基于宗教原则的基督教复临安息日会生活方式对2型糖尿病发病风险的影响
The Influence of a Christian, Seventh-Day Adventist Lifestyle Based on Religious Principles on the Risk of Developing Type 2 Diabetes Mellitus.
作者信息
Herrera Maricel, Grados Cristabel, Huancahuire-Vega Salomon
机构信息
Human Medicine School, Universidad Peruana Unión (UPeU), Lima 15464, Peru.
Public Health, Graduate School, Universidad Peruana Unión (UPeU), Lima 15464, Peru.
出版信息
Healthcare (Basel). 2025 Aug 19;13(16):2044. doi: 10.3390/healthcare13162044.
BACKGROUND
Type 2 Diabetes Mellitus (T2DM) is a growing global health concern, closely linked to modifiable lifestyle factors. Emerging evidence suggests that religious principles can shape behaviors that promote physical and mental well-being.
OBJECTIVE
This study explores how adherence to a lifestyle rooted in Seventh-Day Adventist beliefs may influence the risk of developing T2DM.
METHODS
This study is of a non-experimental quantitative design with a cross-sectional and explanatory scope. The sample consisted of 303 participants (adults who had been active Seventh-Day Adventist Church, SDA, members for the past 3 years), selected by non-probabilistic convenience sampling. Data were collected using the Adventist Lifestyle questionnaire (eight dimensions) and the FINDRISC scale. The non-parametric statistics, Rho Spearman, and ordinal logistic regression analysis were used.
RESULTS
The results showed that lifestyle levels based on religious principles significantly predicted the risk of developing T2DM (X = 100.34, < 0.05). The model explained approximately 31% of the variance in T2DM risk (R = 0.31), indicating a moderate association between lifestyle and risk. Specifically, individuals with lower (less healthy) lifestyle scores had a significantly higher likelihood of being classified in higher risk categories for T2DM. It was also observed that there is a significant relationship between the risk of developing T2DM and the following dimensions: Rest (rho = -0.16, < 0.05), exercise (rho = -0.13, < 0.05), temperance (rho = -0.19, < 0.05), nutrition (rho = -0.66, < 0.05) and spirituality (rho = -0.57, < 0.05).
CONCLUSIONS
A healthier lifestyle promoted by religious principles, such as the SDA, reduces the risk of developing T2DM. A stronger correlation was perceived between nutrition and spirituality since these practices are related to a low risk of developing the disease.
背景
2型糖尿病（T2DM）是一个日益引起全球关注的健康问题，与可改变的生活方式因素密切相关。新出现的证据表明，宗教教义可以塑造促进身心健康的行为。
目的
本研究探讨坚持基于基督复临安息日会信仰的生活方式如何影响患2型糖尿病的风险。
方法
本研究采用非实验性定量设计，具有横断面和解释性范围。样本由303名参与者组成（过去3年一直是活跃的基督复临安息日会成员的成年人），通过非概率便利抽样选取。使用基督复临安息日会生活方式问卷（八个维度）和芬兰糖尿病风险评分量表收集数据。采用非参数统计、Rho Spearman和有序逻辑回归分析。
结果
结果表明，基于宗教教义的生活方式水平显著预测了患2型糖尿病的风险（X = 100.34，<0.05）。该模型解释了2型糖尿病风险中约31%的方差（R = 0.31），表明生活方式与风险之间存在中度关联。具体而言，生活方式得分较低（不太健康）的个体被归类为2型糖尿病高风险类别的可能性显著更高。还观察到，患2型糖尿病的风险与以下维度之间存在显著关系：休息（rho = -0.16，<0.05）、运动（rho = -0.13，<0.05）、节制（rho = -0.19，<0.05）、营养（rho = -0.66，<0.05）和精神性（rho = -0.57，<0.05）。
结论
由宗教教义（如基督复临安息日会）倡导的更健康的生活方式可降低患2型糖尿病的风险。由于这些行为与患该疾病的低风险相关，因此营养与精神性之间的相关性更强。
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