Long-term trends in lifestyle factors among respondents with dyslipidemia in the United States

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Bingqing Bai MM , Quanjun Liu MM , Yuting Liu MD , Fengyao Liu MM , Yu Wang MD , Yilin Chen MM , Yanting Liang MM , Haochen Wang MM , Chao Wu PhD , Lan Guo PhD , Huan Ma PhD , Qingshan Geng PhD
{"title":"Long-term trends in lifestyle factors among respondents with dyslipidemia in the United States","authors":"Bingqing Bai MM ,&nbsp;Quanjun Liu MM ,&nbsp;Yuting Liu MD ,&nbsp;Fengyao Liu MM ,&nbsp;Yu Wang MD ,&nbsp;Yilin Chen MM ,&nbsp;Yanting Liang MM ,&nbsp;Haochen Wang MM ,&nbsp;Chao Wu PhD ,&nbsp;Lan Guo PhD ,&nbsp;Huan Ma PhD ,&nbsp;Qingshan Geng PhD","doi":"10.1016/j.amjms.2024.06.025","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the long-term trends in unhealthy lifestyle factors and the risk sociodemographic subgroups among people with dyslipidemia.</div></div><div><h3>Methods</h3><div>Data extracted from the 1999 to 2018 National Health and Nutrition Examination Survey (NHANES). Lifestyle factors were smoking status, alcohol drinking, obesity, dietary quality, depression, physical activity, and sedentary behavior. A Joinpoint regression model was used to estimate trends in the log-transformed age-standardized prevalence. Multinomial logistic regression models adjusted for age, sex, and race/ethnicity were used to analyze subgroups by sociodemographic factors.</div></div><div><h3>Results</h3><div>Data for 33,680 respondents were extracted between 1999 and 2018. The prevalence of smoking and poor-quality diet decreased from 1999 to 2018 (<em>P</em>&lt;0.001), while obesity significantly increased (<em>P</em>&lt;0.001). The prevalence of depression marginally increased from 2005 to 2018 (<em>P</em>=0.074). We observed that non-Hispanic Black individuals, Hispanics, males, as well as those with lower family income-to-poverty ratios and education levels, unemployed individuals, or those lacking a spouse/live-in partner, were at elevated risk of unhealthy lifestyle factors when compared to the reference groups.</div></div><div><h3>Conclusions</h3><div>Among NHANES respondents from 1999 to 2018 with dyslipidemia, significant reductions in the prevalence of current smoking and poor diet were observed, while the prevalence of obesity was markedly increased. There were sociodemographic differences in the management of lifestyle factors. Further initiatives to encourage people with dyslipidemia are required to reduce potential adverse outcomes.</div></div>","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"368 6","pages":"Pages 600-609"},"PeriodicalIF":2.3000,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of the Medical Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002962924013272","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives

To explore the long-term trends in unhealthy lifestyle factors and the risk sociodemographic subgroups among people with dyslipidemia.

Methods

Data extracted from the 1999 to 2018 National Health and Nutrition Examination Survey (NHANES). Lifestyle factors were smoking status, alcohol drinking, obesity, dietary quality, depression, physical activity, and sedentary behavior. A Joinpoint regression model was used to estimate trends in the log-transformed age-standardized prevalence. Multinomial logistic regression models adjusted for age, sex, and race/ethnicity were used to analyze subgroups by sociodemographic factors.

Results

Data for 33,680 respondents were extracted between 1999 and 2018. The prevalence of smoking and poor-quality diet decreased from 1999 to 2018 (P<0.001), while obesity significantly increased (P<0.001). The prevalence of depression marginally increased from 2005 to 2018 (P=0.074). We observed that non-Hispanic Black individuals, Hispanics, males, as well as those with lower family income-to-poverty ratios and education levels, unemployed individuals, or those lacking a spouse/live-in partner, were at elevated risk of unhealthy lifestyle factors when compared to the reference groups.

Conclusions

Among NHANES respondents from 1999 to 2018 with dyslipidemia, significant reductions in the prevalence of current smoking and poor diet were observed, while the prevalence of obesity was markedly increased. There were sociodemographic differences in the management of lifestyle factors. Further initiatives to encourage people with dyslipidemia are required to reduce potential adverse outcomes.
美国血脂异常受访者生活方式因素的长期趋势。
目的探讨不健康生活方式因素的长期趋势以及血脂异常人群中的风险社会人口亚群:从 1999 年至 2018 年美国国家健康与营养调查(NHANES)中提取数据。生活方式因素包括吸烟状况、饮酒、肥胖、饮食质量、抑郁、体力活动和久坐行为。接合点回归模型用于估计对数变换年龄标准化患病率的趋势。根据年龄、性别和种族/人种调整后的多项式逻辑回归模型用于分析社会人口因素的分组情况:提取了 1999 年至 2018 年间 33680 名受访者的数据。从 1999 年到 2018 年,吸烟和劣质饮食的流行率有所下降(P 结论:从 1999 年到 2018 年,吸烟和劣质饮食的流行率有所下降:在 1999-2018 年患有血脂异常的 NHANES 受访者中,观察到当前吸烟率和不良饮食率显著下降,而肥胖率明显上升。在管理生活方式因素方面存在社会人口差异。需要采取进一步措施鼓励血脂异常患者,以减少潜在的不良后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.40
自引率
0.00%
发文量
303
审稿时长
1.5 months
期刊介绍: The American Journal of The Medical Sciences (AJMS), founded in 1820, is the 2nd oldest medical journal in the United States. The AJMS is the official journal of the Southern Society for Clinical Investigation (SSCI). The SSCI is dedicated to the advancement of medical research and the exchange of knowledge, information and ideas. Its members are committed to mentoring future generations of medical investigators and promoting careers in academic medicine. The AJMS publishes, on a monthly basis, peer-reviewed articles in the field of internal medicine and its subspecialties, which include: Original clinical and basic science investigations Review articles Online Images in the Medical Sciences Special Features Include: Patient-Centered Focused Reviews History of Medicine The Science of Medical Education.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信