Oftedal Stina, Rayward Anna T, Fenton Sasha, Duncan Mitch J
School of Medicine and Public Health.
Priority Research Centre for Physical Activity and Nutrition.
Health Psychol. 2021 Apr;40(4):252-262. doi: 10.1037/hea0001066.
The prospective relationships between poor sleep health, poor diet quality, and physical inactivity with self-rated health (SRH) are not well described. The aim of this study was to assess individual and joint associations between high-risk health behaviors and incident poor SRH.
Participants from the Household Income and Labor Dynamics in Australia longitudinal cohort reporting "good" SRH in 2013 were included (n = 8,853) in 2020 data analysis. Logistic regression was used to assess odds of poor SRH in 2017 associated with (a) individual, (b) count, and (c) unique combinations of high-risk behaviors reported in 2013.
In the sample (48% female, M = 45.2 years, SD = 16.8), poor sleep health (OR = 1.66, 95% CI [1.38, 2.01]), physical inactivity (OR = 1.18, [1.01, 1.38]), and poor diet quality (OR = 1.38, [1.16, 1.65]) were associated with increased odds of poor SRH. Reporting one (OR = 1.76, [1.27, 2.43]), two (OR = 2.16, [1.57, 2.98]), and three (OR = 2.99, [2.02, 4.41]) high-risk behaviors was associated with increased odds of poor SRH. All unique combinations of high-risk behaviors were significantly associated with greater odds of poor SRH, except "poor sleep health only" (prevalence = 1.3%). Odds of poor SRH associated with high-risk behavior combinations ranged from 1.73 (95% CI [1.21, 2.47]) for "physical inactivity only" to 4.11 ([2.66, 6.35]) for "poor sleep health + poor diet quality."
Reporting ≥ 1 high-risk behavior was associated with increased odds of poor SRH. The combination of poor sleep health with poor diet quality was associated with the greatest odds of poor SRH. Improving multiple high-risk behaviors in combination may be more effective in preventing decline in SRH than improving any behavior alone. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
睡眠健康不佳、饮食质量差和缺乏身体活动与自评健康（SRH）之间的前瞻性关系尚未得到充分描述。本研究的目的是评估高风险健康行为与新发SRH不佳之间的个体关联和联合关联。
澳大利亚家庭收入与劳动力动态纵向队列中在2013年报告“良好”SRH的参与者（n = 8,853）被纳入2020年的数据分析。使用逻辑回归评估2017年SRH不佳的几率与（a）个体、（b）计数以及（c）2013年报告的高风险行为的独特组合之间的关系。
在样本中（48%为女性，M = 45.2岁，SD = 16.8），睡眠健康不佳（OR = 1.66，95% CI [1.38, 2.01]）、缺乏身体活动（OR = 1.18，[1.01, 1.38]）和饮食质量差（OR = 1.38，[1.16, 1.65]）与SRH不佳几率增加相关。报告一种（OR = 1.76，[1.27, 2.43]）、两种（OR = 2.16，[1.57, 2.98]）和三种（OR = 2.99，[2.02, 4.41]）高风险行为与SRH不佳几率增加相关。除“仅睡眠健康不佳”（患病率 = 1.3%）外，高风险行为的所有独特组合均与SRH不佳的更高几率显著相关。与高风险行为组合相关的SRH不佳几率范围从“仅缺乏身体活动”的1.73（95% CI [1.21, 2.47]）到“睡眠健康不佳 + 饮食质量差”的4.11（[2.66, 6.35]）。
报告≥1种高风险行为与SRH不佳几率增加相关。睡眠健康不佳与饮食质量差的组合与SRH不佳的几率最高相关。综合改善多种高风险行为可能比单独改善任何一种行为在预防SRH下降方面更有效。（PsycInfo数据库记录（c）2021美国心理学会，保留所有权利）
