基于运动筛查的大学生慢病风险运动干预体医融合策略构建与实证研究

In the Plan "Healthy China 2030", it is explicitly proposed to improve sports and medicine's integration and non-medical health intervention. In this process, the database of exercise prescription which are aimed at various population, diversiform environment and multiple physical conditions should be established. The mode of disease management and health services which combines sports with medicine should be promoted. The positive effect of physical exercise in health promotion, disease prevention and rehabilitation should be enhanced.The lack of physical activity gives rise to the development of chronic diseases such as obesity, diabetes, cardiovascular disease, motor system disease and depression. Meanwhile, the occurrence of chronic disease further reduces the motor function. This project which is aimed at college students, would use kinesiology and medical tests and statistical analysis method, establish a regression model predicting the risk of chronic diseases by motor function, explore the exercise capacity screening program based on small amount of simple and convenient exercise capacity tests, combine medical test to assess health status, design personalized, modular and dynamic exercise prescription to intervene for different physical condition, and construct sports and medicine's integration strategy for chronic disease's exercise intervention from exercise screening indexes to exercise prescription database. It would produce a positive theoretical and practical value for expanding evaluation methods of chronic disease risk's early warning, improve the effectiveness of school physical education and health work, and innovate the health service model of Chinese college student.

《“健康中国2030”规划纲要》提出“加强体医融合和非医疗健康干预”，建立完善针对不同人群、不同环境、不同身体状况的运动处方库，推动形成体医结合的疾病管理和健康服务模式，发挥全民科学健身在健康促进、慢病预防和康复等方面的积极作用。体力活动不足是肥胖、糖尿病、心血管疾病、运动系统疾病、抑郁等诸多慢病发生的重要影响因素，同时慢病发生会进一步造成运动功能的下降。本项目针对大学生人群，运用运动人体科学试验、医学检测和统计分析等方法，建立以运动功能预测慢病风险的回归模型，探索以少量简便易行的运动功能测试作为慢病风险的运动筛查方案，结合医学检测进行健康状态评估，对于不同身体状况设计个性化、模块化、动态化运动处方实施干预，构建从运动筛查指标到运动处方库的一整套慢病风险运动干预的体医融合策略。这对于拓展慢病风险测评预警方式，提升学校体育卫生工作效能，创新中国大学生健康服务模式具有重要的理论与实践价值。

本项目以大学生人群为研究对象，针对该群体面临的焦虑与睡眠障碍、心血管疾病、肥胖及相关代谢性疾病等慢病风险开展研究，采取人群检测-运动干预-效果评估的实证方式，辅之以动物实验补充的生物机制探讨，通过分析运动干预期间检测指标变化，探索慢病风险运动筛查可行性，实施特定慢病风险的运动干预及优化方案，构建大学生慢病风险运动干预体医融合策略。在运动处方方面，开展了有氧运动、有氧结合抗阻、高强度间歇训练、瑜伽、身心运动等多种方式的运动干预实验，比较了运动干预方案的效果，拓展了运动处方。在运动筛查方面，通过分析运动干预前后运动相关指标与慢病风险指标间的关系，为运动评估慢病风险提供了指标备选依据。已发表SCIE论文8篇，中文核心期刊论文6篇。培养博士研究生3名，硕士研究生6名。