Department of General Internal Medicine, Saitama Medical University, Morohongo 38, Moroyama-machi, Iruma-gun, Saitama, 350-0495, Japan.
BMC Public Health. 2021 Apr 29;21(1):820. doi: 10.1186/s12889-021-10905-7.
The national health promotion program in the twenty-first century Japan (HJ21) correlates life purpose with disease prevention, facilitating the adoption of healthy lifestyles. However, the influence of clustered healthy lifestyle practices on life purpose, within the context of this national health campaign remains uninvestigated. This study assessed the association between such practices and life purpose, in line with the HJ21.
We performed a nationwide cross-sectional survey on certified specialists in health management. Participants' demographic information, lifestyle, and purpose in life were measured using a validated tool. The cohort was median-split into two groups based on their clustered health-related lifestyle score. The values for health-related lifestyle and purpose were compared between the two groups and the correlation between health-related lifestyle and purpose in life was measured.
Data from 4820 participants were analyzed. The higher-scoring health-related lifestyle group showed a significantly higher life purpose than the lower group (35.3 vs 31.4; t = 23.6, p < 0.001). There was a significant association between the scores of clustered healthy lifestyle practices and life purpose (r = 0.401, p < 0.001). The higher-scoring health-related lifestyle group achieved a higher life purpose than the lower-scoring group. This association between healthy lifestyle practices and life purpose denotes a positive and linear relationship.
Our results suggest that individuals who have a better health-related lifestyle gain a higher sense of life purpose. In other words, a healthy lifestyle predicts a purpose in life. Our findings posit that examining the causal relationship between healthy lifestyle and purpose in life may be a more efficient approach toward health promotion.
21 世纪日本国家健康促进计划（HJ21）将生活目标与疾病预防相关联，促进健康生活方式的采用。然而，在这项国家健康运动的背景下，关于集群健康生活方式实践对生活目标的影响仍未得到研究。本研究评估了与 HJ21 一致的实践与生活目标之间的关联。
我们对健康管理认证专家进行了全国性的横断面调查。参与者的人口统计学信息、生活方式和生活目标使用经过验证的工具进行测量。根据他们的集群健康相关生活方式评分，将队列分为两组。比较两组之间健康相关生活方式和生活目标的价值，并测量健康相关生活方式与生活目标之间的相关性。
分析了来自 4820 名参与者的数据。得分较高的健康相关生活方式组的生活目标明显高于得分较低的组（35.3 对 31.4；t=23.6，p<0.001）。集群健康生活方式实践的得分与生活目标之间存在显著关联（r=0.401，p<0.001）。得分较高的健康相关生活方式组比得分较低的组实现了更高的生活目标。这种健康生活方式实践与生活目标之间的关联表示出积极和线性的关系。
我们的结果表明，生活方式较好的个体获得更高的生活目标感。换句话说，健康的生活方式预示着生活目标。我们的研究结果表明，研究健康生活方式和生活目标之间的因果关系可能是促进健康的更有效方法。
