Associations of Lifestyle Behaviour and Healthy Ageing in Five Latin American and the Caribbean Countries-A 10/66 Population-Based Cohort Study

Associations of Lifestyle Behaviour and Healthy Ageing in Five Latin American and the Caribbean Countries-A 10/66 Population-Based Cohort Study
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DOI:
10.3390/nu10111593
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发表时间:
2018-11-01
期刊:
影响因子:
5.9
通讯作者:
Prina, A. Matthew
Prina, A. Matthew
中科院分区:
医学2区
文献类型:
--
作者:
Daskalopoulou, Christina;Koukounari, Artemis;Prina, A. Matthew

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拉丁美洲和加勒比国家的预期寿命很高,预测显示,在今后几年中,这些国家的老年人将增长最快。随着人们寿命的延长,最大限度地增加健康老龄化的机会非常重要。我们的目的是研究古巴、多米尼加共和国、秘鲁、墨西哥和波多黎各的生活方式行为与健康老龄化的关系,这是10/66研究的一部分。2003年至2010年期间,对65岁及以上的居民(n = 10,900)进行了采访。在基线调查中,我们测量了四种健康行为:体育活动,不吸烟,适度饮酒和水果或蔬菜消费。健康老龄化的概念是在功能能力框架内进行的,中位随访时间为4年。每个国家都计算了Logistic模型,然后与固定效应荟萃分析合并在一起。参与体育活动和食用水果或蔬菜的人在随访中健康老龄化的几率增加(OR:2.59,95% CI:2.20-3.03; OR:1.24,95% CI:1.06-1.44)。与不从事或从事一种健康行为的参与者相比,从事两种、三种或四种健康行为的参与者的OR以线性方式增加(OR:1.60,95%CI:1.40-1.84; OR:2.29,95%CI:1.94-2.69; OR:2.46,95%CI:1.54-3.92)。我们的研究结果强调了老年人健康生活方式行为意识的重要性。
Latin American and the Caribbean countries exhibit high life expectancy and projections show that they will experience the fastest growth of older people in the following years. As people live longer, it is important to maximise the opportunity to age healthily. We aimed to examine the associations of lifestyle behaviours with healthy ageing in Cuba, Dominican Republic, Peru, Mexico and Puerto Rico, part of the 10/66 study. Residents 65 years old and over (n = 10,900) were interviewed between 2003 and 2010. In the baseline survey, we measured four healthy behaviours: Physical activity, non-smoking, moderate drinking and fruits or vegetables consumption. Healthy ageing was conceptualised within the functional ability framework over a median of 4 years follow-up. Logistic models were calculated per country and then pooled together with fixed-effects meta-analysis. People engaging in physical activity and consuming fruits or vegetables had increased odds of healthy ageing in the follow-up (OR: 2.59, 95% CI: 2.20-3.03; OR: 1.24, 95% CI: 1.06-1.44, respectively). Compared with participants engaging in none or one healthy behaviour, the ORs of participants engaging in two, three or four healthy behaviours increased in a linear way (OR: 1.60, 95% CI: 1.40-1.84; OR: 2.29, 95% CI: 1.94-2.69; OR: 2.46, 95% CI: 1.54-3.92, respectively). Our findings highlight the importance of awareness of a healthy lifestyle behaviour among older people.