Chronic disease prevention through multiple health behaviors and their determinant

我们假设存在一个共同的因素，决定集群的多种生活方式的行为。大约3,500名男性和女性健康工人进行了分析。在随访期间，理想饮食行为（鱼、低钠、水果和蔬菜、低糖饮料和富含纤维的全谷物）的数量与体力活动呈正相关，与吸烟、体重指数和糖尿病发病率呈负相关。此外，它与两性的心理压力和男性的睡眠时间（小时）呈负相关。通过增加压力和时间管理来改变生活方式行为的干预可能比仅仅针对特定的生活方式更有效。

We hypothesized existence of a common factor that determines clustering of multiple lifestyle behaviors. Approximately 3,500 male and female healthy workers were analyzed. The number of ideal dietary behaviors (fish, low sodium, fruits and vegetables, low sugar-sweetened beverages, and fiber-rich whole grains) was positively associated with physical activity and inversely with smoking, body mass index, and diabetes incidence during follow-up. Furthermore, it was inversely associated with perceived psychological stress in both sexes and sleeping duration (hours) in men. Interventions to modify lifestyle behaviors may be more effective with the addition of stress and time management than just targeting the specific lifestyles.