Min Deulle, Cho Eunhee
Yonsei University College of Nursing Yonsei University College of Nursing & Mo-Im Kim Nursing Research Institute, Seoul, Republic of Korea.
Medicine (Baltimore). 2018 Jun;97(22):e10981. doi: 10.1097/MD.0000000000010981.
Hypertension (HTN) and type 2 diabetes are common diseases; however, the effects of health behavior and body mass index (BMI) on their incidence and relationship are unclear. The purpose of this study was to investigate the associations among health behaviors, BMI, HTN, and type 2 diabetes.This study was a secondary data analysis using Korean Longitudinal Study of Aging data between 2010 and 2014 (third and fifth). The sample consisted of 3481 people aged 45 years or older. Path analysis was conducted using the generalized structural equation modeling of STATA 13.1 that enabled analyzing the types of binary variables and logit links.There were 129 underweight, 1714 normal, and 1638 overweight and obese individuals. In underweight and normal groups who had regular meals (B = 0.670, P < .001), BMI was higher. However, for those who were older (B = -0.041, P < .001) and female (B = -0.229, P = .021), BMI was lower. The incidence of HTN increased with age (B = 0.038, P = .001). In addition, the incidence of type 2 diabetes increased with age (B = 0.051, P = .005) and smoking (B = 1.539, P = .001). However, the incidence of type 2 diabetes was lower (B = -1.077, P = .036) for those who had regular meals. In the normal and overweight groups, BMI decreased with age (B = -0.033, P < .001). The incidence of HTN increased with age (B = 0.042, P < .001) and BMI (B = 0.145, P < .001). Moreover, the incidence of type 2 diabetes increased with age (B = 0.046, P < .001), smoking (B = 0.682, P = .020), and higher BMI (B = 0.151, P = .001).In the underweight and normal group, health behaviors were related to BMI. In the normal and overweight group, health behaviors were not related to BMI, but high BMI was related to the incidence of HTN and type 2 diabetes. Smoking has a direct effect on the incidence of type 2 diabetes. Thus, the importance of maintaining an ideal BMI and smoking cessation are highlighted.
高血压（HTN）和2型糖尿病是常见疾病；然而，健康行为和体重指数（BMI）对其发病率及二者关系的影响尚不清楚。本研究旨在调查健康行为、BMI、高血压和2型糖尿病之间的关联。本研究是一项利用2010年至2014年（第三轮和第五轮）韩国老年纵向研究数据进行的二次数据分析。样本包括3481名45岁及以上的人群。使用STATA 13.1的广义结构方程模型进行路径分析，该模型能够分析二元变量类型和对数链接。有129名体重过轻、1714名体重正常以及1638名超重和肥胖个体。在规律进餐的体重过轻和正常组中（B = 0.670，P <.001），BMI较高。然而，对于年龄较大者（B = -0.041，P <.001）和女性（B = -0.229，P =.021），BMI较低。高血压的发病率随年龄增加而升高（B = 0.038，P =.001）。此外，2型糖尿病的发病率随年龄增加而升高（B = 0.051，P =.005）以及随吸烟情况而升高（B = 1.539，P =.001）。然而，规律进餐者2型糖尿病的发病率较低（B = -1.077，P =.036）。在体重正常和超重组中，BMI随年龄降低（B = -0.033，P <.001）。高血压的发病率随年龄增加（B = 0.042，P <.001）和BMI增加（B = 0.145，P <.001）而升高。此外，2型糖尿病的发病率随年龄增加（B = 0.046，P <.001）、吸烟（B = 0.682，P =.020）以及较高的BMI（B = 0.151，P =.001）而升高。在体重过轻和正常组中，健康行为与BMI相关。在体重正常和超重组中，健康行为与BMI无关，但高BMI与高血压和2型糖尿病的发病率相关。吸烟对2型糖尿病的发病率有直接影响。因此，强调了维持理想BMI和戒烟的重要性。
