Bishwajit Ghose, Tang Shangfeng, Yaya Sanni, He Zhifei, Feng Zhanchun
1 School of Medicine & Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.
2 School of International Development and Global Studies, University of Ottawa, Ontario, Canada.
Am J Mens Health. 2017 Mar;11(2):357-364. doi: 10.1177/1557988316681128. Epub 2016 Dec 5.
The aim of the present study was to investigate the association between self-reported health (SRH) and quality of life (QoL) with five lifestyle-related behaviors including tobacco smoking, drinking alcohol, physical activity status, consumption of fruits, and consumption of vegetables among men diagnosed with type 2 diabetes. Participants were 786 Chinese men older than 40 years and living in urban households. Cross-sectional data on self-rated health, associated sociodemographics, and health-related behaviors were collected from the Study on Global AGEing and Health (Wave 1) of World Health Organization. Results of multivariable regression reported significant association with adherence to healthy lifestyle behavior and SRH but not QoL. According to the results, percentage of men who reported being in good SRH was overwhelmingly high (95.9%) compared with good QoL (5%). Adherence to healthy behavior was strongly associated with SRH in both bivariate and multivariate analysis, adjusted odds ratio (95% confidence interval) of good SRH for nonsmokers: 1.276 [1.055, 2.773], nondrinkers:1.351 [1.066, 3.923], taking physical exercise: 1.267 [1.117, 3.109], consuming at least five servings of fruits: 1.238 [1.034, 6.552], and vegetables: 1.365 [1.032, 3.885]. The current findings suggest that abstention from tobacco and alcohol, optimum consumption of fruits and vegetables, regular physical exercise could have marked impact on the health status of diabetic men.
本研究的目的是调查在被诊断为2型糖尿病的男性中，自我报告健康状况（SRH）和生活质量（QoL）与包括吸烟、饮酒、身体活动状况、水果消费和蔬菜消费在内的五种与生活方式相关行为之间的关联。参与者为786名年龄在40岁以上且居住在城市家庭的中国男性。自我评定健康状况、相关社会人口统计学和健康相关行为的横断面数据来自世界卫生组织全球老龄化与健康研究（第1波）。多变量回归结果显示，坚持健康的生活方式行为与自我报告健康状况显著相关，但与生活质量无关。根据结果，报告自我报告健康状况良好的男性比例（95.9%）远高于生活质量良好的男性比例（5%）。在双变量和多变量分析中，坚持健康行为与自我报告健康状况密切相关，不吸烟者自我报告健康状况良好的调整优势比（95%置信区间）为：1.276[1.055，2.773]，不饮酒者为：1.351[1.066，3.923]，进行体育锻炼者为：1.267[1.117，3.109]，每天至少食用五份水果者为：1.238[1.034，6.552]，食用蔬菜者为：1.365[1.032，3.885]。目前的研究结果表明，戒烟限酒、适量食用水果和蔬菜、定期进行体育锻炼可能对糖尿病男性的健康状况产生显著影响。
