The First Affiliated Hospital of Guangxi Medical University, No.6 Shuangyong Road, Nanning, 530021, China.
School of Information and Management, Guangxi Medical University, No.22 Shuangyong Road, Nanning, 530021, China.
BMC Public Health. 2024 Aug 15;24(1):2226. doi: 10.1186/s12889-024-19718-w.
Adherence to healthy lifestyle habits has become a mainstream approach for lessening the burden of cardiovascular disease (CVD) during initial prevention efforts. The purpose of this study was to investigate the prevalence of four healthy lifestyle habits, the associated factors, and their impact on all-cause and cardiovascular mortality among residents of Guangxi Zhuang Autonomous Region.
From 2015 to 2019, individuals between the ages of 35 and 75 from Guangxi Zhuang Autonomous Region were recruited through the ChinaHeart Million Person Project. Our study examined four healthy lifestyle habits: not smoking, no or moderate amounts of alcohol, sufficient leisure time physical activity (LTPA) and a balanced diet.
Out of the 19,969 individuals involved, the majority, 77.3% did not smoke, while 96.7% had limited alcohol intake, 24.5% engaged in sufficient LTPA, 5.5% followed a balanced diet, and merely 1.7% adhered to all four healthy lifestyle habits. Participants who were women, older, nonfarmers, living in cities, with a high income or level of education, or had hypertension or diabetes were more likely to follow all four healthy lifestyle habits (p < 0.001). People who followed the three healthy lifestyle habits had reduced chances of death from all cause (HR 0.34[95% CI:0.15,0.76]) and cardiovascular-related death (HR 0.23 [95% CI: 0.07, 0.68]) (p < 0.01) over a median period of 3.5 years.
In Guangxi Province, the level of adherence to healthy lifestyle habits is very minimal. Therefore, population-specific health promotion strategies are urgently needed.
在初始预防阶段，遵循健康的生活方式习惯已成为减轻心血管疾病（CVD）负担的主流方法。本研究旨在探讨广西壮族自治区居民四种健康生活方式的流行情况、相关因素及其对全因和心血管死亡率的影响。
2015 年至 2019 年，通过中国心脏健康万人计划，在广西壮族自治区招募了 35 至 75 岁的个体。我们的研究检查了四种健康的生活方式习惯：不吸烟、少量或适量饮酒、有足够的休闲时间体力活动（LTPA）和均衡饮食。
在 19969 名参与者中，大多数（77.3%）不吸烟，96.7%的人饮酒有限，24.5%的人进行了足够的 LTPA，5.5%的人遵循均衡饮食，只有 1.7%的人遵循所有四种健康的生活方式习惯。女性、年龄较大、非农民、居住在城市、收入较高或教育水平较高、患有高血压或糖尿病的参与者更有可能遵循所有四种健康的生活方式习惯（p<0.001）。遵循三种健康生活方式习惯的人全因死亡（HR 0.34[95%CI：0.15,0.76]）和心血管相关死亡（HR 0.23[95%CI：0.07,0.68]）的风险降低（p<0.01），随访中位数为 3.5 年。
在广西壮族自治区，遵循健康生活方式习惯的水平非常低。因此，迫切需要针对特定人群的健康促进策略。
