健康生活方式指数与香港中国女性人体测量指标及肥胖的关联：来自MECH-HK队列研究的证据

Association of a healthy lifestyle index with anthropometric indices and obesity in Hong Kong Chinese women: Evidence from the MECH-HK cohort study.

作者信息

Deng Yunyang, Ma Tongyu, Ngai Fei Wan, Wang Harry Haoxiang, Yang Lin, Sun Qi, Xie Yao Jie

机构信息

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm 171 77, Sweden.

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.

出版信息

Obes Res Clin Pract. 2024 Nov-Dec;18(6):401-408. doi: 10.1016/j.orcp.2025.01.003. Epub 2025 Jan 13.

DOI:10.1016/j.orcp.2025.01.003

PMID:39809642

Abstract

AIM

This cross-sectional study aimed to examine the associations of a healthy lifestyle index (HLI) with several anthropometric indices and obesity among Hong Kong Chinese women.

SUBJECTS/METHODS: A total of 3174 women (56.16 ± 8.43 years) were included. The HLI consisted of diet, physical activity, sedentary time, sleep duration, skipping breakfast, smoking, and alcohol. Each factor was scored as 0 (unhealthy) or 1 (healthy). The overall HLI was the sum of these points, ranging from 0 (the least healthy) to 7 (healthiest). Percent body fat (PBF), body fat mass (BFM), fat free mass (FFM), waist circumference (WC), waist-to-hip ratio (WHR), height, and weight were measured using the InBody 270 device.

RESULTS

The number of women with 0-2, 3, 4, 5, 6-7-point HLI groups were 551, 759, 954, 645, and 265, respectively. As HLI increased, most anthropometric indices declined while FFM increased. The adjusted βs (95 % confidence intervals (95 % CIs)) for PBF (%), BFM (kg), WC (cm), WHR, height (cm), weight (kg), BMI (kg/m^2), and FFM (kg) were -0.653 (-0.829, -0.476), -0.582 (-0.751, -0.414), -0.719 (-0.971, -0.467), -0.005 (-0.006, -0.004), -0.181 (-0.347, -0.015), -0.602 (-0.850, -0.355), -0.188 (-0.282, -0.095), and 0.339 (0.213, 0.465), respectively. Additionally, compared to the 0-2-point group, the odds ratios (95 % CIs) of the 6-7-point groups were 0.54 (0.38-0.75) for central obesity and 0.55 (0.37-0.82) for general obesity.

CONCLUSIONS

HLI was inversely associated with PBF, BFM, WC, WHR, height, weight, BMI, central obesity, and general obesity, but was positively associated with FFM.

摘要

目的

本横断面研究旨在探讨健康生活方式指数（HLI）与香港中国女性的多项人体测量指标及肥胖之间的关联。

对象/方法：共纳入3174名女性（56.16±8.43岁）。HLI包括饮食、身体活动、久坐时间、睡眠时间、不吃早餐、吸烟和饮酒。每个因素的评分是0（不健康）或1（健康）。总体HLI是这些分数的总和，范围从0（最不健康）到7（最健康）。使用InBody 270设备测量体脂百分比（PBF）、体脂质量（BFM）、去脂体重（FFM）、腰围（WC）、腰臀比（WHR）、身高和体重。

结果

HLI评分为0 - 2分、3分、4分、5分、6 - 7分的女性人数分别为551人、759人、954人、645人和265人。随着HLI的增加，大多数人体测量指标下降，而去脂体重增加。PBF（%）、BFM（kg）、WC（cm）、WHR、身高（cm）、体重（kg）、BMI（kg/m²）和FFM（kg）的调整β值（95%置信区间（95% CIs））分别为-0.653（-0.829，-0.476）、-0.582（-0.751，-0.414）、-0.719（-0.971，-0.467）、-0.005（-0.006，-0.004）、-0.181（-0.347，-0.015）、-0.602（-0.850，-0.355）、-0.188（-0.282，-0.095）和0.339（0.213，0.465）。此外，与0 - 2分组相比，6 - 7分组的中心性肥胖比值比（95% CIs）为0.54（0.38 - 0.75），全身性肥胖比值比为0.55（0.37 - 0.82）。