【摘要】 目的 构建一套符合上海市超大城市特征、兼具科学性与操作性的运动健康城市评价指标体系，响应健康中国战略。方法 以“健康行为改变整合理论”为基础，通过文献分析法获得运动健康城市评价体系初始指标44项；运用模糊德尔菲法和模糊层次分析法，设计问卷并函询专家，筛选专家意见；采用Cronbach’s α系数评估专家评分数据的内部一致性，通过KMO检验与Bartlett球形检验验证指标体系的理论适配性。结果 经过两轮专家咨询筛选与一致性检验，最终构建了包含3个一级指标、11个二级指标、37个三级指标的上海市运动健康城市评价指标体系，3个一级指标（运动健康治理、健康赋能型城市环境、社会健康生态）的权重占比分别为20%、50%、30%。结论 基于“运动健康治理—健康赋能型城市环境—社会健康生态”三维框架构建的上海市运动健康城市评价指标体系，衔接国家战略，平衡制度刚性与环境柔性，为高密度城市健康治理提供范式。更多还原

【Abstract】 Objective To construct a scientifically rigorous and operationally feasible evaluation index system for sports and health cities, tailored to the characteristics of Shanghai as a megacity, in response to the Healthy China initiative. Methods Based on the“Integrated Theory of Health Behavior Change”, this study used a literature review to identify an initial set of 44 indicators for the evaluation index system. Using the Fuzzy Delphi Method(FDM) and Fuzzy Analytic Hierarchy Process(FAHP), questionnaires were designed and then distributed to experts for feedbacks, which was used to iteratively revise the indicators. The internal consistency of expert ratings was assessed using Cronbach’s α coefficient. The index system’s theoretical fit was validated with the Kaiser-Meyer-Olkin(KMO) test and Bartlett’s Test of Sphericity. Results Through two rounds of expert consultation, screening, and consistency testing, the study constructs an evaluation index system for Shanghai, consisting of 3 first-level, 11 second-level, and 37 third-level indicators. The weights for the three first-level indicators—Sport-Health Governance, Health-Enabling Urban Environment, and Social Health Ecology—are 20%, 50%, and 30%, respectively. Conclusion The proposed three-dimensional evaluation framework—“Sport-Health Governance, Health-Enabling Urban Environment, and Social Health Ecology”—aligns with national strategies, balances institutional rigidity with environmental flexibility, and provides a paradigm for health governance in densely populated cities.更多还原