PDF(Pubmed)
Abstract：
BACKGROUND: Adherence to healthy lifestyle habits has become a mainstream approach for lessening the burden of cardiovascular disease (CVD) during initial prevention efforts. The purpose of this study was to investigate the prevalence of four healthy lifestyle habits, the associated factors, and their impact on all-cause and cardiovascular mortality among residents of Guangxi Zhuang Autonomous Region.
METHODS: From 2015 to 2019, individuals between the ages of 35 and 75 from Guangxi Zhuang Autonomous Region were recruited through the ChinaHeart Million Person Project. Our study examined four healthy lifestyle habits: not smoking, no or moderate amounts of alcohol, sufficient leisure time physical activity (LTPA) and a balanced diet.
RESULTS: Out of the 19,969 individuals involved, the majority, 77.3% did not smoke, while 96.7% had limited alcohol intake, 24.5% engaged in sufficient LTPA, 5.5% followed a balanced diet, and merely 1.7% adhered to all four healthy lifestyle habits. Participants who were women, older, nonfarmers, living in cities, with a high income or level of education, or had hypertension or diabetes were more likely to follow all four healthy lifestyle habits (p < 0.001). People who followed the three healthy lifestyle habits had reduced chances of death from all cause (HR 0.34[95% CI:0.15,0.76]) and cardiovascular-related death (HR 0.23 [95% CI: 0.07, 0.68]) (p < 0.01) over a median period of 3.5 years.
CONCLUSIONS: In Guangxi Province, the level of adherence to healthy lifestyle habits is very minimal. Therefore, population-specific health promotion strategies are urgently needed.
METHODS: From 2015 to 2019, individuals between the ages of 35 and 75 from Guangxi Zhuang Autonomous Region were recruited through the ChinaHeart Million Person Project. Our study examined four healthy lifestyle habits: not smoking, no or moderate amounts of alcohol, sufficient leisure time physical activity (LTPA) and a balanced diet.
RESULTS: Out of the 19,969 individuals involved, the majority, 77.3% did not smoke, while 96.7% had limited alcohol intake, 24.5% engaged in sufficient LTPA, 5.5% followed a balanced diet, and merely 1.7% adhered to all four healthy lifestyle habits. Participants who were women, older, nonfarmers, living in cities, with a high income or level of education, or had hypertension or diabetes were more likely to follow all four healthy lifestyle habits (p < 0.001). People who followed the three healthy lifestyle habits had reduced chances of death from all cause (HR 0.34[95% CI:0.15,0.76]) and cardiovascular-related death (HR 0.23 [95% CI: 0.07, 0.68]) (p < 0.01) over a median period of 3.5 years.
CONCLUSIONS: In Guangxi Province, the level of adherence to healthy lifestyle habits is very minimal. Therefore, population-specific health promotion strategies are urgently needed.
摘要：
背景：坚持健康的生活习惯已成为在初期预防工作中减轻心血管疾病（CVD）负担的主流方法。这项研究的目的是调查四种健康生活习惯的患病率，相关因素，及其对广西壮族自治区居民全因死亡和心血管死亡的影响。
方法：从2015年至2019年，通过ChinaHeartMillionPerson项目招募了年龄在35岁至75岁之间的广西壮族自治区个体。我们的研究检查了四种健康的生活习惯：不吸烟，没有或适量的酒精，充足的休闲时间体力活动（LTPA）和均衡的饮食。
结果：在涉及的19,969个人中，大多数,77.3%不吸烟，96.7%的人酒精摄入量有限，24.5%从事足够的LTPA，5.5%遵循均衡饮食，只有1.7%的人坚持所有四种健康的生活习惯。参与者是女性，年长的,非农民,生活在城市里,收入或教育水平高，有高血压或糖尿病的患者更有可能遵循所有四种健康的生活习惯(p<0.001).遵循三种健康生活习惯的人在中位3.5年的时间内减少了全因死亡（HR0.34[95%CI：0.15,0.76]）和心血管相关死亡（HR0.23[95%CI：0.07,0.68]）（p<0.01）。
结论：在广西，坚持健康的生活习惯的水平是非常小的。因此,迫切需要针对特定人群的健康促进策略。
方法：从2015年至2019年，通过ChinaHeartMillionPerson项目招募了年龄在35岁至75岁之间的广西壮族自治区个体。我们的研究检查了四种健康的生活习惯：不吸烟，没有或适量的酒精，充足的休闲时间体力活动（LTPA）和均衡的饮食。
结果：在涉及的19,969个人中，大多数,77.3%不吸烟，96.7%的人酒精摄入量有限，24.5%从事足够的LTPA，5.5%遵循均衡饮食，只有1.7%的人坚持所有四种健康的生活习惯。参与者是女性，年长的,非农民,生活在城市里,收入或教育水平高，有高血压或糖尿病的患者更有可能遵循所有四种健康的生活习惯(p<0.001).遵循三种健康生活习惯的人在中位3.5年的时间内减少了全因死亡（HR0.34[95%CI：0.15,0.76]）和心血管相关死亡（HR0.23[95%CI：0.07,0.68]）（p<0.01）。
结论：在广西，坚持健康的生活习惯的水平是非常小的。因此,迫切需要针对特定人群的健康促进策略。
