Metabolic Syndrome, Modifiable Lifestyle Factors, and Sleep-Disordered Breathing: The Hispanic Community Health Study.

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Shannon L Richard, Brenna N Renn, Dieu-My T Tran, Jinyoung Kim, Du Feng
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引用次数: 0

Abstract

Background: US Hispanics/Latinos are disproportionately susceptible to metabolic syndrome (MetS), attributed in part to systemic inequities related to health and lifestyle factors such as low physical activity (PA) levels, diet quality, alcohol use, tobacco use, and sleep disorder. Gender and heritage group differences are vastly understudied and need to be examined in this heterogeneous population.

Purpose: To examine the relationships between select health and lifestyle factors and MetS among Hispanic gender and heritage subgroups (Hypothesis 1) and determine whether gender and heritage moderate those relationships (Hypothesis 2).

Methods: Participants included 14,155 Hispanic Americans aged 18-76 (59% female, mean age 45.92 ± 13.97) from seven heritage subgroups. This secondary analysis of cross-sectional data from the observational Hispanic Community Health Study/Study of Latinos (HCHS/SOL) dataset used hierarchical multinomial logistic regression to test Hypothesis 1; the dependent variable, MetS, included three categories delineating absence of MetS and presence of MetS with or without related medication use. Hayes' PROCESS macro tested Hypothesis 2.

Results: Low PA and sleep-disordered breathing (SDB) each had significant (p < .001) predictive value of MetS group membership, whereas both low and high alcohol use (p < .001) were associated with decreased MetS risk. Cigarette pack-years were not significantly associated with MetS outcomes. Gender moderated the association between MetS and alcohol use (p < .001), cigarette pack-years (p < .001), and SDB (p < .001) such that the effects on MetS were higher in females than males. The association between MetS and diet quality (p < .001) was stronger among males than in females.

Conclusions: Gender and heritage differences were prominent among study variables.

代谢综合征、可改变的生活方式因素和睡眠呼吸障碍:西班牙裔社区健康研究。
背景:美国西班牙裔/拉丁裔极易患上代谢综合征(MetS),部分原因是与健康和生活方式因素有关的系统性不平等,如低体力活动(PA)水平、饮食质量、饮酒、吸烟和睡眠障碍。目的:研究西班牙裔性别和遗产亚群中某些健康和生活方式因素与 MetS 之间的关系(假设 1),并确定性别和遗产是否会缓和这些关系(假设 2):参与者包括 14,155 名年龄在 18-76 岁之间的西班牙裔美国人(59% 为女性,平均年龄为 45.92 ± 13.97),他们来自七个遗产亚组。这项对西班牙裔美国人社区健康研究/拉美人研究(HCHS/SOL)数据集的横截面观察数据进行的二次分析采用了分层多项式逻辑回归法来检验假设 1;因变量 MetS 包括三个类别,分别为不存在 MetS 和存在 MetS(有或没有使用相关药物)。Hayes的PROCESS宏检验了假设2:结果:低 PA 和睡眠呼吸障碍(SDB)均有显著的(p 结论):在研究变量中,性别和遗产差异非常明显。
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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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