| 1 | Sports activity patterns and cardio-metabolic health over time among adults in Germany: Results of a nationwide 12-year follow-up study显示文摘Background:Physical activity is favorable for health,and vigorous sports activity is particularly beneficial.This study investigates the association between changes in sports participation patterns over time and cardio-metabolic and self-perceived health outcomes.Methods:Data from 3752 adults(18-79 years of age)who participated in 2 national health interview and examination surveys in 1997-1999 and 2008-2011 were included,with a mean follow-up time of about 12 years.A change in self-reported sports activity was analyzed with respect to the incidence of type 2 diabetes,coronary heart disease(CHD),hypertension,obesity,dyslipidemia,metabolic syndrome,and poor self-perceived health.Participants with pre-existing disease or risk factor of interest at baseline were excluded from the analysis.Being sufficiently active in sports was specified as doing sports for at least 1-2 h per week,and 4 activity categories were defined:1)inactive at both time points(inactive-inactive),2)inactive at baseline and active at follow-up(inactive-active),3)active at baseline and inactive at follow-up(active-inactive),and 4)active at both time points(active-active).Associations between sports activity engagement and health outcomes were estimated by logistic regression models with different stages of adjustments.Results:Not engaging in any regular sports activity at both time points(inactive-inactive)was associated with higher rates of type 2 diabetes(odds ratio(OR)=1.82,95%confidence interval(95%CI):1.08-3.08),CHD(OR=1.82,95%CI:1.16-2.84),hypertension(OR=1.36,95%CI:1.03-1.81),metabolic syndrome(OR=1.58,95%CI:1.08-2.32),and poor self-perceived health(OR=2.54,95%CI:1.83-3.53)compared to doing regular sports for a minimum of 1-2 h per week over time(active-active).In case of change from inactivity to any regular sports activity(inactive-active),the rate of risk factor occurrence was not statistically different from the active-active reference group except for poor self-perceived health,but it was higher for type 2 diabetes(OR=2.15,95%CI:1.12-4.14)and CHD(OR=1.77,95%CI:1.03-3.03).Being active at baseline but inactive at follow-up(active-inactive)was not associated with higher disease incidence of type 2 diabetes(OR=0.70,95%CI:0.25-1.97)or CHD(OR=1.20,95%CI:0.49-2.99),but was associated with higher rates of hypertension(OR=1.61,95%CI:1.11-2.34),obesity(OR=2.34,95%CI:1.53-3.57),metabolic syndrome(OR=1.70,95%CI:1.11-2.63),and poor self-perceived health(OR=2.16,95%CI:1.53-3.07)at follow-up.Conclusion:Even a low weekly quantity(1-2 h)of regular sports activity is partly associated with health benefits.Being formerly but not currently active was not associated with an increased disease incidence,but was associated with a higher risk-factor development compared to the reference group(active-active).Becoming active was preventive for risk-factor development but was not preventive for disease incidence,which probably means that the health benefits from sports activity are not sustainable and disease incidence is only shifted to a later period in life.For this reason,the promotion of and commitment to regular sports activity should be addressed as early as possible over the lifespan to achieve the best health benefits. | Lars Gabrys Jens Baumert Christin Heidemann Markus Busch Jonas David Finger | 2021 | Journal of Sport and Health Science2021，10，4： | 1 |
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