{"title":"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","authors":"Liyan Huang, Mengjie He, Jie Shen, Yiying Gong, Hui Chen, Xiaolin Xu, Geng Zong, Yan Zheng, Chao Jiang, Baohong Wang, Ronghua Zhang, Changzheng Yuan","doi":"10.1002/hcs2.59","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>We aimed to explore the associations of adherence to an overall healthy lifestyle with cardiometabolic diseases (CMDs) among schoolteachers in China.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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 (<i>p</i>-trend < 0.001). Compared with 0–3 low-risk factors, the odds ratios (<i>OR</i>s) and 95% confidence intervals (<i>CI</i>s) 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 (<i>OR</i> = 0.50, 95% <i>CI</i> = 0.40–0.63), noncurrent drinking (<i>OR</i> = 0.53, 95% <i>CI</i> = 0.36–0.77), and limited sedentary behavior (<i>OR</i> = 0.77, 95% <i>CI</i> = 0.62–0.96) in relation to CMD. Healthy diet (<i>OR</i> = 0.75, 95% <i>CI</i> = 0.55–1.01) exhibited marginally significant association with CMD.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Our findings suggest that adherence to an overall healthy lifestyle is associated with lower odds of CMD among schoolteachers.</p>\n </section>\n </div>","PeriodicalId":100601,"journal":{"name":"Health Care Science","volume":"2 4","pages":"223-232"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.59","citationCount":"1","resultStr":"{\"title\":\"Healthy lifestyles in relation to cardiometabolic diseases among schoolteachers: A cross-sectional study\",\"authors\":\"Liyan Huang, Mengjie He, Jie Shen, Yiying Gong, Hui Chen, Xiaolin Xu, Geng Zong, Yan Zheng, Chao Jiang, Baohong Wang, Ronghua Zhang, Changzheng Yuan\",\"doi\":\"10.1002/hcs2.59\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>We aimed to explore the associations of adherence to an overall healthy lifestyle with cardiometabolic diseases (CMDs) among schoolteachers in China.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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 (<i>p</i>-trend < 0.001). Compared with 0–3 low-risk factors, the odds ratios (<i>OR</i>s) and 95% confidence intervals (<i>CI</i>s) 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 (<i>OR</i> = 0.50, 95% <i>CI</i> = 0.40–0.63), noncurrent drinking (<i>OR</i> = 0.53, 95% <i>CI</i> = 0.36–0.77), and limited sedentary behavior (<i>OR</i> = 0.77, 95% <i>CI</i> = 0.62–0.96) in relation to CMD. Healthy diet (<i>OR</i> = 0.75, 95% <i>CI</i> = 0.55–1.01) exhibited marginally significant association with CMD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Our findings suggest that adherence to an overall healthy lifestyle is associated with lower odds of CMD among schoolteachers.</p>\\n </section>\\n </div>\",\"PeriodicalId\":100601,\"journal\":{\"name\":\"Health Care Science\",\"volume\":\"2 4\",\"pages\":\"223-232\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hcs2.59\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Care Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hcs2.59\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Care Science","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hcs2.59","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Healthy lifestyles in relation to cardiometabolic diseases among schoolteachers: A cross-sectional study
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.
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