Baumann Michèle, Tchicaya Anastase, Lorentz Nathalie, Le Bihan Etienne
Research Unit INSIDE, Institute Health & Behaviour, University of Luxembourg, Belval Campus, L-4366, Esch-sur-Alzette, Luxembourg.
Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg.
BMC Public Health. 2017 Dec 2;17(1):925. doi: 10.1186/s12889-017-4925-0.
Patients with cardiovascular disease who underwent coronary angiography at the National Institute of Cardiac Surgery and Cardiological Intervention (INCCI) in Luxembourg were surveyed for cardiovascular risk factors (CVRF) (hypertension, hypercholesterolemia, diabetes, obesity, physical inactivity, tobacco consumption). In 2013/14, their life satisfaction (LS) was also assessed. Our aim was to analyse the relationships between LS on one hand and longitudinal changes in CVRF between 2008/09 and 2013/14 and socioeconomic factors on the other.
1289 patients completed a self-administered questionnaire. Life Satisfaction, originally recorded on a 1 to 10 scale of complete satisfaction was dichotomized into two groups: ≤ 7 and. >7. We then performed logistic multiple regressions. The event on which the probability was modelled, was LS > 7. Data were adjusted on age, sex and income. Longitudinal changes in CVRF were assessed by their presence or absence in 2008/09 and 2013/14 (categories: 'no-no'; 'no-yes'; 'yes-no'; 'yes-yes').
Physical activity in 2008/09 and 2013/14 was associated with a lower LS (OR = 0.469). The same pattern was observed for obesity and physical inactivity: lower LS was related to the presence of these risks (yes-yes; no-yes) in 2013/14 (mean OR for obesity and physical inactivity in 2013/14: 0.587 and 0.485 respectively), whereas their presence or absence in 2008/09 was not related to LS. Finally, patients who suffered from diabetes in 2008 were more likely to experience a decline in LS, particularly if their diabetes was less severe in 2013/14 (OR = 0.462).
The lowest LS was observed when obesity or physical inactivity was present in 2013/14, newly or otherwise. The same trend was seen in diabetes among patients who had it in 2008/9, but were less severely affected in 2013/14. In secondary prevention, CVD-related upheavals could be minimised if professionals and patients became 'Partners in Healthcare' to better adhere to healthy lifestyles, as well as to reduce CVRF, and thereby enhance LS.
对在卢森堡国家心脏外科和心脏介入研究所（INCCI）接受冠状动脉造影的心血管疾病患者进行了心血管危险因素（CVRF）（高血压、高胆固醇血症、糖尿病、肥胖、缺乏身体活动、吸烟）调查。在2013/14年，还评估了他们的生活满意度（LS）。我们的目的是一方面分析生活满意度与2008/09年至2013/14年期间心血管危险因素的纵向变化之间的关系，另一方面分析与社会经济因素之间的关系。
1289名患者完成了一份自我管理问卷。最初记录在1至10分完全满意度量表上的生活满意度被分为两组：≤7分和>7分。然后我们进行了逻辑多元回归。建模概率的事件是生活满意度>7分。数据根据年龄、性别和收入进行了调整。通过2008/09年和2013/14年心血管危险因素的存在与否来评估其纵向变化（类别：“无-无”；“无-有”；“有-无”；“有-有”）。
2008/09年和2013/14年的身体活动与较低的生活满意度相关（OR = 0.469）。肥胖和缺乏身体活动也观察到了相同的模式：较低的生活满意度与2013/14年这些风险的存在（有-有；无-有）相关（2013/14年肥胖和缺乏身体活动的平均OR分别为0.587和0.485），而它们在2008/09年的存在与否与生活满意度无关。最后，2008年患有糖尿病的患者更有可能经历生活满意度下降，特别是如果他们在2013/14年糖尿病病情较轻（OR = 0.462）。
在2013/14年出现新的或其他形式的肥胖或缺乏身体活动时，观察到最低的生活满意度。在2008/9年患有糖尿病但在2013/14年受影响较轻的患者中，糖尿病也出现了相同的趋势。在二级预防中，如果专业人员和患者成为“医疗保健伙伴”，更好地坚持健康生活方式，以及降低心血管危险因素，从而提高生活满意度，与心血管疾病相关的动荡可能会降至最低。
