [1 ,2 ]
Bennett, Derrick [1 ,2 ]
Li, Liming [3 ,4 ]
Whitlock, Gary [1 ,2 ]
Guo, Yu [3 ]
Collins, Rory [1 ,2 ]
Chen, Junshi [5 ]
Bian, Zheng [3 ]
Hong, Lai-San [1 ,2 ]
Feng, Shixian [6 ]
Chen, Xiaofang [7 ]
Chen, Lingli [8 ]
Zhou, Renxian
Mao, Enke [10 ]
Peto, Richard [1 ,2 ]
Chen, Zhengming [1 ,2 ,9 ]
机构
[1] Univ Oxford, Nuffield Dept Clin Med, Clin Trial Serv Unit, Oxford OX3 7LF, England
[2] Univ Oxford, Nuffield Dept Clin Med, Epidemiol Studies Unit, Oxford OX3 7LF, England
[3] Chinese Acad Med Sci, Beijing 100730, Peoples R China
[4] Peking Univ, Sch Publ Hlth, Beijing 100871, Peoples R China
[5] Chinese Ctr Dis Control & Prevent, Beijing, Peoples R China
[6] Henan Ctr Dis Control & Prevent, NCDs Prevent & Control Dept, Zhengzhou, Henan Province, Peoples R China
[7] Pengzhou CDC, NCDs Prevent & Control Dept, Pengzhou City, Sichuan Provinc, Peoples R China
[8] Tongxiang CDC, NCDs Prevent & Control Dept, Jiaxing City, Zhejiang, Peoples R China
[9] Wuzhong CDC, Suzhou, Jiangsu, Peoples R China
[10] Maiji CDC, Tianshui City, Gansu, Peoples R China
来源
AMERICAN JOURNAL OF CLINICAL NUTRITION | 2013年 / 97卷 / 03期
基金
英国医学研究理事会; 英国惠康基金;
关键词
MASS INDEX; CARDIOVASCULAR-DISEASE; METABOLIC SYNDROME; SITTING TIME; RISK-FACTORS; OBESITY; HEALTH; MORTALITY; COHORT; BEHAVIORS;
D O I
10.3945/ajcn.112.046854
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Few large studies in China have investigated total physical activity and sedentary leisure time and their associations with adiposity. Objective: We investigated determinants of physical activity and sedentary leisure time and their associations with adiposity in China. Design: A total of 466,605 generally healthy participants (age: 30-79 y, 60% female) in the China Kadoorie Biobank were included in this cross-sectional analysis. Self-reported information on a range of activities was collected by interviewer-administered questionnaire. Physical activity was calculated as metabolic equivalent task hours per day (MET-h/d) spent on work, transportation, housework, and nonsedentary recreation. Sedentary leisure time was quantified as hours per day. Adiposity measures included BMI, waist circumference, and percentage body fat (by bioimpedance analysis). Associations were estimated by linear and logistic regression. Results: The mean physical activity was 22 MET-h/d, and the mean sedentary leisure time was 3.0 h/d. For each sex, physical activity was about one-third lower among professionals/administrators than among factory workers, with intermediate levels for other occupational categories. A 1-SD (14 MET-h/d) greater physical activity was associated with a 0.15-unit (95% CI: 0.14, 0.16) lower BMI (in kg/m(2)), a 0.58-cm (95% CI: 0.55, 0.61) smaller waist circumference, and 0.48 (95% CI: 0.45, 0.50) percentage points less body fat. In contrast, a 1-SD (1.5 h/d) greater sedentary leisure time was associated with a 0.19-unit higher BMI (95% CI: 0.18, 0.20), a 0.57-cm larger waist circumference (95% CI: 0.54, 0.59), and 0.44 (95% CI: 0.42, 0.46) percentage points more body fat. For any given physical activity level, greater sedentary leisure time was associated with a greater prevalence of increased BMI, as was lower physical activity for any given sedentary leisure time. Conclusions: In adult Chinese, physical activity varies substantially by occupation, and lack of physical activity and excess sedentary leisure time are independently and jointly associated with greater adiposity. Am J Clin Nutr 2013;97:487-96.
引用
收藏
页码:487 / 496
页数:10
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