Association between health behaviours and cardiometabolic dysregulation: a population-based survey among healthy adults in Hong Kong
Autor: | Bernard M.Y. Cheung, Cindy L. K. Lam, Esther Yee Tak Yu, Eric H. M. Tang, Carlos K. H. Wong, Eric Yuk Fai Wan, Caitlin Yeung |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Population Health Behavior Population health Rate ratio preventive medicine 03 medical and health sciences primary care 0302 clinical medicine Waist–hip ratio Risk Factors Epidemiology Medicine Humans 030212 general & internal medicine education education.field_of_study Alcohol Use Disorders Identification Test business.industry Public health General Medicine Physical activity level Alcoholism Cross-Sectional Studies Cardiovascular Diseases physiology Hong Kong epidemiology Public Health business 030217 neurology & neurosurgery mental health Demography |
Zdroj: | BMJ Open, Vol 11, Iss 7 (2021) BMJ Open |
ISSN: | 2044-6055 |
Popis: | ObjectiveTo explore the association between cardiometabolic dysregulation, an integral component of allostatic load, and health risk behaviours (HRBs) of the Hong Kong healthy adult population.DesignSecondary analysis of cross-sectional anonymous data.SettingData on sociodemographics, self-reported health status, HRBs and biomarkers were extracted from the Hong Kong Population Health Survey 2014/2015.ParticipantsOne thousand five hundred and fifty-one participants aged 18–64 years without self-reported diagnoses of hypertension, diabetes mellitus, hyperlipidaemia, cardiovascular disease, cognitive impairment or cancer.Primary outcome measuresCardiometabolic dysregulation index (CMDI), ranging from 0 to 6, was calculated by counting the number of biomarkers including systolic blood pressure, diastolic blood pressure, waist to hip ratio, glycated haemoglobin, total cholesterol to high-density lipoprotein cholesterol ratio, and triglycerides that were above the respective normal level suggested by international guidelines and literature. HRBs including smoking, dietary habits and sleeping hours were collected by self-report questionnaire. Alcohol consumption was assessed by the 10-item Alcohol Use Disorders Identification Test, while physical activity level was measured using the Global Physical Activity Questionnaire. A composite HRB score, ranging from 0 to 5, was calculated as the cumulative number of HRBs. The effect of HRB on CMDI was evaluated by negative binomial regression with adjustment for socioeconomic status, health awareness and comorbidities of the participants.ResultsThe mean CMDI of the studied population was 1.6; 29.5% had a CMDI of 0, whereas 1.5% had a CMDI of 6. Significant difference was observed in mean CMDI between gender and different age groups. Sleeping less than 6 hours (incidence rate ratio (IRR)=1.26, pConclusionSmoking, physical inactivity and inadequate sleep—an essential yet often overlooked health behaviour—were associated with higher CMDI in the Hong Kong healthy adult population. |
Databáze: | OpenAIRE |
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