1Institute of Public Health and Clinical Nutrition, Primary Health Care, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Scand J Public Health. 2014 Mar;42(2):163-70. doi: 10.1177/1403494813504837. Epub 2013 Sep 18.
The Lapinlahti 2005 study was carried out to explore cardiovascular disease risk factors, lifestyle and quality of life in Lapinlahti residents in eastern Finland. Our aim was to study the association between lifestyle and health-related quality of life (HRQoL) in the community.
The present study is based on the baseline data of the followed up (2005-2010) population-based cohort (N = 376, n of males = 184). A trained research nurse measured weight, height, waist circumference and blood pressure. Self-reported HRQoL was measured using a 15D questionnaire. A BDI-21 inventory was used to assess the presence of self-reported depressive symptoms. Lifestyle factors (nutrition, exercise, smoking and alcohol use) were examined with a structured questionnaire. Each lifestyle item was valued as -1, 0 or 1, depending on how well it corresponded to the recommendations. Based on the index the participants were divided into three lifestyle sum tertiles: I = unhealthy, II = neutral and III = healthy. The age- and sex-adjusted linear trend between the tertiles was tested.
The 15D score had a positive linear relationship with the lifestyle tertiles (P = .0048 for linearity, age- and sex-adjusted). Respectively, self-reported depressive symptoms were less frequent among subjects with a healthier lifestyle (P = .038).
People who are expected to strive most to change their lifestyle have the lowest quality of life and psychological welfare, which should be taken into account in both clinical work and health promotion.
拉皮丹拉赫蒂 2005 年的研究旨在探索芬兰东部拉皮丹拉赫蒂居民的心血管疾病风险因素、生活方式和生活质量。我们的目的是研究生活方式与社区健康相关生活质量（HRQoL）之间的关系。
本研究基于随访（2005-2010 年）的基于人群的队列的基线数据（N=376，男性 n=184）。一名经过培训的研究护士测量了体重、身高、腰围和血压。自我报告的 HRQoL 使用 15D 问卷进行测量。BDI-21 量表用于评估自我报告的抑郁症状的存在。生活方式因素（营养、运动、吸烟和饮酒）通过结构化问卷进行检查。根据指数，参与者被分为三种生活方式总和三分位数：I=不健康，II=中性，III=健康。测试了年龄和性别调整后的线性趋势。
15D 评分与生活方式三分位数呈正线性关系（P=0.0048 用于线性，年龄和性别调整）。分别来说，报告有更健康生活方式的受试者中，自我报告的抑郁症状较少（P=0.038）。
那些最需要努力改变生活方式的人生活质量和心理健康状况最差，这在临床工作和健康促进中都应该考虑到。
