A geographic perspective of the association between physical activity and cardiovascular health: A need for community-level intervention.

IF 0.9 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Journal of Prevention & Intervention in the Community Pub Date : 2024-10-18 DOI:10.1080/10852352.2024.2415162
Ayodeji Iyanda, Adekunle Ade-Oni, Seye Omiyefa
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Abstract

Cardiovascular diseases (CVDs) are a major cause of death globally, and minority communities are at higher risk of chronic health outcomes. A combination of lifestyle, including physical activity (PA), good nutrition, and reduced stress, can improve life expectancy. This study aimed to analyze the association between CVDs and PA among the adult population (N = 3,956) based on the World Health Organization (WHO) STEPwise Approach to Surveillance (STEPS) survey in Afghanistan. Descriptive statistics, logistic regression, and spatial analytical techniques were used to analyze the data. Based on the WHO STEPS data, the computed prevalence of CVDs, obesity, hypertension, diabetes, and high cholesterol were 7.41%, 45.57%, 34.06%, 9.51%, and 12.16%, respectively. Multivariate logistic analysis indicated that moderate work-related PA was associated with higher odds of CVDs and high cholesterol while inversely associated with obesity. Moderate leisure-related PA was positively associated with obesity. Vigorous leisure-related PA was associated with lower risks of CVDs, obesity, and high cholesterol but had a positive association with hypertension. Spatial analysis revealed a CVD hotspot in the southern region and the risk factors clustered in the northern region. These findings offer valuable insights for community and public health practitioners to design targeted interventions for reducing the burden of CVDs and risk factors in communities in developing countries.

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从地理角度看体育锻炼与心血管健康的关系:社区干预的必要性。
心血管疾病(CVDs)是导致全球死亡的主要原因,而少数族裔群体患慢性疾病的风险更高。综合的生活方式,包括体育锻炼(PA)、良好的营养和减少压力,可以提高预期寿命。本研究旨在根据世界卫生组织(WHO)在阿富汗进行的 "逐步监测法"(STEPS)调查,分析成年人群(N = 3956)中心血管疾病与体育锻炼之间的关系。数据分析采用了描述性统计、逻辑回归和空间分析技术。根据世卫组织 STEPS 数据,计算得出的心血管疾病、肥胖、高血压、糖尿病和高胆固醇患病率分别为 7.41%、45.57%、34.06%、9.51% 和 12.16%。多变量逻辑分析表明,与工作相关的适度活动量与较高的心血管疾病和高胆固醇几率相关,而与肥胖成反比。中度休闲相关活动量与肥胖呈正相关。与休闲相关的剧烈运动与较低的心血管疾病、肥胖和高胆固醇风险有关,但与高血压呈正相关。空间分析表明,心血管疾病热点集中在南部地区,而风险因素则集中在北部地区。这些发现为社区和公共卫生从业人员设计有针对性的干预措施以减轻发展中国家社区的心血管疾病负担和风险因素提供了宝贵的见解。
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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
1
期刊介绍: The Journal of Prevention & Intervention in the Communityis on the cutting edge of social action and change, not only covering current thought and developments, but also defining future directions in the field. Under the editorship of Joseph R. Ferrari since 1995, Prevention in Human Services was retitled as the Journal of Prevention & Intervention in the Communityto reflect its focus of providing professionals with information on the leading, effective programs for community intervention and prevention of problems. Because of its intensive coverage of selected topics and the sheer length of each issue, the Journal of Prevention & Intervention in the Community is the first-and in many cases, primary-source of information for mental health and human services development.
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