Zarini Gustavo G, Vaccaro Joan A, Canossa Terris Maria A, Exebio Joel C, Tokayer Laura, Antwi Janet, Ajabshir Sahar, Cheema Amanpreet, Huffman Fatma G
Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC-5 307, Miami, FL 33199, USA.
Florida Heart Research Institute, 4770 Biscayne Boulevard 5th Floor, Miami, FL 33137, USA.
J Environ Public Health. 2014;2014:315042. doi: 10.1155/2014/315042. Epub 2014 Oct 28.
Lack of adherence to dietary and physical activity guidelines has been linked to an increase in chronic diseases in the United States (US). The aim of this study was to assess the association of lifestyle behaviors with self-rated health (SRH).
This cross-sectional study used self-reported data from Living for Health Program (N = 1,701) which was conducted from 2008 to 2012 in 190 health fair events in South Florida, US.
Significantly higher percent of females as compared to males were classified as obese (35.4% versus 27.0%), reported poor/fair SRH (23.4% versus 15.0%), and were less physically active (33.9% versus 25.4%). Adjusted logistic regression models indicated that both females and males were more likely to report poor/fair SRH if they consumed ≤2 servings of fruits and vegetables per day (OR = 2.14, 95% CI 1.30-3.54; OR = 2.86, 95% CI 1.12-7.35, resp.) and consumed mostly high fat foods (OR = 1.58, 95% CI 1.03-2.43; OR = 3.37, 95% CI 1.67-2.43, resp.). The association of SRH with less physical activity was only significant in females (OR = 1.66, 95% CI 1.17-2.35).
Gender differences in health behaviors should be considered in designing and monitoring lifestyle interventions to prevent cardiovascular diseases.
在美国,不遵守饮食和身体活动指南与慢性病的增加有关。本研究的目的是评估生活方式行为与自评健康(SRH)之间的关联。
这项横断面研究使用了来自“健康生活计划”的自我报告数据(N = 1701),该计划于2008年至2012年在美国南佛罗里达州的190场健康博览会活动中开展。
与男性相比,女性被归类为肥胖的比例显著更高(35.4%对27.0%),报告健康状况差/一般的比例更高(23.4%对15.0%),且身体活动较少(33.9%对25.4%)。调整后的逻辑回归模型表明,无论男性还是女性,如果他们每天食用≤2份水果和蔬菜(OR = 2.14,95%CI 1.30 - 3.54;OR = 2.86,95%CI 1.12 - 7.35)以及主要食用高脂肪食物(OR = 1.58,95%CI 1.03 - 2.43;OR = 3.37,95%CI 1.67 - 2.43),则更有可能报告健康状况差/一般。SRH与身体活动较少之间的关联仅在女性中显著(OR = 1.66,95%CI 1.17 - 2.35)。
在设计和监测预防心血管疾病的生活方式干预措施时,应考虑健康行为的性别差异。