与心血管疾病风险相关的饮食和生活方式因素:结构方程建模方法
Faramarz Amini1,2, Reza Pakzad2, Kourosh Sayehmiri3
1Faculty of Health, Research Committee, Ilam University of Medical Sciences, Ilam, Iran.
BMC cardiovascular disorders
|November 25, 2025
概括
饮食质量显著影响心血管疾病 (CVD) 风险,调解生活方式和社会经济因素的影响. 促进健康饮食习惯对于减少心血管疾病的公共卫生干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 营养科学 营养科学
背景情况:
- 心血管疾病 (CVD) 是一个主要的全球健康挑战,受社会经济,行为和饮食因素的影响.
- 了解这些因素的复杂相互作用对于有效的预防策略至关重要.
研究的目的:
- 评估社会经济地位,生活方式行为和慢性疾病对心血管疾病风险的直接和间接影响.
- 检查饮食指数,特别是饮食胰岛素指数 (DII) 和饮食血糖指数 (DGI) 在这些因素与心血管疾病风险之间的关系中的调解作用.
主要方法:
- 从Dehgolan前性队列研究 (DehPCS) 中对3,452名成年人 (年龄在35-70岁) 的横截面分析.
- 结构方程建模 (SEM) 用于分析将社会经济地位,个人习惯,慢性疾病和饮食指数 (DII,DGI) 与心血管疾病风险联系起来的途径.
- 使用CFI,RMSEA和x2统计数据来评估模型的合适性.
主要成果:
- 该模型解释了心血管疾病风险差异的11%.
- 更高的社会经济地位和有利的个人习惯与降低心血管疾病风险有关.
- 较高的DII增加了心血管疾病风险,而较高的DGI显示了适度的风险降低. 社会经济地位,个人习惯和慢性疾病通过饮食模式间接影响心血管疾病风险.
结论:
- 饮食质量是生活方式,慢性疾病和心血管疾病风险之间的调解者.
- 社会经济差异和慢性疾病加剧心血管疾病的风险.
- 公共卫生干预措施应优先促进健康的饮食习惯,并确保平等获得营养食品.
相关概念视频
Coronary Artery Disease I: Introduction
857
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
857
Lifestyle Factors and Health
397
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
397
Atherosclerosis III: Management
301
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
301
Coronary Artery Disease IV: Preventive Measures
577
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
577
Psychoneuroimmunology: Cardiovascular Disease
372
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
372
Assessment of the Cardiovascular System I: Subjective Data
740
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
740


