Associations between healthy lifestyles and health outcomes among older Koreans
Associations between healthy lifestyles and health outcomes among older Koreans
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DOI：
10.1111/ggi.12531
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发表时间：
2016-06-01
影响因子：
3.3
通讯作者：
Kim, Hae-Young
中科院分区：
文献类型：
--
作者：
Lyu, Jiyoung;Lee, Seungah H.;Kim, Hae-Young
健康的生活方式已被发现与晚年的身心健康结果呈正相关。虽然多种健康行为有可能提高老年人的健康，但人们对多种行为方法知之甚少。因此，本研究的目的是探讨多种健康的生活方式和健康结果之间的关系在韩国老年aduls.MethodsThe研究样本包括3844韩国老年人年龄在65岁及以上的横截面样本被跟踪在全国代表性的数据集，2012年韩国老龄化纵向研究。健康的生活方式包括不吸烟、正常饮酒、体育活动和正常体重。针对下列协变量进行调整（年龄、性别、婚姻状况、受教育程度、家庭收入和是否有慢性病）进行多因素logistic回归分析，以检查自测健康、残疾、认知障碍和抑郁作为4个个体健康结局。至少有两个健康生活方式因素的受访者残疾风险降低，至少有三个健康生活方式因素的受访者认知障碍风险降低。有趣的是，只有两个或三个健康的生活方式因素与抑郁症的风险降低。ConclusionsThese结果表明，老年韩国人更健康的生活方式比那些不健康的生活方式。此外，多种健康生活方式因素与健康结果之间的关联因具体的健康结果而异，表明多种健康生活方式因素与每种健康结果之间存在不同的机制。Geriatr Gerontol Int 2016; 16：663-669.
AimHealthy lifestyles have been found to be positively associated with physical and mental health outcomes in later life. Although multiple health behaviors have the potential to enhance health among older adults, little is known about a multiple behavior approach. Therefore, the purpose of the present study was to examine the relationship between multiple healthy lifestyles and health outcomes among Korean older adults.MethodsThe study sample consisted of 3844 Korean older adults aged 65 years and older from a cross-section sample being followed in the nationally representative dataset, the 2012 Korean Longitudinal Study of Ageing. Healthy lifestyles included non-smoking, normal drinking, physical activity and normal weight. Adjusting for covariates (age, sex, marital status, education, household income and having chronic condition), a multivariate logistic regression was carried out to examine self-rated health, disability, cognitive impairment and depression as four individual health outcomes.ResultsCompared with respondents with no healthy lifestyle factors, respondents with at least one healthy lifestyle factor had better self-rated health, respondents with at least two healthy lifestyle factors had reduced risk of disability, and respondents with at least three healthy lifestyle factors had reduced risk of cognitive impairment. Interestingly, having just two or three healthy lifestyle factor was associated with reduced risk of depression.ConclusionsThese results suggest that older Koreans with more healthy lifestyles are healthier than those with less healthy lifestyles. Also, the association between multiple healthy lifestyle factors and health outcomes is different by specific health outcome, showing different mechanisms between multiple healthy lifestyle factors and each health outcome. Geriatr Gerontol Int 2016; 16: 663-669.