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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Lifestyle behavior patterns and mortality among adults in the NHANES 1988-1994 population: A latent profile analysis
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Lifestyle behavior patterns and mortality among adults in the NHANES 1988-1994 population: A latent profile analysis

机译：1988-1994人口中成年人的生活方式行为模式和死亡率：潜在的简介分析

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Evidence suggests interdependent associations of individual modifiable behaviors with health outcomes. However, such interrelations have not been accounted for in previous behavior-outcome associations. We conducted latent profile analysis (LPA) on self-reported levels of alcohol consumption, restaurant dining, vitamin/mineral supplement use, physical activity (PA) and smoke exposure (first- and second-hand smoke) separately for smokers (N = 4530) and non-smokers (N = 13,421) using data from the third National Health and Nutrition Examination Survey (NHANES III) to identify subgroups with similar levels within and across behaviors. Cox-proportional hazards models were used to compare mortality rates between subgroups from cancer, cardiovascular disease (CVD) and all-causes at an average of 16.4 ( +/- 6.1) years follow-up. Five behavioral typologies were identified in non-smokers ("Moderates", "Low Risk Factors", "Restaurant Diners", "Moderate Passive Smokers" and "Heavy Passive Smokers"), and four in smokers ("Moderates", "Low Risk Factors", "Heavy Smokers" and "Physically Active"). As a group, "Moderates" had levels of each behavior that were not significantly different from at least one other group. Compared to "Moderates", in non-smokers "Restaurant Diners" had lower hazard from all-cause (hazard ratio (HR):0.84, 95% CI:0.74-0.97) and CVD (HR:0.59, 0.43-0.82) mortality, while "Low Risk Factors" had higher cancer mortality (HR:1.38,1.03-1.84). In smokers, compared to "Moderates", higher hazards for mortality were found for "Heavy Smokers" (all cause: HR:1.34, 1.12-1.60; CVD: HR:1.52, 1.04-2.23; cancer: HR:1.41 1.02-1.96) and "Low Risk Factors" (all-cause: HR:1.58, 1.14-2.17). Taken together, when restaurant dining, PA and smoking exposures are grouped together, novel predictions for mortality occur, suggesting data on multiple behaviors may be informative for risk stratification.
机译：证据表明，个体可修改行为与健康结果的相互依存协会。但是，在以前的行为结果协会中尚未考虑这种相互关系。我们对自我报告的酒精消费水平进行潜在的简档分析（LPA），餐厅用餐，维生素/矿物质补充剂，身体活动（PA）和烟雾暴露（烟雾暴露（第一和二手烟）对吸烟者（n = 4530 ）使用来自第三种国家健康和营养考试调查（NHANES III）的数据来识别具有类似水平和行为中的亚组的禁止吸烟者（n = 13,421）。 Cox比例危险模型用于比较癌症，心血管疾病（CVD）和所有导致的亚组之间的死亡率，平均随访16.4（+/- 6.1）年。在非吸烟者（“温和”，“低风险因素”，“餐馆用餐者”，“中等被动吸烟者”和“沉重被动吸烟者”）中确定了五种行为类型，以及“沉重被动吸烟者”（“温和”，“低风险”因素“，”重物“和”物理活跃“）。作为一个组，“适度”的每个行为的水平与至少一个其他组没有显着不同。与“调节”相比，在非吸烟者中，“餐厅用餐者”危害来自全因（危害比（HR）：0.84,95％CI：0.74-0.97）和CVD（HR：0.59,0.43-0.82）死亡率，虽然“低风险因素”具有更高的癌症死亡率（HR：1.38,1.03-1.84）。在吸烟者中，与“调节”相比，为“重病的吸烟者”（所有原因：HR：1.34,112-1.60; CVD：Hr：1.52,1.04-23;癌症：HR：1.41 1.02-1.96 ）和“低风险因素”（全原因：HR：1.58,1.14-2.17）。当餐厅用餐时，当餐厅用餐，PA和吸烟曝光被分组，发生了对死亡率的新预测，提示有关多种行为的数据可能是风险分层的信息。

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