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健康与财富:美国低收入成年人减肥成功是否与节省金钱有关?一项全国性研究的结果。

Health & Wealth: is weight loss success related to monetary savings in U.S. adults of low-income? Findings from a National Study.

机构信息

Economic and Health Policy Research Program, Department of Intramural Research, American Cancer Society, Atlanta, GA, USA.

Faculty of Social Welfare & Health Sciences, School of Public Health, University of Haifa, Haifa, Israel.

出版信息

BMC Public Health. 2019 Nov 21;19(1):1538. doi: 10.1186/s12889-019-7711-3.

Abstract

BACKGROUND

Many individuals aspire to attain various goals in life, such as committing to a healthful diet to slim down or saving for retirement to enhance future welfare. While these behaviors (weight loss and saving) share the common denominator of self-regulation, it is unclear whether success in one domain is related to the other. Therefore, we examined the relationship between long term weight loss (LTWL) success and monetary savings among U.S. adults who at one point in life diverged from normal weight status.

METHODS

Data on 1994 adults with a maximum BMI ≥ 25 kg/m and with an annual household income equal or less than 200% poverty level. Data were derived from a U.S. population-based study (NHANES). The independent variable was LTWL success (loss maintained for at least 1 year), which was operationalized as < 10% (reference group), 10.00-19.99%, and ≥ 20.00%. The dependent variable was monetary savings (e.g., 401 K), defined as a 3-category ordinal variable. We employed ordered logistic regression to estimate the relationship between LTWL success and increased odds for higher overall savings.

RESULTS

Multivariable analysis revealed that adjusting for income, education and other covariates, being in the highest LTWL category (≥20.00%) significantly reduced the likelihood of monetary savings in comparison to the reference group (OR = 0.55, 95%CI = 0.34-0.91). This relationship was not observed in the lower LTWL category (10.00-19.99%).

CONCLUSIONS

Adults who in the past were overweight or obese and who presently exhibit high levels of LTWL, were markedly less successful when it came to their finances. This might stem from significant cognitive-affective resources exerted during the weight loss process coupled with a paucity of financial resources which impede financial decision making. This supposition, however, warrants future research.

摘要

背景

许多人都渴望在生活中实现各种目标,例如通过健康饮食来减肥,或者为退休存钱以提高未来的福利。虽然这些行为(减肥和存钱)都有自我调节这一共性,但目前尚不清楚在一个领域的成功是否与另一个领域相关。因此,我们研究了生活中体重曾偏离正常水平的美国成年人中,长期减肥(LTWL)成功与货币储蓄之间的关系。

方法

数据来源于一项美国人群为基础的研究(NHANES),共纳入了 1994 名成年人,他们的 BMI 最高值≥25kg/m2,且年收入等于或低于贫困线的 200%。自变量为 LTWL 成功(维持至少 1 年的体重减轻),具体操作为<10%(参考组)、10.00-19.99%和≥20.00%。因变量为货币储蓄(例如 401k),定义为一个三分类有序变量。我们采用有序逻辑回归来估计 LTWL 成功与更高总体储蓄几率之间的关系。

结果

多变量分析显示,在校正收入、教育和其他协变量后,处于最高 LTWL 类别(≥20.00%)的人群与参考组相比,储蓄货币的可能性显著降低(OR=0.55,95%CI=0.34-0.91)。而在较低 LTWL 类别(10.00-19.99%)中则没有观察到这种关系。

结论

过去超重或肥胖、目前表现出高度 LTWL 的成年人,在财务方面明显不太成功。这可能源于在减肥过程中需要大量的认知情感资源,同时缺乏财务资源会阻碍财务决策。然而,这种推测需要进一步的研究。

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