Study on the relationship between number of exercise steps and central obesity among elderly residents in Shanxi Province

LU Kangkang; YIN Zixin; ZHANG Peifang; LI Jiantao

doi:10.16462/j.cnki.zhjbkz.2024.04.013

Volume 28 Issue 4

Apr. 2024

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LU Kangkang, YIN Zixin, ZHANG Peifang, LI Jiantao. Study on the relationship between number of exercise steps and central obesity among elderly residents in Shanxi Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(4): 458-462. doi: 10.16462/j.cnki.zhjbkz.2024.04.013

Citation:

LU Kangkang, YIN Zixin, ZHANG Peifang, LI Jiantao. Study on the relationship between number of exercise steps and central obesity among elderly residents in Shanxi Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(4): 458-462. doi: 10.16462/j.cnki.zhjbkz.2024.04.013

Citation:

LU Kangkang, YIN Zixin, ZHANG Peifang, LI Jiantao. Study on the relationship between number of exercise steps and central obesity among elderly residents in Shanxi Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(4): 458-462. doi: 10.16462/j.cnki.zhjbkz.2024.04.013

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Study on the relationship between number of exercise steps and central obesity among elderly residents in Shanxi Province

doi: 10.16462/j.cnki.zhjbkz.2024.04.013

1.
School of Public Health, Shanxi Medical University, Taiyuan 030001, China
2.
School of Management, Shanxi Medical University, Taiyuan 030001, China

Funds:

Shanxi Provincial Philosophy and Social Science Planning Project 2022YJ033

More Information

Corresponding author: LI Jiantao, E-mail: sxmuljt@126.com
Received Date: 2023-06-05
Rev Recd Date: 2024-01-04

Available Online: 2024-05-17

Publish Date: 2024-04-10

Abstract

Abstract

Objective To investigate the current status of central obesity among elderly residents in Shanxi Province and explore the association between number of exercise steps and central obesity. Methods In 2022, a survey on chronic diseases and their risk factors was conducted among permanent residents of Shanxi Province using a multi-stage stratified random sampling method. A total of 4 710 resident elderly residents (60 years old and above) were selected as the respondents. The χ² test was used to analyze the influencing factors of central obesity and logistic regression model to analyze the relationship between number of exercise steps and central obesity. Results The results showed that the prevalence rates of obesity and central obesity were 17.7% and 41.3%, respectively. Number of exercise steps was identified as a impact factor affecting central obesity (P=0.004). Through the analysis of different age groups, after excluding the influence of confounding factors, the exercise step number ≤3 000 group was taken as the comparison group. The prevalence of central obesity decreased by 32.7%, 43.8% and 33.9% in the 60- < 70 age group in the 3 000-6 000 steps group, 6 000-10 000 steps group, and 10 000 steps and above group, respectively (OR=0.673, 95% CI: 0.545-0.832, P < 0.001; OR=0.562, 95% CI: 0.449-0.703, P < 0.001; OR=0.661, 95% CI: 0.497-0.878, P=0.004). In the 70- < 80 age group, the prevalence of central obesity decreased by 44.6% in the above 10 000 steps group (OR=0.554, 95% CI: 0.343-0.895, P < 0.001), while there was no statistical significance in other groups (P > 0.05). Conclusions The impact of number of exercise steps on reducing the prevalence of central obesity among elderly people varies by age groups. Targeted intervention measures should be taken. Encourage younger elderly individuals (aged 60- < 70) to maintain a daily number of exercise steps between 6 000 to 10 000. For middle-aged (aged 70- < 80) and older elderly individuals (aged 80 and above), the number of exercise steps should be reasonably controlled under the intensity and frequency of exercise that their physical condition can withstand, so as to improve their physical health level and prevent central obesity.
- Elderly,
- Exercise,
- Central obesity,
- Number of exercise steps

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References(14)

References

[1]	Opoku AA, Abushama M, Konje JC. Obesity and menopause[J]. Best Pract Res Clin Obstet Gynaecol, 2023, 88: 102348. DOI: 10.1016/j.bpobgyn.2023.102348
[2]	Wang Y, Zhao L, Gao L, et al. Health policy and public health implications of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(7): 446-461. DOI: 10.1016/S2213-8587(21)00118-2.
[3]	Zorena K, Jachimowicz-Duda O, Slezak D, et al. Adipokines and obesity. potential link to metabolic disorders and chronic complications[J]. Int J Mol Sci, 2020, 21(10): 3570. DOI: 10.3390/ijms21103570.
[4]	《中国成人超重和肥胖预防控制指南》修订委员会. 中国成人超重和肥胖预防控制指南-2021[M]. 北京: 人民卫生出版社, 2021: 2-3. The Revision Committee of the Guidelines for the Prevention and Control of Overweight and Obesity in Chinese adults. The guidelines for the prevention and control of overweight and obesity in Chinese adults-2021[M]. Beijing: People's Medical Publishing House, 2021: 2-3.
[5]	Cheng TO. Central obesity is a more sensitive predictor of cardiovascular disease than body mass index in the Chinese population[J]. Int J Cardiol, 2009, 135(3): 385. DOI: 10.1016/j.ijcard.2007.11.080.
[6]	国务院第七次全国人口普查领导小组办公室. 2020年第七次全国人口普查主要数据[M]. 北京: 中国统计出版社, 2021: 32-33. Office of the Leading Group for the 7th National Population Census of the State Council. Major figures on 2020 population census of China[M]. Beijing: China Statistics Publishing House, 2021: 32-33.
[7]	代新语, 闫纪红, 华凌军, 等. 抗阻运动改善超重肥胖人群身体成分: 一项伞形综述[J]. 中国组织工程研究, 2024, 28(2): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202402017.htm Dai XY, Yan JH, Hua LJ, et al. Resistance exercise improves body composition in overweight and obese people: an umbrella review[J]. J Chin Rehabil Tis Eng Res, 2024, 28(2): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202402017.htm
[8]	彭希哲. 老龄化背景下的人口年龄结构[J]. 上海交通大学学报(哲学社会科学版), 2023, 31(2): 14-24. DOI: 10.13806/j.cnki.issn1008-7095.2023.02.002. Peng XZ. Age structure of population under the background of aging[J]. Journal of SJTU(Philosophy and Social Sciences), 2023, 31(2): 14-24. DOI: 10.13806/j.cnki.issn1008-7095.2023.02.002.
[9]	Bays HE, Ng J, Sicat J, et al. Obesity pillars roundtable: obesity and East Asians[J]. Obes Pillars, 2022, 2: 100011. DOI: 10.1016/j.obpill.2022.100011.
[10]	王瑞. 延边地区老年人饮食行为及其对肥胖状况的影响研究[D]. 延吉: 延边大学, 2022: 47. Wang R. A study on the dietary behavior of the elderly in Yanbian area and its influence on obesity[D]. Yanji: Yanbian University, 2022: 47.
[11]	宋孟娜, 程潇, 孔静霞, 等. 我国中老年人超重、肥胖变化情况及影响因素分析[J]. 中华疾病控制杂志, 2018, 22(8): 804-808. DOI: 10.16462/j.cnki.zhjbkz.2018.08.010. Song MN, Cheng X, Kong JX, et al. Prevalence and influencing factors of overweightand obesity among middle-aged and elderly people in China[J]. Chin J Dis Control Prev, 2018, 22(8): 804-808. DOI: 10.16462/j.cnki.zhjbkz.2018.08.010.
[12]	Ross R, Neeland IJ, Yamashita S, et al. Waist circumference as a vital sign in clinical practice: a consensus statement from the IAS and ICCR working group on visceral obesity[J]. Nat Rev Endocrinol, 2020, 16(3): 177-189. DOI: 10.1038/s41574-019-0310-7.
[13]	Careau V, Halsey LG, Pontzer H, et al. Energy compensation and adiposity in humans[J]. Curr Biol, 2021, 31(20): 4659-4666. e2. DOI: 10.1016/j.cub.2021.08.016.
[14]	桑谊荃, 马向华, 沈捷. 雌激素减少与腹型肥胖和胰岛素抵抗关系的研究进展[J]. 医学综述, 2013, 19(9): 1660-1662. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZS201309044.htm Sang YQ, Ma XH, Shen J. Research progress of relationship between estrogen decrease and abdominal obesity and insulin resistance[J]. Medical Recapitul, 2013, 19(9): 1660-1662. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZS201309044.htm