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运动对成年人体检结果的影响:基于大规模数据的综合比较分析

A retrospective study on the impact of exercise on the health examination results of adults
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摘要 目的:了解运动对成年人健康体检结果的影响,为健康管理提供依据。方法:收集了2022—2024年间在我院体检的18682人次的健康体检数据,通过调查问卷,按照运动强度分为运动组和对照组。运动组7865人,对照组10817人。收集两组的体检数据,并进行回顾性研究。体检项目包括一般健康检查、内科、外科、眼科、耳鼻喉科、口腔科及各类实验室指标等。结果:运动组体检异常检出率为61.97%~75.40%,优于对照组的81.32%。主要检出的疾病包括窦性心动过缓、^(13)C呼气试验阳性、尿酸偏高、低密度脂蛋白胆固醇偏高、胆红素偏高、龋齿、牙结石、总胆固醇偏高、甘油三酯偏高和转氨酶偏高等。其中,运动组窦性心动过缓、^(13)C呼气试验、胆红素、牙结石检出率高于对照组;尿酸、转氨酶、胆固醇、甘油三酯、低密度脂蛋白胆固醇等指标的水平低于对照组。并且二者有统计学意义,P<0.01。结论:运动人群的总体健康状况优于普通人群,但是,窦性心动过缓、^(13)C呼气试验、龋齿和牙结石的阳性率高于普通人群。而且,窦性心动过缓、胆固醇、尿酸表现出年度波动。因此,对于充分运动的人群,我们也要关注优化膳食结构,提倡健康的生活方式。重点关注尿酸、幽门螺杆菌感染和口腔卫生,积极予以健康管理和干预。 Objective:To understand the influence of exercise on the results of physical examination of adults,and to provide evidence for health management.Methods:The health examination data of 18682 people in our hospital from 2022 to 2024 were collected,and were divided into exercise group and control group according to exercise intensity through questionnaires.There were 7865 people in the exercise group and 10817 people in the control group.Collect physical examination data from two groups and conduct retrospective study.Physical examination items include general health examination,internal medicine,surgery,ophthalmology,otolaryngology,stomatology and various laboratory indicators.Results:The abnormal detection rate of physical examination in exercise group was 61.97%-75.40%,which was better than that in control group(81.32%).The main diseases detected include sinus bradycardia,positive carbon-13 breath test,high uric acid,high low density lipoprotein,high bilirubin,dental caries,dental calculus,high total cholesterol,high triglyceride and high transaminase.Among them,the detection rate of sinus bradycardia,carbon 13 breath test,bilirubin and calculus in exercise group was higher than that in control group;The levels of uric acid,transaminase,cholesterol,triglyceride and low density lipoprotein were lower than those in the control group.And the two were statistically significant,P<0.01.Conclusion:The overall health status of the sports population is better than that of the general population,but the positive rates of sinus bradycardia,carbon-13 breath test,dental caries and dental calculus are higher than those of the general population.Moreover,sinus bradycardia,cholesterol and uric acid showed annual fluctuations.Therefore,for people who exercise fully,we should also pay attention to optimizing the diet structure and advocate a healthy lifestyle.Focus on uric acid,Helicobacter pylori infection and oral hygiene,and actively manage and intervene health.
作者 任永强 苏蕊 杨晓琳 墨虹 REN Yongqiang;SU Rui;YANG Xiaoin;MO Hong(Outpatient Department of the Beijing Municipal Corps Hospital of the Chinaese Armed Police Force,BeiJing 100027,China.)
出处 《健康体检与管理》 2025年第3期340-345,共6页 Journal of Health Examination and Management
关键词 健康体检 慢病管理 高脂血症 高尿酸血症 Physical examination Chronic disease management Hyperlipidemia Hyperuricemia
作者简介 任永强,主任医师,研究方向为健康管理和慢性肾脏疾病研究;通信作者:墨虹,主治医师,Email:917546689@qq.com。
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