Analysis of current healthy lifestyle among 230 000 adults in eastern China and association with all-cause and cardiovascular disease deaths
Objective To understand the current status and influencing factors of health lifestyles among residents in the eastern China,explore the association with all-cause and cardiovascular disease deaths,and provide the basis for formulating the healthy lifestyle guidance suitable for the residents in the area.Methods The study population was drawn from"Early Screening and Comprehensive Intervention in Population at High Risk for Cardiovascular Diseases".From September 2015 to November 2019,57 communities in 7 provinces in eastern China were selected as project sites,and 233 254 permanent residents(35-75 years old)served as the subjects.The investigation was performed with the questionnaire(including the basic information,4 healthy lifestyle guidelines:no smoking or quitting,no drinking or moderate drinking,adequate physical activity and healthy diet).Thex2 test,multivariate logistic regression,multiple linear regression,multivariate Cox regression analysis and competing risk model analysis were used to analyze the data.The used software was SAS 9.4.Results Among the four healthy lifestyles,the adherence rates of no drinking or moderate drinking,no smoking or quitting were higher,at 94.8％and 80.3％,respectively;the adherence rates of adequate physical activity and healthy diet were lower,at 22.7％and 11.0％,respectively.The adherence proportion of all four healthy lifestyles was 3.6％.Multivariate logistic regression analysis showed that the gender and education level correlated to each heath lifestyle(P＜0.05);as compared with females,the adherence rates of four healthy lifestyles in males were lower(OR values of no smoking or quitting,no drinking or moderate drinking,adequate physical activity and healthy diet were 0.01,0.25,0.87 and 0.82,respectively);as compared with subjects with primary school education or below,the adherence rates of four healthy lifestyles in subjects with bachelor degree or above were higher(OR values of no smoking or quitting,no drinking or moderate drinking,adequate physical activity and healthy diet were 1.87,1.21,2.64 and 1.88,respectively).Multivariate Cox regression analysis indicated that the sufficient physical activity(HR=0.77)and healthy diet(HR=0.82)were associated with reducing all-cause death risk.Sufficient physical activity was also associated with reducing cardiovascular disease death risk(HR=0.75).As compared with adhering to none of the healthy lifestyles,adhering to four health lifestyles was associated with reducing the cardiovascular disease death risk(HR=0.39).Each additional healthy lifestyle was associated with reducing risk of all-cause mortality(HR=0.93)and cardiovascular mortality(HR=0.88),P＜0.05.Conclusion The proportion of people adhering to all four healthy lifestyles in the eastern China region is lower,and the factors of influencing each health lifestyle were different.Additionally,adhering to the healthy lifestyle is positively correlated with reducing all-cause and cardiovascular disease mortality.Therefore,it should help the residents for adopting and adhering to healthy lifestyles by implementing comprehensive health intervention strategies for different populations.
Health lifestyleEastern ChinaHealth educationCardiovascular disease
NETL
NSTL
万方数据
