美国成年糖尿病患者中多种健康生活方式习惯的聚类与健康相关生活质量

Clustering of multiple healthy lifestyle habits and health-related quality of life among U.S. adults with diabetes.

作者信息

Li Chaoyang, Ford Earl S, Mokdad Ali H, Jiles Ruth, Giles Wayne H

机构信息

Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy., MS K66, Atlanta, GA 30341, USA.

出版信息

Diabetes Care. 2007 Jul;30(7):1770-6. doi: 10.2337/dc06-2571. Epub 2007 Apr 24.

DOI:10.2337/dc06-2571

PMID:17456843

Abstract

OBJECTIVE

We sought to examine the association between clustering of multiple healthy lifestyle habits (HLHs) and health-related quality of life (HRQOL) among adults with diabetes.

RESEARCH DESIGN AND METHODS

We analyzed the representative sample of the civilian, noninstitutionalized U.S. population aged > or = 18 years with diabetes using data from the 2005 Behavioral Risk Factor Surveillance System (n = 16,428). Four HRQOL measures were general health rating, physically unhealthy days, mentally unhealthy days, and impaired activity days. Three HLHs included not smoking, engaging in adequate leisure time physical activity, and consuming five or more servings of fruits and vegetables per day.

RESULTS

The proportion of having 0, 1, 2, and 3 HLHs was 10.5, 44.7, 32.9, and 11.9%, respectively. The age-adjusted prevalence rates of poor or fair health, > or = 14 physically unhealthy days, > or = 14 mentally unhealthy days, and > or = 14 impaired activity days were 43.07, 27.61, 17.22, and 18.87%, respectively. After adjustment for potential confounders and comparison with none of the three HLHs, people with all three HLHs were less likely to report poor or fair health (adjusted odds ratio 0.49 [95% CI 0.33-0.71]), > or = 14 physically unhealthy days (0.56 [0.39-0.80]), > or = 14 mentally unhealthy days (0.35 [0.23-0.55]), or > or = 14 impaired activity days (0.35 [0.23-0.56]).

CONCLUSIONS

Accumulation of multiple HLHs was significantly associated with better HRQOL among people with diabetes.

摘要

目的

我们试图研究糖尿病成年人中多种健康生活方式习惯（HLHs）的聚集与健康相关生活质量（HRQOL）之间的关联。

研究设计与方法

我们使用2005年行为危险因素监测系统的数据，分析了年龄≥18岁的美国非机构化成年糖尿病患者的代表性样本（n = 16,428）。四项HRQOL指标分别为总体健康评分、身体不健康天数、精神不健康天数和活动受限天数。三项HLHs包括不吸烟、进行充足的休闲时间体育活动以及每天食用五份或更多份水果和蔬菜。

结果

拥有0、1、2和3种HLHs的比例分别为10.5%、44.7%、32.9%和11.9%。健康状况差或一般、身体不健康天数≥14天、精神不健康天数≥14天以及活动受限天数≥14天的年龄调整患病率分别为43.07%、27.61%、17.22%和18.87%。在对潜在混杂因素进行调整并与未具备三种HLHs中的任何一种进行比较后，具备所有三种HLHs的人报告健康状况差或一般的可能性较小（调整后的优势比为0.49 [95%可信区间0.33 - 0.71]），身体不健康天数≥14天的可能性较小（0.56 [0.39 - 0.80]），精神不健康天数≥14天的可能性较小（0.35 [0.23 - 0.55]），或活动受限天数≥14天的可能性较小（0.35 [0.23 - 0.56]）。