Abstract
Background
Although chronic diseases have become a public health dilemma in China, evidence regarding
their relationship to a healthy lifestyle in the Chinese population remains limited.
Methods
Based on data obtained from a survey conducted by China's Centers for Disease Control
and Prevention (CDC), odds ratios (OR) corresponding to 95% confidential intervals
(CIs) related to healthy lifestyle factors were calculated using ordinal logistic
regression.
Results
Most participants in our study presented 1 to 3 healthy lifestyle factors, and only
0.35% of men presented all 6 factors evaluated. Eighty-three percent of participants
had at least one chronic disease. A decrease in chronic disease morbidity was followed
by an increase in healthy lifestyle factors number. For the three chronic diseases
(hypertension, diabetes, and/or dyslipidemia), a lack of physical activity represented
1.231 times (95% CI, 1.013–1.497) higher risk than being physically active. A body
mass index (BMI) outside the range of 18.5–24.9 kg/m2 was associated with a higher risk of 1.361 times (95% CI, 1.139–1.625) compared to
a BMI within 18.5–24.9 kg/m2. Comparing participants with healthy lifestyle factor ≤1, the OR for participants
with 2, 3 and 4–6 healthy lifestyle factors were 0.675, and 0.425 (0.634 and 0.341
for men), respectively.
Conclusions
Chronic diseases have become one of the leading health burdens in China, while healthy
lifestyles have not kept pace. The inverse association between an increasing number
of healthy lifestyle factors and chronic disease risk indicates an urgent public need
to popularize a healthy lifestyle pattern.
Key Indexing Terms
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Article info
Publication history
Published online: April 12, 2022
Accepted:
April 6,
2022
Received:
July 27,
2020
Identification
Copyright
© 2022 Published by Elsevier Inc. on behalf of Southern Society for Clinical Investigation.
