Healthy lifestyles in relation to cardiometabolic diseases among schoolteachers: A cross-sectional study

Liyan Huang, Mengjie He, Jie Shen, Yiying Gong, Hui Chen, Xiaolin Xu, Geng Zong, Yan Zheng, Chao Jiang, Baohong Wang, Ronghua Zhang, Changzheng Yuan
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引用次数: 1

Abstract

Background

We aimed to explore the associations of adherence to an overall healthy lifestyle with cardiometabolic diseases (CMDs) among schoolteachers in China.

Methods

We conducted a cross-sectional analysis among 2983 teachers (aged 39.8 ± 9.3 years, 73.8% women) in Zhejiang Province, China. A healthy lifestyle score (0–7) was constructed based on seven low-risk factors: healthy diet, noncurrent smoking, noncurrent drinking, regular exercise, normal body mass index (BMI), adequate sleep duration, and limited sedentary behavior. CMDs included self-reported hyperlipidemia, hypertension, diabetes, coronary heart disease, and stroke. Multivariable-adjusted logistic regression models were used to evaluate the associations between healthy lifestyle and CMD.

Results

A total of 493 (16.5%) participants had at least one CMD, with hyperlipidemia, hypertension, and diabetes being the three leading CMDs. Each point increment in a healthy lifestyle score was associated with 20% lower odds of having CMD (p-trend < 0.001). Compared with 0–3 low-risk factors, the odds ratios (ORs) and 95% confidence intervals (CIs) were 0.66 (0.50–0.88) for 4 low-risk factors and 0.51 (0.39–0.67) for 5–7 low-risk factors. We observed independent associations for normal BMI (OR = 0.50, 95% CI = 0.40–0.63), noncurrent drinking (OR = 0.53, 95% CI = 0.36–0.77), and limited sedentary behavior (OR = 0.77, 95% CI = 0.62–0.96) in relation to CMD. Healthy diet (OR = 0.75, 95% CI = 0.55–1.01) exhibited marginally significant association with CMD.

Conclusions

Our findings suggest that adherence to an overall healthy lifestyle is associated with lower odds of CMD among schoolteachers.

Abstract Image

教师健康生活方式与心脏代谢疾病的关系:一项横断面研究
背景:我们旨在探讨中国教师坚持整体健康生活方式与心脏代谢疾病(CMDs)的关系。方法对2983名教师(年龄39.8岁)进行横断面分析 ± 9.3岁,女性73.8%)。健康生活方式评分(0-7)是基于七个低风险因素构建的:健康饮食、非吸烟、非饮酒、定期锻炼、正常体重指数(BMI)、充足的睡眠时间和有限的久坐行为。CMD包括自我报告的高脂血症、高血压、糖尿病、冠心病和中风。多变量调整逻辑回归模型用于评估健康生活方式与CMD之间的相关性。结果共有493名(16.5%)参与者至少患有一种CMD,其中高脂血症、高血压和糖尿病是三种主要的CMD。健康生活方式得分的每增加一分,患CMD的几率就会降低20%(p趋势 <; 0.001)。与0–3个低风险因素相比,4个低风险因子的比值比(OR)和95%置信区间(CI)分别为0.66(0.50–0.88)和0.51(0.39–0.67)。我们观察到正常BMI(OR = 0.50,95%CI = 0.40–0.63),非经常饮酒(OR = 0.53,95%CI = 0.36–0.77),以及有限的久坐行为(OR = 0.77,95%CI = 0.62–0.96)。健康饮食(OR = 0.75,95%CI = 0.55–1.01)与CMD表现出轻微的显著相关性。结论我们的研究结果表明,在学校教师中,坚持整体健康的生活方式与较低的CMD几率有关。
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