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Lancet：久坐办公族的福音！运动1小时便可降低死亡的风险

2016-07-29 MedSci MedSci原创

久坐体力活动死亡
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近日，发表于Lancet的的一项新的研究发现，每天运动1小时，能抵消久坐8小时所导致的健康风险。 长期久坐可增加死亡和多种慢性疾病的发生风险。但是，目前尚未清楚体力活动是否会减弱久坐不动的不利影响。该研究探究了久坐行为和体力活动与全因死亡率之间的关系。 此系统回顾分析了2015年10月之前6个数据库（PubMed, PsycINFO, Embase, Web of Science, S

近日，发表于Lancet的的一项新的研究发现，每天运动1小时，能抵消久坐8小时所导致的健康风险。

长期久坐可增加死亡和多种慢性疾病的发生风险。但是，目前尚未清楚体力活动是否会减弱久坐不动的不利影响。该研究探究了久坐行为和体力活动与全因死亡率之间的关系。

此系统回顾分析了2015年10月之前6个数据库（PubMed, PsycINFO, Embase, Web of Science, Sport Discus,及Scopus）中相关的研究，最后筛选出16项研究（其中14项进行系统回顾，2项作为额外的未发表的研究但是相关数据可用）进行荟萃分析。这些研究提供了每日坐着的时间或看电视的时间以及体力活动时间，且评估了这些对全因死亡率、心血管疾病死亡率或乳腺癌、结肠癌和大肠癌的死亡率的影响。

收集数据分析每日坐着的时间和体力活动时间与全因死亡率之间的关系，并使用Cox回归估计风险比。使用看电视时间代替每日坐着的时间来重复这些分析。

研究共涉及了1005791名研究对象，随访2-18.1年，其中84609名（8.4%）随访期间死亡。

与对照组（坐着的时间＜4 h/d，且代谢相当活动MET的时间＞35.54 h/d）相比，体力活动＜16 h/d和坐着的时间＜4 h/d研究对象及体力活动＜2.5 h/d和坐着的时间＞8 h/d研究对象其死亡率高12-59%。

对于体力活动时间最久的研究对象来说，每天坐着的时间与全因死亡率的增加无关。且与对照组相比，每天坐着的时间＞8 h/d但是每周体力活动＞35.5 MET-h/d的研究对象随访期间死亡风险并未升高。

相比之下，那些坐着的时间＜4 h/d研究对象但是体力活动＜2.5 MET-h/d的研究对象随访期间死亡风险明显升高。

六项研究报道了看电视时间的数据（N=465450; 43740名死亡）。每天看电视≥3小时与死亡率增加相关，而无论其体力活动水平，除了体力活动最强的研究对象之外，该组人群仅有一人每天看电视时间≥5 h其死亡率明显升高。


总而言之，每天进行高水平的中等强度的体力活动（60-75分钟/天）似乎能消除久坐而升高的死亡风险。但是，这种高水平的体力活动可降低而不会消除长时间而升高的死亡风险。

该研究为体力活动有益于健康提供了进一步的研究支持，尤其是社会中越来越多的人不得不长时间坐着办公，该研究还可为公共健康建议提供信息。

与久坐相关的拓展阅读：
 

原始出处：

Ulf Ekelund, Jostein Steene-Johannessen, et al.,Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. The Lancet, 27 July 2016.

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    2016-10-23 howi

    #Lancet#

    0

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    2016-07-31 The one 00000

    每天坚持运动

    0

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    2016-07-31 onetree

    每天运动1小时，可是作业不允许

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1828557, encodeId=cdf2182855e7d, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Oct 23 08:18:00 CST 2016, time=2016-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95356, encodeId=ae429535655, content=每天坚持运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/xMb6ZO3ywuq1qDlj8Y9s89QX3uvsBJvYqKK0Z97KUgianMia4mN9icEIkvGvoJDNpDbqXpsEst3SjRcecS8OdhFbg/0, createdBy=3b911925301, createdName=The one 00000, createdTime=Sun Jul 31 23:57:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95293, encodeId=a74a95293ce, content=每天运动1小时，可是作业不允许, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09f1636586, createdName=onetree, createdTime=Sun Jul 31 12:42:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95218, encodeId=36ae95218a9, content=拒绝久坐, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 31 11:14:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95127, encodeId=290a9512ed1, content=生命在于运动。, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Jul 30 10:59:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95115, encodeId=f44495115ca, content=每天进行一小时高水平的中等强度的体力活动似乎能消除久坐而升高的死亡风险。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5b11304786, createdName=ljh0111, createdTime=Sat Jul 30 06:42:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95107, encodeId=ce989510e11, content=工作环境决定了久坐，不过一定要记得下班多走走, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Sat Jul 30 00:59:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95101, encodeId=39879510130, content=千万不能久坐，适当小运动都是必要的, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Fri Jul 29 22:43:00 CST 2016, time=2016-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95102, encodeId=013c95102c8, content=间歇性运动会不会更好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Fri Jul 29 22:43:00 CST 2016, time=2016-07-29, status=1, ipAttribution=)]
    2016-07-31 oo902

    拒绝久坐

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1828557, encodeId=cdf2182855e7d, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Oct 23 08:18:00 CST 2016, time=2016-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95356, encodeId=ae429535655, content=每天坚持运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/xMb6ZO3ywuq1qDlj8Y9s89QX3uvsBJvYqKK0Z97KUgianMia4mN9icEIkvGvoJDNpDbqXpsEst3SjRcecS8OdhFbg/0, createdBy=3b911925301, createdName=The one 00000, createdTime=Sun Jul 31 23:57:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95293, encodeId=a74a95293ce, content=每天运动1小时，可是作业不允许, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09f1636586, createdName=onetree, createdTime=Sun Jul 31 12:42:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95218, encodeId=36ae95218a9, content=拒绝久坐, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 31 11:14:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95127, encodeId=290a9512ed1, content=生命在于运动。, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Jul 30 10:59:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95115, encodeId=f44495115ca, content=每天进行一小时高水平的中等强度的体力活动似乎能消除久坐而升高的死亡风险。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5b11304786, createdName=ljh0111, createdTime=Sat Jul 30 06:42:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95107, encodeId=ce989510e11, content=工作环境决定了久坐，不过一定要记得下班多走走, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Sat Jul 30 00:59:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95101, encodeId=39879510130, content=千万不能久坐，适当小运动都是必要的, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Fri Jul 29 22:43:00 CST 2016, time=2016-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95102, encodeId=013c95102c8, content=间歇性运动会不会更好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Fri Jul 29 22:43:00 CST 2016, time=2016-07-29, status=1, ipAttribution=)]
    2016-07-30 刘煜

    生命在于运动。

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1828557, encodeId=cdf2182855e7d, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Oct 23 08:18:00 CST 2016, time=2016-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95356, encodeId=ae429535655, content=每天坚持运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/xMb6ZO3ywuq1qDlj8Y9s89QX3uvsBJvYqKK0Z97KUgianMia4mN9icEIkvGvoJDNpDbqXpsEst3SjRcecS8OdhFbg/0, createdBy=3b911925301, createdName=The one 00000, createdTime=Sun Jul 31 23:57:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95293, encodeId=a74a95293ce, content=每天运动1小时，可是作业不允许, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09f1636586, createdName=onetree, createdTime=Sun Jul 31 12:42:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95218, encodeId=36ae95218a9, content=拒绝久坐, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 31 11:14:00 CST 2016, time=2016-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95127, encodeId=290a9512ed1, content=生命在于运动。, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Jul 30 10:59:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95115, encodeId=f44495115ca, content=每天进行一小时高水平的中等强度的体力活动似乎能消除久坐而升高的死亡风险。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5b11304786, createdName=ljh0111, createdTime=Sat Jul 30 06:42:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95107, encodeId=ce989510e11, content=工作环境决定了久坐，不过一定要记得下班多走走, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Sat Jul 30 00:59:00 CST 2016, time=2016-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95101, encodeId=39879510130, content=千万不能久坐，适当小运动都是必要的, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Fri Jul 29 22:43:00 CST 2016, time=2016-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=95102, encodeId=013c95102c8, content=间歇性运动会不会更好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Fri Jul 29 22:43:00 CST 2016, time=2016-07-29, status=1, ipAttribution=)]
    2016-07-30 ljh0111

    每天进行一小时高水平的中等强度的体力活动似乎能消除久坐而升高的死亡风险。

    0

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    2016-07-30 xiaotaiyang1

    工作环境决定了久坐，不过一定要记得下班多走走

    0

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    2016-07-29 lovetcm

    千万不能久坐，适当小运动都是必要的

    0

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    2016-07-29 lovetcm

    间歇性运动会不会更好?

    0

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