Associations between Health Interest Scale Dimensions and Obesity Risk: A Cross-sectional Study among Japanese Employees.

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL
JMA journal Pub Date : 2025-04-28 Epub Date: 2025-03-28 DOI:10.31662/jmaj.2024-0388
Yumiko Iwase, Rikuya Hosokawa
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Abstract

Introduction: Obesity affects over 2.5 billion adults globally in 2022, posing a significant public health challenge. In Japan, obesity, defined as a body mass index ≥25 kg/m2, impacted 33.0% of men and 22.3% of women in 2020. Despite this, over 25% of Japanese adults report no intention to improve health habits.The Health Interest Scale (HIS) assesses health-related attitudes across three dimensions: health consciousness, health motivation, and health value. Although overall HIS scores are associated with health outcomes, the specific roles of these dimensions in obesity risk are unclear. This study examines the associations between each HIS dimension and obesity risk among Japanese corporate employees, supporting targeted interventions for sedentary, working-age populations.

Methods: This cross-sectional study analyzed data from 2,260 employees of information technology-related companies in Japan, collected via health checkups and self-administered surveys in 2023. HIS scores (range: 0-36) were used as continuous variables. Logistic regression assessed associations between HIS subscale scores and obesity status, adjusting for demographic, occupational, and lifestyle factors and obesity-related diseases.

Results: Higher scores on each HIS dimension were associated with lower obesity odds. Adjusted odds ratios per one-point increase were: health consciousness, 0.84 (95% confidence interval: 0.81-0.88); health value, 0.85 (0.81-0.89); and health motivation, 0.91 (0.87-0.95). Male sex, short sleep (<7 hours), and sedentary occupations were associated with increased obesity odds (all p < 0.001). The associations remained significant after adjustment for obesity-related diseases. Additionally, stronger associations were observed among participants with obesity-related diseases in univariate analysis.

Conclusions: This study identified significant associations between the three HIS dimensions and obesity risk, which remained robust after adjusting for obesity-related diseases. Stronger associations were observed across all HIS dimensions in participants with obesity-related diseases. These findings underscore the importance of tailored interventions targeting HIS dimensions, particularly health consciousness and health value, to reduce obesity risk in sedentary, working-age populations.

健康兴趣量表维度与肥胖风险的关系:日本员工的横断面研究。
到2022年,肥胖将影响全球超过25亿成年人,对公共卫生构成重大挑战。在日本,肥胖(定义为体重指数≥25 kg/m2)在2020年影响了33.0%的男性和22.3%的女性。尽管如此,超过25%的日本成年人表示无意改善健康习惯。健康兴趣量表(HIS)从三个维度评估健康态度:健康意识、健康动机和健康价值。尽管总体HIS得分与健康结果相关,但这些维度在肥胖风险中的具体作用尚不清楚。本研究考察了日本企业员工中每个HIS维度与肥胖风险之间的关系,支持对久坐不动的工作年龄人群进行有针对性的干预。方法:这项横断面研究分析了2260名日本信息技术相关公司员工的数据,这些数据是在2023年通过健康检查和自我管理调查收集的。HIS评分(范围:0-36)作为连续变量。Logistic回归评估了HIS亚量表得分与肥胖状况之间的关联,调整了人口统计学、职业、生活方式因素和肥胖相关疾病。结果:HIS各维度得分越高,肥胖几率越低。每增加1个点的校正优势比为:健康意识,0.84(95%可信区间:0.81-0.88);健康值,0.85 (0.81-0.89);健康动机为0.91(0.87-0.95)。结论:本研究确定了HIS的三个维度与肥胖风险之间的显著相关性,在调整了与肥胖相关的疾病后,这种相关性仍然很强。在肥胖相关疾病参与者的所有HIS维度中观察到更强的关联。这些发现强调了针对健康健康维度,特别是健康意识和健康价值进行量身定制的干预措施的重要性,以减少久坐不动的工作年龄人群的肥胖风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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