In:
Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 142, No. Suppl_3 ( 2020-11-17)
Abstract:
Introduction: Healthy lifestyles are effective means to reduce premature deaths. However, comprehensive knowledge about adherence to multiple healthy lifestyles in Chinese adults is still lacking. Methods: We interviewed 938,545 adults aged 35-75 years from 248 counties/districts of China in a national population-based epidemiological project, the China PEACE-MPP. We defined four healthy lifestyles as non-smoking, none or moderate alcohol use, sufficient leisure-time physical activity (LTPA), and healthy diet. We established multi-level logistic regression models to explore the factors associated with the adherence. Multivariable Cox proportional hazard models were fitted to assess the impact of adherence to healthy lifestyles on all-cause and cardiovascular mortality. Results: Among the participants, 78.6% were non-smokers, 98.0% had none or moderate alcohol use, 25.7% had sufficient LTPA, 19.7% had healthy diet, and only 5.8% adhered to all four heathy lifestyles. The overall adherence varied substantially across seven regions (P 〈 0.01, median odds ratio=3.2), which was highest in the North China (7.5%), and lowest in the Southwest (3.4%). Participants who were female, elder, non-farmers, with higher education, with higher household income, married, hypertensive or diabetic, having cardiovascular disease history, or living in urban areas were more likely to adhere to all four healthy lifestyles in general. Adherence to none or moderate alcohol use, however, was associated with lower education and income. During a median follow-up of 1.66 years (IQR 0.66-2.63), those adhered to all four healthy lifestyles had lower risk of all-cause mortality (HR 0.43, 95% CI 0.30-0.60) and cardiovascular mortality (HR 0.38, 95% CI 0.21-0.68), compared with participants who did not adhere to any healthy lifestyle. Conclusions: The adherence to healthy lifestyles in Chinese adults was far from ideal. Targeted health promotion strategies were urgently in need.
Type of Medium:
Online Resource
ISSN:
0009-7322
,
1524-4539
DOI:
10.1161/circ.142.suppl_3.15479
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2020
detail.hit.zdb_id:
1466401-X
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