[智利成年人健康生活方式指数与心血管危险因素的关联]

[Association of a healthy lifestyle index with cardiovascular risk factors in Chileans adults].

作者信息

Leiva Ana María, Petermann-Rocha Fanny, Martínez-Sanguinetti María Adela, Troncoso-Pantoja Claudia, Concha Yeny, Garrido-Méndez Alex, Díaz-Martínez Ximena, Lanuza-Rilling Fabián, Ulloa Natalia, Martorell Miquel, Álvarez Cristian, Celis-Morales Carlos

机构信息

Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.

Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.

出版信息

Rev Med Chil. 2018 Dec;146(12):1405-1414. doi: 10.4067/s0034-98872018001201405.

DOI:10.4067/s0034-98872018001201405

PMID:30848743

Abstract

BACKGROUND

Healthy lifestyles are associated with a better metabolic and cardiovascular health profile.

AIM

To investigate the association between a lifestyle score and cardiovascular risk in Chilean adults.

MATERIAL AND METHODS

A healthy lifestyle score was derived for 2,774 participants in the Chilean National Health Survey 2009-2010 and based on seven modifiable behaviors (salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviors). A high score represented a healthier lifestyle whereas a low score represents an unhealthy lifestyle. The association between the lifestyle score and cardiovascular risk factors (obesity, hypertension, diabetes, dyslipidemia and metabolic syndrome), was explored using logistic regression models.

RESULTS

One quartile increment in the healthy lifestyle score was associated with a lower risk for obesity (Odds ratio (OR): 0.82 [95% confidence intervals (CI): 0.75 to 0.90], p < 0.01), central obesity (OR: 0.88 [95% CI: 0.81 to 0.96], p < 0.01), diabetes (OR: 0.84 [95% CI: 0.75 to 0.95], p < 0.04) and dyslipidemia (OR: 0.90 [95% CI: 0.83 to 0.98], p = 0.01). These results were independent of major confounding factors.

CONCLUSIONS

The adherence to a healthy lifestyle is associated with lower cardiovascular risk.

摘要

背景

健康的生活方式与更好的代谢和心血管健康状况相关。

目的

研究智利成年人生活方式得分与心血管风险之间的关联。

材料与方法

根据2009 - 2010年智利国家健康调查中2774名参与者的七种可改变行为（盐摄入量、水果和蔬菜摄入量、饮酒量、睡眠时间、吸烟、身体活动和久坐行为）得出健康生活方式得分。高分代表更健康的生活方式，低分代表不健康的生活方式。使用逻辑回归模型探讨生活方式得分与心血管危险因素（肥胖、高血压、糖尿病、血脂异常和代谢综合征）之间的关联。

结果

健康生活方式得分每增加一个四分位数，肥胖风险降低（优势比（OR）：0.82 [95%置信区间（CI）：0.75至0.90]，p < 0.01），中心性肥胖风险降低（OR：0.88 [95% CI：0.81至0.96]，p < 0.01），糖尿病风险降低（OR：0.84 [95% CI：0.75至0.95]，p < 0.04），血脂异常风险降低（OR：0.90 [95% CI：0.83至0.98]，p = 0.01）。这些结果不受主要混杂因素的影响。