scholarly journals Associations of environment and lifestyle factors with suboptimal health status: a population-based cross-sectional study in urban China

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Yunlian Xue ◽  
Zhuomin Huang ◽  
Guihao Liu ◽  
Zicheng Zhang ◽  
Yefang Feng ◽  
...  
Keyword(s):  
Health Status ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Lifestyle Behaviors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Environment Factors ◽  
Suboptimal Health Status ◽  
General Physical ◽  
Suboptimal Health

Abstract Introduction Suboptimal health status (SHS), an intermediate state between chronic disease and health, is characterized by chronic fatigue, non-specific pain, headaches, dizziness, anxiety, depression, and functional system disorders with a high prevalence worldwide. Although some lifestyle factors (e.g. smoking, alcohol consumption, physical exercise) and environmental factors (e.g. air quality, noise, living conditions) have already been studied, few studies can comprehensively illustrate the associations of lifestyle and environment factors with general, physical, mental, and social SHS. Methods A cross-sectional study was conducted among 6750 urban residents aged 14 years or over in five random cities from September 2017 to September 2018 through face-to-face questionnaires. There were 5881 valid questionnaires with a response rate of 87%. A general linear model and structural equation model were developed to quantify the effects of lifestyle behaviors and environment factors on SHS. Results The detection rates of general, physical, mental, and social SHS were 66.7, 67.0, 65.5, and 70.0%, respectively. Good lifestyle behaviors and favorable environment factors positively affected SHS (P < 0.001). Lifestyle behaviors had the largest effect on physical SHS (β = − 0.418), but the least on social SHS (β = − 0.274). Environment factors had the largest effect on mental SHS (β = 0.286), but the least on physical SHS (β = 0.225). Conclusions Lifestyle behaviors and environment factors were important influencing factors of SHS. Physical SHS was more associated with lifestyle. Lifestyle and environment were similarly associated with mental and social SHS.

scholarly journals Association analysis of Suboptimal health Status: a cross-sectional study in China

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e10508
Author(s):  
Yunlian Xue ◽  
Zhuomin Huang ◽  
Guihao Liu ◽  
Yefang Feng ◽  
Mengyao Xu ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Cross Sectional Study ◽  
Urban Residents ◽  
Lifestyle Behaviors ◽  
Sectional Study ◽  
Demographic Information ◽  
Cross Sectional ◽  
Internal Factors ◽  
Suboptimal Health Status ◽  
Suboptimal Health

Background Suboptimal health status (SHS) among urban residents is commonplace in China. However, factors influencing SHS have not been thoroughly explored, especially with regard to the effects of internal factors (e.g., personality and health awareness) on SHS. Methods A cross-sectional study was conducted with a nationally representative sample of 5460 Chinese urban residents..SHS was measured using the Suboptimal Health Mesurement Scale Version 1.0. Demographic information, and information pertaining to lifestyle behaviors, environmental factors, and internal factors were abtained through a questionnaire. The associations between demographic information, lifestyle behaviors, environmental factors, internal factors and SHS were assessed using logistic regression. Results Of the 5460 participants (with a mean age of 41.56 ±  16.14 years), 2640 (48.4 %) were men. Out of 36 variables, 23 were significantly associated with SHS: age (odds ratio [OR]: 1.014), an education level of high school/junior college (OR: 1.443) , marital status (OR: 1.899), area of registered permanent residence (OR: 0.767), monthly household income (p < 0.001) , exposure to second-hand smoke (p = 0.001), alcohol drinking (OR: 1.284), bad eating habits (OR: 1.717), not sleeping before 11 p.m. every day (p = 0.002), spending time online more than five hours a day (OR: 1.526), having a good relationship with parents during one’s growth period (OR: 0.602), living with good quality air (OR:0.817), living in not crowded conditions (OR:0.636), having a harmonious neighborhood (OR:0.775), having adequate fitness facilities (OR:0.783), one’s health being affected by two-child policy (OR: 1.468) and medical policies (OR: 1.265) , high adverse quotient (OR: 0.488), many (≥3 kinds) interests and hobbies (OR: 0.617), mature and steady personality traits (OR: 0.469) , a high attention to one’s health (OR: 0.833), and effective health promotion induced by leading a leisurely lifestyle (OR: 0.466) were significantly associated with SHS. Conclusions All these variables were included demographic information, lifestyle behaviors, environmental factors and internal factors. Our study supports the benefits of controlling both internal and external factors in preventing suboptimal health.

scholarly journals Prevalence and Associated Lifestyle Factors of Suboptimal Health Status among Chinese Children Using a Multi-Level Model

2020 ◽  
Vol 17 (5) ◽  
pp. 1497
Author(s):  
Tao Xu ◽  
Junting Liu ◽  
Guangjin Zhu ◽  
Shaomei Han
Keyword(s):  
Health Status ◽  
Lifestyle Factors ◽  
Chinese Children ◽  
Cluster Effect ◽  
Poor Sleep ◽  
Lifestyle Behaviors ◽  
Confounding Effect ◽  
Suboptimal Health Status ◽  
Multi Level ◽  
Suboptimal Health

Chinese children are facing health challenges brought by chronic non-communicable diseases, such as physical problems and psychological related health problems. Childhood represents a critical life period when the long-term dietary and lifestyle behaviors are formed. It is necessary to survey the prevalence of suboptimal health status (SHS) among Chinese children and to research the relationship between SHS and lifestyles. This study aimed to examine the prevalence of SHS among Chinese children using a large-scale population survey sample covering school students and nonstudent children, and clarified the relationships between SHS and lifestyle factors using multi-level models controlled for the cluster effect of location and the confounding effect of demographics. Multi-level generalized estimating equation models were used to examine the relationships between SHS and lifestyle factors. Prevalence ratios (PR) and 95% confidence intervals (CI) were used to assess the strength of these relationships. Of the 29,560 children, 14,393 reported one or more SHS symptoms, giving a SHS prevalence of 48.69%. The prevalence of SHS for boys (46.07%) was lower than that for girls (51.05%). After controlling for the cluster effect of living areas and confounding effect of demographic characteristics, lifestyle factors associated with SHS were: less sleep duration, current smokers (PR = 1.085, 95%CI: 1.027–1.147), current drinkers (PR = 1.072, 95%CI: 1.016–1.131), children’ parents suffering from chronic diseases (PR = 1.294, 95%CI: 1.179–1.421), poor sleep quality (PR = 1.470, 95%CI: 1.394–1.550), stress (PR = 1.545, 95%CI: 1.398–1.707), negative life events (PR = 1.237, 95%CI: 1.088–1.406), hypertension (PR = 1.046, 95%CI: 1.009–1.084), unhealthy diet choice (PR = 1.091, 95%CI: 1.051–1.133) and irregular meal time (PR = 1.210, 95%CI: 1.163–1.259). Children who could exercise regularly (PR = 0.897, 95%CI: 0.868–0.927) and those with regular medical checkup (PR = 0.891, 95%CI: 0.854–0.929) were associated with lower prevalence probability of SHS. SHS has become a serious public health challenge for Chinese children. Unhealthy lifestyles were closely associated with SHS. Implementation of preventative strategies are needed to reduce the potential SHS burden associated with these widespread high-risk unhealthy lifestyle behaviors.

scholarly journals Determinant of overweight and obesity among females’ adolescents in the Eastern Province of Saudi Arabia, Cross-Sectional Study

2019 ◽  
Author(s):  
Mona Faisal Al-Qahtani ◽  
Azhar Ibrahim Alghareeb ◽  
Zainab Sami Alramadan ◽  
Mohamed Saleh Ismail
Keyword(s):  
Physical Activity ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Overweight And Obesity ◽  
Potato Chips ◽  
French Fries ◽  
Lifestyle Behaviors ◽  
Sectional Study ◽  
Significant Positive Association ◽  
Cross Sectional

Abstract Background: several lifestyle factors related to adolescent overweight and obesity have been well documented. The main objectives of this study were to explore the common lifestyle behaviors among female adolescents based on body BMI category and to examine the association between overweight/obesity and lifestyle factors among them. Methods: cross-sectional study was carried out on 598 participants, and Arab Teens Lifestyle Study (ATLS) questionnaire was used. Data related to lifestyle factors, e.g., physical activity, metabolic equivalent rate, sedentary behavior; dietary consumption; and anthropometrics including height, weight, and BMI were collected. To test the correlations between BMI and lifestyle factors, ANOVA and logistic regression were performed. Results: based on BMI, 20.6% and 19.4% of females suffer from overweight and obesity, respectively. Results indicated significant differences (P<0.05) in several female anthropometric factors and lifestyle behaviors based on BMI category. These factors comprised BMI, weight, consumption of French fries/potato chips, vegetables, fruits, and cake/donuts; and MET-min of swimming, and total physical activity (MET-min/week). Overweight/obesity was significantly associated with the consumption of cake/donuts (odds ratio [OR] for >5 days/weeks =2.261; 95% confidence interval [CI]=1.361-3.757), French fries (OR for 3-4 days/weeks=1.936; 95% CI=.206-3.110) and fruit (OR for 3-4 days/weeks=1.669; 95% CI=1.032-2.697). Conclusion: a significant positive association between BMI category and factors such as eating French fries/potato chips and cakes/donuts were observed among adolescent Saudi females.

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