Differences in mortality risk by levels of physical activity among persons with disabilities in South Korea.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Open Medicine Pub Date : 2024-12-31 eCollection Date: 2024-01-01 DOI:10.1515/med-2024-1118

SeungCheor Lee, Yeowool Lee, Saengryeol Park, So-Youn Park, In-Hwan Oh

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引用次数: 0

Abstract

Aim: The World Health Organization's recommendation of at least 150 min of physical activity per week is important for increasing the lifespan of persons with disabilities (PWDs).

Methods: Conduct a survival analysis to examine the relationship between physical activity and mortality using cohort data from the National Health Insurance Service in South Korea from 2017 to 2021. The survival analysis included 259,146 PWDs, with a maximum follow-up of 57 months, and adjustments for covariates, including physical activity level, comorbidities, smoking, and alcohol consumption.

Results: People who exercised >150 min weekly had a lower risk of death compared to those who exercised less (adjusted hazard ratio [AHR]: 0.727, 95% confidence interval [CI]: 0.674-0.784). The risk of death increased with increasing age (AHR: 1.08, 95% CI: 1.077-1.083), smokers had a higher risk of death than non-smokers (AHR: 1.487, 95% CI: 1.396-1.583), and the risk of death increased with increasing Charlson comorbidity index scores (AHR: 1.228, 95% CI: 1.22-1.237).

Conclusion: Even after adjusting for socioeconomic and other risk factors, PWDs who are physically inactive have a higher risk of death. Customized physical activity policies for PWDs are needed to reduce health inequities.

查看原文本刊更多论文

韩国残疾人按身体活动水平划分的死亡风险差异。

目的：世界卫生组织建议每周至少进行150分钟的体育活动，这对延长残疾人的寿命非常重要。方法：使用韩国国家健康保险服务中心2017年至2021年的队列数据，进行生存分析，以检查身体活动与死亡率之间的关系。生存分析包括259,146名残疾患者，最长随访时间为57个月，并调整协变量，包括体力活动水平、合并症、吸烟和饮酒。结果：每周运动150分钟的人的死亡风险低于运动较少的人（校正风险比[AHR]: 0.727, 95%可信区间[CI]: 0.674-0.784）。死亡风险随年龄增加而增加（AHR: 1.08, 95% CI: 1.077 ~ 1.083），吸烟者的死亡风险高于非吸烟者（AHR: 1.487, 95% CI: 1.396 ~ 1.583），死亡风险随Charlson合病指数评分的增加而增加（AHR: 1.228, 95% CI: 1.22 ~ 1.237）。结论：即使在调整了社会经济和其他危险因素后，缺乏运动的残疾患者的死亡风险更高。为减少卫生不公平现象，需要为残疾人制定量身定制的身体活动政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.