Combined associations of physical activity and dietary intake with health status among survivors of the Great East Japan Earthquake
Combined associations of physical activity and dietary intake with health status among survivors of the Great East Japan Earthquake
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DOI：
10.6133/apjcn.042016.08
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发表时间：
2017-01-01
影响因子：
1.3
通讯作者：
Ogawa, Akira
中科院分区：
文献类型：
--
作者：
Nozue, Miho;Nishi, Nobuo;Ogawa, Akira
背景和目标：身体活动和饮食摄入对健康的影响众所周知，但身体活动和饮食摄入对健康的综合关联尚未有报道。体力活动和饮食摄入是维持 2011 年东日本大地震幸存者健康的关键因素。本研究旨在探讨体力活动和饮食摄入与幸存者健康状况的综合关联。方法和研究设计：我们使用了灾难发生后 3 年（2013 年）进行的一项横断面调查的 6668 名参与者的数据。为了评估身体活动和饮食摄入的综合关联，有关这两个变量的问题的答案被分为四组：身体活动不良和饮食摄入不良（第1组）、身体活动不良和饮食摄入良好（第2组）、身体活动良好和饮食摄入不良（第3组）以及身体活动良好和饮食摄入良好（第4组）。按性别进行多元逻辑回归分析，以良好的自评健康状况和良好的心理健康状况为因变量，以年龄、居住地、生活条件和体力活动/饮食摄入组（以第1组为参考类别）为自变量。结果：良好的自评健康状况与两性的年龄相关，第 3 组（男性：比值比 (OR) 1.84（95% 置信区间 (95% CI) 1.32-2.57），女性：OR 1.82 (95% CI 1.32-2.51)）和第 4 组（男性：OR 1.96 (95% CI 1.39-2.76），女性：OR 1.94 (95% CI 1.42-2.64))。对于男性受访者来说，良好的心理健康与第 3 组（OR 1.48 (95% CI 1.10-1.97)）和第 4 组（OR 1.86 (95% CI 1.37-1.97)）相关；女性受访者的居住地（临时住房除外）（OR 1.45 (95% CI 1.26-1.68)）与第 4 组（OR 1.42 (95% CI 1.09-1.85)）相关。结论：良好的身体活动单独或与良好的饮食摄入相结合与良好的自评健康和良好的心理健康相关。需要对身体活动和饮食摄入进行进一步干预，以改善幸存者的健康状况。
Background and Objectives: Each of the effects of physical activity and dietary intake on health is well known, but combined associations of physical activity and dietary intake on health has not been reported yet. Physical activity and dietary intake are key factors for maintaining health of survivors of the Great East Japan Earthquake in 2011. This study aimed to examine combined associations of physical activity and dietary intake with survivors' health status. Methods and Study Design: We used data from 6668 participants of a cross-sectional survey taken 3 years (2013) after the disaster. To evaluate combined associations of physical activity and dietary intake, answers to questions regarding these two variables were categorized into four groups: poor physical activity and poor dietary intake (Group 1), poor physical activity and good dietary intake (Group 2), good physical activity and poor dietary intake (Group 3), and good physical activity and good dietary intake (Group 4). Multiple logistic regression analyses were performed by sex, with good self-rated health and good mental health as dependent variables, and age, place of residence, living conditions and physical activity/dietary intake group (with Group 1 as the reference category) as independent variables. Results: Good self-rated health was associated with age in both sexes, and Groups 3 (male: odds ratios (ORs) 1.84 (95% confidence intervals (95% CIs) 1.32-2.57), female: OR 1.82 (95% CI 1.32-2.51)) and 4 (male: OR 1.96 (95% CI 1.39-2.76), female: OR 1.94 (95% CI 1.42-2.64)). Good mental health was associated with Groups 3 (OR 1.48 (95% CI 1.10-1.97)) and 4 (OR 1.86 (95% CI 1.37-1.97)) for male respondents; and living place (other than temporary housing) (OR 1.45 (95% CI 1.26-1.68)) was associated with Group 4 (OR 1.42 (95% CI 1.09-1.85)) for female respondents. Conclusions: Good physical activity alone or combined with good dietary intake was associated with good self-rated health and good mental health. Further interventions regarding physical activity and dietary intake are needed to improve the health status of survivors.