Sá Alexandre, Peleteiro Bárbara
ISPUP-EPIUnit, Universidade do Porto, Porto, Portugal.
Departamento de Ciências da Saúde Pública e Forenses, e Educação Médica, Faculdade de Medicina Universidade do Porto, Porto, Portugal.
Int J Health Plann Manage. 2018 Oct;33(4):e906-e917. doi: 10.1002/hpm.2561. Epub 2018 Jul 3.
To determine the influence of family history (FH) and personal history (PH) of chronic disease (CD) in the adoption of healthy lifestyles.
This cross-sectional study was based on the EPIPorto cohort (n = 1588). Participants were grouped taking into account FH and PH of CD, such as diabetes, myocardial infarction, stroke, asthma, and cancer, and if at least one of the first-degree relatives had died from the CD. Age-, sex-, and education-adjusted odds ratios and corresponding 95% confidence intervals were computed using multinomial logistic regression.
Subjects with PH and FH of CD were more likely to follow recommendations regarding salt intake but less likely regarding obesity measures. Overall, similar results were observed when repeating the analyses according to the type of CD, particularly in those with diabetes.
Recommendations towards healthier lifestyles are not followed by individuals with history of CD, at least in what concerns obesity measures. Our study suggests reducing obesity as a major target for interventions in these groups of individuals.
确定慢性病（CD）家族史（FH）和个人史（PH）对采用健康生活方式的影响。
这项横断面研究基于EPIPorto队列（n = 1588）。根据CD的FH和PH，如糖尿病、心肌梗死、中风、哮喘和癌症，以及是否至少有一位一级亲属死于该CD，对参与者进行分组。使用多项逻辑回归计算年龄、性别和教育程度调整后的优势比及相应的95%置信区间。
有CD的PH和FH的受试者更有可能遵循关于盐摄入量的建议，但在肥胖措施方面则不太可能。总体而言，根据CD类型重复分析时观察到类似结果，尤其是在糖尿病患者中。
有CD病史的个体不遵循更健康生活方式的建议，至少在肥胖措施方面如此。我们的研究表明，将减少肥胖作为这些个体群体干预的主要目标。
