运动转诊干预生理健康指标变化轨迹的人群异质性及效应修饰因素研究
李语菲

中国科学院深圳先进技术研究院，广东深圳，510530；

摘要：本研究基于英国全国纵向运动转诊队列（含多次重复评估的39,283名参与者），采用广义估计方程分析标准化12周运动转介计划（ERS）对活动量、BMI及血压的动态影响，并检验社会人口特征的修饰效应。结果显示，ERS整体小幅提升了活动量并降低BMI，但效果在不同亚组间严重不均：≥60岁、基线肥胖、高贫困区域居民及少数族裔的活动量增益显著低于参照组，且区域剥夺程度持续弱化干预效果；少数族裔与未填报种族者的BMI降幅及血压控制获益亦逊于白人。上述发现表明，社会经济与种族特征可能影响ERS的个体化收益，应将精准医疗原则引入运动转介实践，从而在有限资源下优先提升高危亚组的健康获益。

关键词：运动处方；身体活动；减肥

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