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健康行为和自我感知健康在成年人饮食行为与共病关系中的中介作用。

The mediating role of healthy behaviors and self-perceived health in the relationship between eating behaviors and comorbidity in adults.

作者信息

Ramos-Vera Cristian, Quispe-Callo Gleni, Basauri-Delgado Miguel, Calizaya-Milla Yaquelin E, Casas-Gálvez Christian, Gálvez-Díaz Norma Del Carmen, Saintila Jacksaint

机构信息

Áera de Investigación, Universidad César Vallejo, Lima, Perú.

Escuela de Psicología, Universidad Nacional de San Agustín de Arequipa, Arequipa, Perú.

出版信息

Arch Public Health. 2024 Nov 6;82(1):203. doi: 10.1186/s13690-024-01435-w.

DOI:10.1186/s13690-024-01435-w
PMID:39506869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11539625/
Abstract

BACKGROUND

There is limited information on how healthy behaviors and individual health perceptions mediate the relationship between eating behaviors and noncommunicable diseases in adults. This study aimed to evaluate the mediating role of these factors in the relationship between eating behaviors and comorbidity in U.S. adults.

METHODS

A cross-sectional predictive study using data from 5,247 adults from the Health Information National Trends Survey (HINTS) 5, cycle 3 (2019) was conducted. Structural equation modeling (SEM) was used to assess the mediating effect.

RESULTS

The model showed good fit (χ2/df = 1.22, CFI = 971, TLI = 959, RMSEA = 0.050, SRMR = 0.036). It was found that self-perceived health totally mediated the relationship between eating behaviors and comorbidities (β = - 0.026, p < .001). Additionally, healthy behaviors and self-perceived health together mediated the relationship between eating behaviors and comorbidities (β = - 0.025, p < .001). A direct relationship was also observed between healthy behaviors and comorbidities, mediated by self-perceived health (β = - 0.103, p < .001).

CONCLUSION

The study concludes that eating behaviors are significantly related to comorbidities through the mediation of healthy behaviors and self-perceived health.

摘要

背景

关于健康行为和个人健康认知如何介导成年人饮食行为与非传染性疾病之间的关系，相关信息有限。本研究旨在评估这些因素在美国成年人饮食行为与共病关系中的中介作用。

方法

采用来自健康信息国家趋势调查（HINTS）5周期3（2019年）的5247名成年人的数据进行横断面预测研究。使用结构方程模型（SEM）评估中介效应。

结果

模型显示拟合良好（χ2/df = 1.22，CFI = 971，TLI = 959，RMSEA = 0.050，SRMR = 0.036）。研究发现，自我认知健康完全介导了饮食行为与共病之间的关系（β = -0.026，p <.001）。此外，健康行为和自我认知健康共同介导了饮食行为与共病之间的关系（β = -0.025，p <.001）。在自我认知健康的介导下，还观察到健康行为与共病之间存在直接关系（β = -0.103，p <.001）。

结论

该研究得出结论，饮食行为通过健康行为和自我认知健康的中介作用与共病显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3276/11539625/ef2fb03f46e8/13690_2024_1435_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3276/11539625/ef2fb03f46e8/13690_2024_1435_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3276/11539625/ef2fb03f46e8/13690_2024_1435_Fig1_HTML.jpg

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