体力活动不足、久坐行为与糖代谢异常检出率的关系

目的：探讨体力活动（PA）不足和久坐行为（SB）与糖代谢异常检出率的关系。方法：对30~69岁具有至少3项DM危险因素者进行糖耐量筛查,采用国际体力活动问卷（IPAQ-SF）调查PA水平和SB,并利用加速度计对问卷进行效度检验。结果：研究纳入195人,平均年龄（51.92±10.64）岁。糖代谢异常检出率为67.18%,检出率随DM危险因素数量的增多而升高。IPAQ-SF中MPA、MVPA以及SB时间与加速度计测量结果的相关系数r分别为0.35、0.37和0.43。受试者中75.9%属于PA不足,同时具有\"PA不足+（年龄≥ 40岁）+超重/肥胖\"三项的受试者最多（48.21%）。在调整了混杂因素之后,与SB ≤ 6h/d组相比,SB>6h/d组受试者的糖耐量异常检出率更高（OR=2.37,95% CI：1.12~5.02）。结论：多种DM危险因素聚集者中糖代谢异常检出率较高,PA不足者较多,SB增加糖代谢异常风险,IPAQ-SF适用于对该人群进行PA评价。建议对糖尿病多危险因素聚集者,尤其是PA不足、SB较多、超重/肥胖者及时筛查并重点关注,降低糖代谢异常发病率。     

‘Every child (of every size) matters’ in physical education! Physical education's role in childhood obesity

The role of schools and physical education in promoting health, producing a ‘healthy nation’ and in tackling obesity has been increasingly recognised in recent years. In England this is evidenced by various policies, strategies and responses from government that have highlighted schools to be instrumental in addressing health broadly and obesity specifically. In addition, individual schools and teachers at the local level appear to be responding to the obesity issue in varied and different ways. However, we and other researchers feel that the discourse surrounding obesity and some of the reports, messages, policies and measures being taken to tackle it are misleading, misguided and could do more harm than good. At the same time, as physical educators committed to the health and development of young people, we feel unable to ignore the issue and compelled to act. We contend that ‘every child of every size matters’ and can benefit from regular engagement in physical education and physical activity and furthermore that, as a profession, we have a responsibility to provide all young people, of all sizes, with meaningful, relevant and positive physical education and physical activity experiences. Given this, we consider what role physical education can and should realistically, sensibly and safely play in addressing childhood overweight and obesity. Firstly, some of the key ‘facts’, issues and debates concerning obesity are explored and the way in which the issue appears to be being addressed in many schools is critiqued. We then briefly summarise some of the formal guidance and recommendations available to schools on obesity, before concluding with some practical recommendations to support physical education teachers in effectively engaging all children in physical activity both within and beyond physical education.     

武汉市城镇20-59岁人群体育锻炼情况的调查分析

通过分析武汉市城镇20-59岁人群的体育锻炼情况,采用比较武汉市与湖北省其他城市成年人群相关数据的方法,进一步探讨了武汉市城镇人群体质与生活方式的特点。     

Effect of a Pedometer-Based Intervention on Daily Step Counts of Community-Dwelling Older Adults

This study investigated the effect of a 12-week pedometer-based intervention on daily step counts of 147 older adults randomly assigned to an intervention or wait-list control group (M age = 72.9 years, SD = 8.8). The intervention group significantly increased their daily step counts after 12 weeks (M = 639, SD = 2,239) and continued to significantly increase during a 12-week maintenance period (M = 680, SD = 1,721). The control group exhibited no change during the control period (M =-393, SD = 2,050) but had a significant increase in daily step counts (M = 1,580, SD = 2,305) when enrolled in the intervention. The pedometer-based intervention was effective in increasing participants' daily step counts.     

抗阻运动对2型糖尿病的作用及机制研究进展

近年来,糖尿病发病率在全球迅速增加,已经成为严重的公共卫生问题之一。运动疗法是糖尿病防治的重要方法之一,有氧运动在糖尿病防治中的作用已得到认可并推广,但抗阻运动的作用却未得到重视。本文分析了抗阻运动对2型糖尿病患者的血糖控制、胰岛素抵抗、肌糖原合成、线粒体功能、脂质积聚、心理健康等几方面的作用及相关机制,为建立2型糖尿病科学、全面的运动治疗方案提供依据。     

Assessing parental impact on the sports participation of children: A socio-economic analysis of the UK

Abstract

This study examines the effects of parental attitudes on children's physical activity. A measure of parental attitude (their sport participation when being young) that is independent of the child's behaviour is needed. Using data from the sixth wave of the Taking Part Survey (n =14,002 adults and n =1116 children), a matching estimator analysis is conducted. The results reveal that there are substantial intergenerational transfers of behaviours, in particular for male adults and male children. Furthermore, while an effect is observed for female adults and male children, female children's sport participation is only marginally influenced by female adult's physical activity when growing up. The results imply that promoting sport to the younger generation seems to be a fruitful strategy in creating a sporting habit and promoting sport participation when being older. However, there are challenges to be overcome in promoting female participation.     

我国民营企业家体力活动阶段变化研究

以中国义乌小商品城的民营企业家为研究对象,对其体力活动阶段分布进行了问卷调查与分析。结果显示我国民营企业家体力活动阶段变化特征明显。     

Position statement: Testing physical condition in a population – how good are the methods?

Abstract

A poor physical condition – expressed as physical inactivity and poor physical fitness – is associated with the development of chronic diseases and premature death. Our aim was to evaluate the methods currently available for measuring physical activity and physical fitness in the general population.

Physical activity is determined by duration, frequency, and intensity and derives from many different domains, making it difficult to assess over long periods and no feasible general criterion measure exists. Both objective and subjective methods are available. Of the objective methods, accelerometry is the most attractive technology, and is well enough developed for general use in large populations. The advantage of accelerometry is that it is not dependent on the memory of the individual, but its main disadvantage is that it grossly underestimates energy expenditure, due to the lack of registration of certain activities. This may be overcome to a certain extent by combining accelerometry with heart rate monitoring, although this still does not measure activity in different domains. Of the subjective methods, self-report questionnaires are inexpensive and easy to administer. Many questionnaires have been developed, but we require (1) consensus on which measures to use for validation and (2) further development of internationally standardized questionnaires for use in different settings and to address different scientific questions. Many questionnaires correlate well with biological markers and development of chronic diseases, but subjective measurement will always entail a certain degree of misclassification. Furthermore, unstructured physical activity such as housework and gardening may be subject to recall bias. No method appears better to any other, and the choice of instrument will depend on the research question being asked. Future research should combine information from both objective and subjective methods.

Physical fitness comprises several components, including cardiorespiratory endurance and muscle strength and endurance. Direct measurement of oxygen consumption is the criterion measure for cardiorespiratory endurance. As regards muscle strength and endurance, only test–retest reliability is available. Hand-held dynamometers greatly facilitate field testing for maximal isometric muscle strength assessment, while force plate measurements can be used for the lower extremities. For endurance, simple tests such as push-ups and sit-ups are reliable.     

Focus Groups to Explore the Perceptions of Older Adults on a Pedometer-Based Intervention

Focus group methodology was used to explore in depth the perceptions of older adults who had participated in a 12-week pedometer-based intervention. Nineteen women and 8 men, ages 55–86 years, volunteered to take part in the focus groups following participation in the intervention. Four focus groups of six to eight participants were scheduled at primary sites in the southern Maine area. Analysis of the data revealed four specific topical areas: (a) factors that led to increases in daily step count, (b) factors that hindered increases in daily step count, (c) benefits of pedometer intervention program, and (d) recommendations on how to improve older adults' physical activity. Overall, focus group participants found this intervention to be beneficial and recommended its expansion to other groups.