生活方式轨迹和生活方式改变总分与代谢综合征风险的关系：基于社区的前瞻性安城-安山队列研究。

IF 6.6 2区医学 Q1 NUTRITION & DIETETICS

Clinical nutrition Pub Date : 2024-10-16 DOI:10.1016/j.clnu.2024.10.018

Jialei Fu , Sangah Shin

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引用次数: 0

摘要

背景与目的我们旨在研究生活方式轨迹和生活方式改变总分与代谢综合征（MetS）风险的关系：我们分析了安山队列研究中 2048 名年龄在 40-69 岁之间、基线时未患有 MetS 的参与者。通过基于组别的轨迹分析确定生活方式轨迹，通过指数分析确定生活方式改变总分。健康生活方式轨迹和生活方式改变总分作为暴露，MetS 作为结果。采用 Cox 比例危险回归法检测暴露与结果相关性的危险比（HRs）：结果：在中位数为 9.8 年的随访期间，共记录了 756 个病例。与稳定的低健康生活方式轨迹相比，稳定的高健康生活方式轨迹对降低 MetS 风险具有保护作用（男性：HR，0.47；95% 置信区间 [95%CI]，0.34-0.66；女性：HR，0.62；95% CI，0.43-0.91）。在基于指数的分析中也观察到了类似的结果，与生活方式改变总分较低的人群相比，总分较高的男性和女性患 MetS 的风险分别降低了 46% 和 47%（男性：HR，0.54；95%CI，0.41-0.71；女性：HR，0.53；95%CI，0.41-0.68）：结论：稳定的健康生活方式轨迹与韩国成年人 MetS 风险的降低有关。结论：在韩国成年人中，稳定的健康生活方式轨迹与 MetS 风险的降低有关，此外，生活方式改变总分越高，MetS 风险越低。

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Association of lifestyle trajectory and total lifestyle change score with risk of metabolic syndrome: The prospective community-based Ansung-Ansan cohort study

Background & aims

We aimed to examine the association of lifestyle trajectory and total lifestyle change score with the risk of metabolic syndrome (MetS).

Methods

We analyzed 2048 participants aged 40–69 years without MetS at baseline in the Ansung-Ansan cohort study. Lifestyle trajectories were identified using group based trajectory analysis, and total lifestyle change score were identified using index analysis. Healthy lifestyle trajectory and total lifestyle change score as exposure, and MetS as outcome. Cox proportional-hazards regression was used to examine the hazard ratios (HRs) for the exposure-outcome association.

Results

During the median 9.8-year follow-up, 756 cases were recorded. Compared with those in the stable low healthy lifestyle trajectory, the stable high healthy lifestyle trajectory showed a protective effect on reducing the risk of MetS (men: HR, 0.47; 95 % confidence interval [95 % CI], 0.34–0.66; women: HR, 0.62; 95 % CI, 0.43–0.91). Similar results were observed in the index based analysis, compared with those with lower total lifestyle change scores, men and women with higher scores had 46 % and 47 % lower risks of developing MetS, respectively (men: HR, 0.54; 95%CI, 0.41–0.71; women: HR, 0.53; 95 % CI, 0.41–0.68).

Conclusions

Stable healthy lifestyle trajectory was associated with a reduced risk of MetS among Korean adults. Furthermore, a higher total lifestyle change score was inversely associated with the risk of MetS.

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来源期刊

Clinical nutrition 医学-营养学

CiteScore

14.10

自引率

6.30%

发文量

356

审稿时长

28 days

期刊介绍： Clinical Nutrition, the official journal of ESPEN, The European Society for Clinical Nutrition and Metabolism, is an international journal providing essential scientific information on nutritional and metabolic care and the relationship between nutrition and disease both in the setting of basic science and clinical practice. Published bi-monthly, each issue combines original articles and reviews providing an invaluable reference for any specialist concerned with these fields.