身体活动与饮食习惯和心血管风险因素之间的关联
Weiwei Wang1, Hairong Zhou1, Shengxiang Qi1
1Department of Non-communicable Disease Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Heliyon
|April 10, 2024
概括
身体不活动和不健康的饮食显著增加心血管风险,特别是高低密度脂蛋白胆固醇 (HLDL-c) 和高血压. 将这些因素结合起来会产生附加效应,放大2型糖尿病 (T2D) 和脂质失调等疾病的风险.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 营养科学 营养科学
背景情况:
- 心血管疾病仍然是全球主要的死亡原因.
- 生活方式因素,包括体力活动和饮食,是心血管健康的关键决定因素.
- 了解这些因素的综合影响对于有效的预防策略至关重要.
研究的目的:
- 研究身体活动,饮食习惯和成人心血管风险因素之间的关联.
- 评估身体不活动和不健康饮食之间对心血管风险的附加和乘法相互作用.
- 为中国南京市提供针对性公共卫生干预的证据.
主要方法:
- 在中国南京 (2017年) 对60,283名成年人进行的横截面调查.
- 采用了多阶段分层集群采样.
- 使用多变量逻辑回归和相互作用分析 (RERI,AP,S) 来检查关联和相互作用.
主要成果:
- 身体不活动与不健康的饮食相结合,与心血管风险因素有显著的关联.
- 对高低密度脂蛋白胆固醇 (HLDL-c) (1.64) 和高血压 (1.55) 观察到的最大几率比率 (ORs).
- 添加性相互作用对HLDL-c,2型糖尿病 (T2D),失脂血症和高血压具有重要意义,表明协同作用.
结论:
- 不健康的饮食和身体不活动与心血管风险因素的增加密切相关.
- 身体不活动和不健康的饮食的结合对T2D,高血压,HLDL-c和脂质失调产生添加效应.
- 针对身体不活动和不健康饮食的预防策略对于降低心脏代谢风险至关重要.
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