无锡市社区居民健康生活方式分布情况及与慢性病患病关联分析  

Prevalence of combined healthy lifestyle factors and their associations with chronic non-communicable diseases among residents in Wuxi communities

作　　者：申倩 王璐[1] 董昀球[1] 刘佳 陈海 杨志杰[1] 钱云[1] SHEN Qian;WANG Lu;DONG Yun-qiu;LIU Jia;CHEN Hai;YANG Zhi-jie;QIAN Yun(Wuxi Center for Disease Control and Prevention,Wuxi,Jiangsu 214023,China)

机构地区：[1]无锡市疾病预防控制中心慢非传防制科,江苏214023

出　　处：《现代预防医学》2022年第19期3558-3564,共7页Modern Preventive Medicine

基　　金：无锡市卫健委项目(青年项目Q202044、Q202164,面上项目M202001,中青年拔尖人才资助计划BJ2020096);无锡市科技局项目(N20192041);江苏省老年健康科研项目(LK2021033);江苏省高层次卫生人才“六个一工程”拔尖人才项目(LGY2018014);无锡市精准医学重点专项(J202006)。

摘　　要：目的分析无锡市社区居民健康生活方式分布情况以及与常见慢性病患病的关联。方法采样分层两阶段整群随机抽样方法于2019年在江苏省无锡市开展慢性病防控社会因素调查,对34865例调查对象分析当前不吸烟、非过量饮酒、健康饮食习惯、积极体力活动、健康体重和健康体脂6个健康生活方式分布情况及其与高血压、糖尿病、血脂异常、冠心病、脑卒中的关联。结果无锡市社区居民平均保持3.1±1.2个健康生活方式,大部分人群保持2、3、4个健康生活方式,比例分别为23.8%、28.7%、24.6%。随着健康生活方式个数的增加,高血压、糖尿病、血脂异常患病的比值比(odds ratio,OR)逐渐降低(P_(线性趋势)均<0.001)。和≤1个健康生活方式相比,保持≥5个健康生活方式的研究对象患高血压、糖尿病、血脂异常的OR值(95%CI)依次为:0.23(0.20~0.26)、0.49(0.40~0.61)、0.38(0.33~0.45)。健康生活方式个数与慢性病患病OR值的负向关联在低年龄组中更为明显:和≤1个健康生活方式相比,≥5个健康生活方式与高血压的OR值(95%CI)依次为:<45岁0.19(0.14~0.24)、45~59岁0.23(0.19~0.28)、≥60岁0.29(0.23~0.36),在糖尿病和血脂异常中也发现了类似的趋势。结论无锡市社区居民保持健康生活方式的个数越多,高血压、糖尿病、血脂异常的患病比例越低,这种负向关联在低年龄组中更为明显,提示慢性病防控应尽早在低年龄组中开展多个健康生活方式组合式干预。Objective To examine the prevalence of healthy lifestyle factors and to explore the associations between adherence to a healthy lifestyle and chronic diseases in Wuxi adults.Methods The present analyses included 34865 participants from the Wuxi Nonchronic Diseases and Health Survey in which two-stage cluster random sampling was adopted.Six healthy lifestyle factors were defined as non-smoking,non-excessive alcohol intake,being physically active,healthy dietary habits,healthy body weight,and healthy body fat.We included five types of chronic diseases in the present analysis:hypertension,diabetes,dyslipidemia,coronary heart disease(CHD),and stroke.Results Wuxi adults had an average of 3.1±1.2 healthy lifestyle factors.Most participants had 2,3,or 4 healthy lifestyle factors,which turned out 23.8%,28.7%,and 24.6%,respectively.The number of healthy lifestyle factors exhibited almost inverse linear relationships with the prevalence of hypertension,diabetes,and dyslipidemia(all P_(linear trend)<0.001).Compared with participants with≤1 healthy factors,the ORs(95%CIs)of participants who had≥5 healthy lifestyle factors were 0.23(0.20-0.26)for hypertension,0.49(0.40-0.61)for diabetes,and 0.38(0.33-0.45)for dyslipidemia,respectively.Adults of younger age tended to have a greater reduction of chronic diseases prevalence compared with their counterparts in the elderly group.Compared with≤1 healthy factors,the ORs(95%CIs)of participants who had≥5 healthy lifestyle factors for hypertension were:0.19(0.14-0.24)for participants less than 45 years,0.23(0.19-0.28)for participants of 45-59 years,0.29(0.23-0.36)for participants≥60 years,respectively.Similar trends have been found in diabetes and dyslipidemia.Conclusion Adherence to a healthy lifestyle is associated with lower prevalence of hypertension,diabetes,and dyslipidemia,such inverse relationships are stronger in younger adults.Population-based lifestyle interventions combing all healthy lifestyle factors are warranted to lower future chronic diseases burden in W

关 键 词：健康生活方式 慢性非传染性疾病 危险因素 联合效应 

分 类 号：R195.4[医药卫生—卫生统计学]