การศึกษาความสัมพันธ์ระหว่างพฤติกรรมเนือยนิ่งและการออกกำลังกายแบบแอโรบิกกับค่าดัชนีมวลกายและภาวะอ้วนในผู้เข้ารับบริการคลินิกเวชศาสตร์วิถีชีวิต ศูนย์อนามัยที่ 5 ราชบุรี

Teerapong Rattanatantikul

Authors

Teerapong Rattanatantikul Celmed Clinic

Keywords:

sedentary behavior, aerobic exercise

Abstract

Objective: To examine the relationship of sedentary behavior and aerobic exercise with body mass index (BMI) and obesity among working-age adults at the Lifestyle Medicine Clinic, Health Promotion Center Region 5, Ratchaburi

Methods: A retrospective cross-sectional analytic study was conducted among 171 working-age adults aged 18–59 years. Data were retrieved from electronic medical records and lifestyle assessment forms. Data were analyzed using descriptive statistics, Pearson correlation coefficient, stepwise multiple regression, and multivariable binary logistic regression. Statistical significance was set at p < .05.

Results: The majority of the participants were female (65.5%) with a mean age of 46.09 ± 10.13 years. The mean BMI was 27.67 ± 6.34 kilograms/metre², and the prevalence of obesity was 61.4%. The mean sedentary time was 4.59 ± 2.23 hours/day, and the mean aerobic exercise duration was 65.79 ± 75.85 minutes/week. Age and aerobic exercise were significantly and negatively correlated with BMI (r = -0.448 and r = -0.252, respectively). Age and aerobic exercise were significant predictors of BMI, jointly explaining 22.8% of the BMI variance (adjusted R²= 0.228). Furthermore, it was found that age and aerobic exercise were significant protective factors against obesity. A 1-year increase in age decreased the odds of obesity by 8.1% (OR = 0.919; 95% CI = 0.882–0.957; p < .001), and a 1-minute/week increase in aerobic exercise decreased the odds of obesity by 1.0% (OR = 0.990; 95% CI = 0.984–0.995; p < .001). Sedentary behavior was not significantly associated with obesity (p = .372).

Conclusion: Aerobic exercise and age act as significant protective factors against obesity, and they significantly predict BMI levels in this population. These empirical findings support the design of tailored lifestyle medicine programs that emphasize increasing aerobic exercise duration for effective weight management among working-age adults.

References

World Health Organization. Obesity and overweight [internet]. 2021 [cited 2026 Apr 2]; Available from: URL: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

กองโรคไม่ติดต่อ กรมควบคุมโรค. รายงานสถานการณ์โรค NCDs: เบาหวาน ความดันโลหิตสูง และปัจจัยเสี่ยงที่เกี่ยวข้อง. กรุงเทพมหานคร: อักษรกราฟฟิคแอนด์ดีไซน์; 2566.

WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157–63. doi: 10.1016/S0140-6736(03)15268-3.

Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary behavior research network (SBRN) - terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75. doi: 10.1186/s12966-017-0525-8.

Hamilton MT, Hamilton DG, Zderic TW. Role of low energy expenditure and sitting in generating the metabolic burden of obesity and diabetes. Diabetes. 2007;56(11):2655–67. doi: 10.2337/db07-0882.

Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: The population health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105–13. doi: 10.1097/JES.0b013e3181e373a2.

Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta-analysis. Ann Intern Med. 2015;162(2):123–32. doi: 10.7326/M14-1651.

Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, 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. Lancet. 2016;388(10051):1302–10. doi: 10.1016/S0140-6736(16)30370-1.

ศูนย์อนามัยที่ 5 ราชบุรี. แบบประเมินพฤติกรรมสุขภาพ (Lifestyle assessment) คลินิกเวชศาสตร์วิถีชีวิต. ราชบุรี: กรมอนามัย กระทรวงสาธารณสุข; 2566.

วิชัย เอกพลากร, หทัยชนก พรรคเจริญ, วราภรณ์ เสถียรนพเก้า. รายงานการสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกาย ครั้งที่ 6 พ.ศ. 2562–2563. กรุงเทพมหานคร: อักษรกราฟฟิคแอนด์ดีไซน์; 2564.

Martins C, Morgan L, Truby H. A review of the effects of exercise on appetite regulation: An obesity perspective. Int J Obes (Lond). 2008;32(9):1337–47. doi: 10.1038/ijo.2008.98.

Boutcher SH. High-intensity intermittent exercise and fat loss. J Obes. 2011;2011:868305. doi: 10.1155/2011/868305.