The healthy lifestyle compliance of 36 000 adult residents in Sichuan Province
Objective To explore the adherence of four healthy lifestyles,related influencing factors,and potential health benefits for all-cause deaths among adult residents in Sichuan Province,and propose targeted health promotion strategies.Methods Using the multi-stage cluster sampling method,8 counties(districts)in the province were randomly selected for the four healthy lifestyle conditions of the surveyed residents from 2015 to 2019,including non-smoking,non-drinking or moderate drinking,adequate physical activity,and healthy diet.The relationship between individual characteristics and following the four healthy lifestyle was analyzed using multivariable regression models,and Cox regression models estimated the risk ratios of all-cause deaths(HR)and their 95％confidence intervals.Results A total of 36 066 permanent residents aged 35 to 75 years were included in this study.Among the respondents,74.6％were non-smokers,96.2％were non-alcoholic or moderate alcohol,29.2％had sufficient physical activity,6.2％followed a healthy diet,and only 2.7％of the respondents followed all the above four healthy lifestyles.Women,the elderly,non-farmers,urban residents,people with high income or high education,or people with a history of cardiovascular disease were more likely to follow all four healthy lifestyles(P＜0.001).After 2.4 years of follow-up,those adhering to three or more healthy lifestyles,adherence to adequate exercise,and non-smoking had lower all-cause mortality[adjusting for age and sex,HR=0.47(95％CI:0.22-0.96),HR=0.63(95％CI:0.52-0.75),and HR=0.79(95％CI:0.64-0.98)].Conclusions Compliance with adequate physical activity and a healthy diet for adult residents in Sichuan Province is not ideal,which should be the focus of health promotion,and targeted measures should be taken to control different risk factors to achieve better prevention and control effects.
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