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医务人员体力活动与健康的关联:来自全国 AMADEUS 调查的结果。

Association between physical activity and health in healthcare professionals : Results from the nationwide AMADEUS survey.

机构信息

Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, CEReSS-Health Service Research and Quality of Life Center, UR3279, 27 boulevard Jean -Moulin, 13005 Marseille, France; Fondation FondaMental, Créteil, France.

Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.

出版信息

Rev Epidemiol Sante Publique. 2023 Dec;71(6):102183. doi: 10.1016/j.respe.2023.102183. Epub 2023 Nov 7.

Abstract

OBJECTIVE

The objective of this study was to assess the prevalence of healthcare professionals engaging in insufficient levels of physical activity (PA) and to identify sociodemographic, professional and health characteristics associated with insufficient PA levels.

METHODS

We conducted a nationwide online cross-sectional study targeting healthcare professionals in France from May 2021 to June 2021. Participant recruitment involved outreach through social networks, professional networks, and email invitations. PA levels were assessed using the International Physical Activity Questionnaire (IPAQ), with insufficient PA defined as weekly PA totaling less than 600 mets/week.

RESULTS

The study included a total of 10,325 participants, of whom 3939 (38.1%, 95% confidence interval 37.1-39.0%) exhibited insufficient levels of PA. In the multivariable analysis, we identified factors associated with insufficient PA: ages between 35-44 (aOR=1.58, 95%CI [1.21-2.06], p=.001) and 45-54 years (aOR=1.40, 95%CI [1.07-1.83], p =.015), gender (female aOR=1.47, 95%CI [1.12-1.44], p<.001), and professions including health executive (aOR=1.27, 95%CI [1.32-1.64], p<.001), nurse assistant (aOR=1.25, 95%CI [1.07-1.47], p=.006), and physician (aOR=1.18, 95%CI [1.03-1.34], p=.015). Additionally, burnout (aOR=1.32, 95%CI [1.21-1.44], p<.001), tobacco use (aOR=1.33, 95%CI [1.20-1.58], p<.001), being overweight (aOR=1.39, 95%CI [1.28-1.52], p<.001), major depression (aOR=1.44, 95%CI [1.20-1.47], p<.001), and sleep disorders (aOR=1.14, 95%CI [1.05-1.25], p=.002) were associated with insufficient PA. Work night shifts was associated with sufficient PA.

CONCLUSION

Our study has revealed a substantial prevalence of healthcare professionals with insufficient PA levels. This prevalence, coupled with various associated health-damaging behaviors and mental health issues, underscores the importance of acknowledging the barriers they encounter in adopting a physically active lifestyle.

摘要

目的

本研究旨在评估从事体力活动不足(PA)的医护人员的比例,并确定与体力活动不足水平相关的社会人口学、职业和健康特征。

方法

我们于 2021 年 5 月至 2021 年 6 月期间针对法国的医护人员开展了一项全国性的在线横断面研究。参与者招募涉及通过社交网络、专业网络和电子邮件邀请进行宣传。使用国际体力活动问卷(IPAQ)评估 PA 水平,每周 PA 总量不足 600 梅脱/周定义为体力活动不足。

结果

本研究共纳入 10325 名参与者,其中 3939 名(38.1%,95%置信区间 37.1-39.0%)表现出体力活动不足。多变量分析显示,与体力活动不足相关的因素包括:35-44 岁(aOR=1.58,95%CI [1.21-2.06],p=.001)和 45-54 岁(aOR=1.40,95%CI [1.07-1.83],p=.015)、性别(女性 aOR=1.47,95%CI [1.12-1.44],p<.001)以及包括卫生行政人员(aOR=1.27,95%CI [1.32-1.64],p<.001)、护士助理(aOR=1.25,95%CI [1.07-1.47],p=.006)和医生(aOR=1.18,95%CI [1.03-1.34],p=.015)等职业。此外,倦怠(aOR=1.32,95%CI [1.21-1.44],p<.001)、吸烟(aOR=1.33,95%CI [1.20-1.58],p<.001)、超重(aOR=1.39,95%CI [1.28-1.52],p<.001)、重度抑郁(aOR=1.44,95%CI [1.20-1.47],p<.001)和睡眠障碍(aOR=1.14,95%CI [1.05-1.25],p=.002)与体力活动不足相关。上夜班与体力活动充足相关。

结论

我们的研究表明,从事体力活动不足的医护人员比例相当高。这种流行率,加上各种相关的健康损害行为和心理健康问题,突显了认识到他们在采用积极的生活方式时所面临的障碍的重要性。

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