King Dana E, Xiang Jun
From the Department of Family Medicine, West Virginia University School of Medicine, Morgantown.
J Am Board Fam Med. 2017 Mar-Apr;30(2):213-219. doi: 10.3122/jabfm.2017.02.160244.
The objective of this study was to compare the rates of healthy lifestyle adherence among retired late-middle-aged adults with rates among those who are still working.
A national cross-sectional study using data from the National Health and Nutrition Examination survey (NHANES). The main outcome was the proportion of retires versus nonretirees who were adherent to ideal or intermediate goals of the American Heart Association's Life's Simple 7, cardiovascular factors including physical activity, healthy diet, healthy weight, smoking status, total cholesterol, glucose, and blood pressure.
Retirees were more likely than nonretirees to have poorly controlled blood pressure (23.9% vs 15.1%; = .05). However, there were no differences in healthy weight, smoking rates, healthy diet, or glucose or cholesterol control ( > .05). In controlled logistic regression analyses, retirees were more likely to be physically active than nonretirees (odds ratio, 1.85; 95% confidence interval, 1.11-3.09), but were not more likely to be following any other Life's Simple 7 factors.
Retired adults were more likely to be physically active but were not more likely to be adhering to most of the Life's Simple 7 lifestyle and cardiovascular risk factors. More public health attention to encouraging healthy lifestyles during the transition into retirement may be warranted.
本研究的目的是比较退休的中老年成年人与仍在工作的成年人坚持健康生活方式的比例。
一项利用国家健康与营养检查调查(NHANES)数据的全国性横断面研究。主要结果是退休人员与未退休人员中坚持美国心脏协会“生命简单7要素”理想或中等目标的比例,心血管因素包括身体活动、健康饮食、健康体重、吸烟状况、总胆固醇、血糖和血压。
退休人员血压控制不佳的可能性高于未退休人员(23.9%对15.1%;P = 0.05)。然而,在健康体重、吸烟率、健康饮食或血糖或胆固醇控制方面没有差异(P>0.05)。在进行控制的逻辑回归分析中,退休人员比未退休人员更有可能进行身体活动(优势比,1.85;95%置信区间,1.11 - 3.09),但遵循“生命简单7要素”其他任何因素的可能性并不更高。
退休成年人更有可能进行身体活动,但坚持“生命简单7要素”大多数生活方式和心血管危险因素的可能性并不更高。在退休过渡期间,可能需要更多公共卫生关注来鼓励健康的生活方式。