Kwon Simona C, Wyatt Laura C, Kranick Julie A, Islam Nadia S, Devia Carlos, Horowitz Carol, Trinh-Shevrin Chau
Simona C. Kwon, Laura C. Wyatt, Julie A. Kranick, Nadia S. Islam, and Chau Trinh-Shevrin are with the Department of Population Health, NYU School of Medicine, New York, NY. Carlos Devia is with Bronx Health REACH, New York. Carol Horowitz is with the Department of Health Evidence and Policy, Mount Sinai School of Medicine, New York.
Am J Public Health. 2015 Jul;105 Suppl 3(Suppl 3):S544-52. doi: 10.2105/AJPH.2015.302653. Epub 2015 Apr 23.
We explored the relationship between health-related quality of life (HRQOL) and adequate physical activity (PA) and fruit and vegetable (F&V) intake among racial/ethnic minority groups aged 60 years or older living in New York City (NYC).
Survey data from 2009 to 2012 targeted minority groups in NYC ethnic enclaves; we analyzed 3594 individuals (Blacks, Hispanics, and Chinese) aged 60 years or older. Descriptive statistics were run; unadjusted and adjusted logistic regression evaluated the relationship of HRQOL with PA and F&V intake.
Hispanics were most likely to engage in sufficient PA and eat recommended F&Vs and had significantly worse HRQOL. After multivariable adjustment, significant associations were found between PA and self-reported health, activity limitation and physical health days for all groups, and PA and mental health days for Hispanics. Significant associations were found between F&V intake and physical health days for Hispanics and F&V intake and self-reported health for Chinese.
Findings indicated variations between HRQOL and PA by racial/ethnic subgroup. Despite being highly insured, recommendations for PA and F&V intake were not met. There is a need to promote healthy living behaviors among aging NYC racial/ethnic populations.
我们探讨了纽约市(NYC)60岁及以上种族/族裔少数群体的健康相关生活质量(HRQOL)与充足的体育活动(PA)以及水果和蔬菜(F&V)摄入量之间的关系。
2009年至2012年针对纽约市种族聚居区少数群体的调查数据;我们分析了3594名60岁及以上的个体(黑人、西班牙裔和华裔)。进行了描述性统计;未调整和调整后的逻辑回归评估了HRQOL与PA和F&V摄入量之间的关系。
西班牙裔最有可能进行充足的体育活动并食用推荐的水果和蔬菜,但其HRQOL明显较差。经过多变量调整后,发现所有群体的PA与自我报告的健康状况、活动受限和身体健康天数之间存在显著关联,西班牙裔的PA与心理健康天数之间存在显著关联。发现西班牙裔的F&V摄入量与身体健康天数之间以及华裔的F&V摄入量与自我报告的健康状况之间存在显著关联。
研究结果表明不同种族/族裔亚组的HRQOL与PA之间存在差异。尽管参保率很高,但PA和F&V摄入量的建议并未得到满足。有必要在纽约市老龄化的种族/族裔人群中促进健康的生活行为。