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Self-reported health behaviors, including sleep, correlate with doctor-informed medical conditions: data from the 2011 Health Related Behaviors Survey of U.S. Active Duty Military Personnel

机译:自我报告的健康行为,包括睡眠,与医生知情的医疗状况相关:2011年健康相关行为的数据调查美国现役军人

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摘要

Abstract Background Health behaviors and cardiometabolic disease risk factors may differ between military and civilian populations; therefore, in U.S. active duty military personnel, we assessed relationships between demographic characteristics, self-reported health behaviors, and doctor-informed medical conditions. Methods Data were self-reported by 27,034 active duty military and Coast Guard personnel who responded to the 2011 Department of Defense Health Related Behaviors Survey. Multivariate linear and logistic regressions were used to estimate cross-sectional associations between (1) demographic characteristics (age, sex, service branch, marital status, children, race/ethnicity, pay grade) and self-reported behaviors (exercise, diet, smoking, alcohol, sleep); (2) demographic characteristics and doctor-informed medical conditions (hypertension, hypercholesterolemia, low high density lipoprotein (HDL) cholesterol, hyperglycemia) and overweight/obesity; and (3) behaviors and doctor-informed medical conditions. Results Among respondents (age 29.9 ± 0.1 years, 14.7% female), females reported higher intake than men of fruit, vegetables, and dairy; those with higher education reported higher intakes of whole grains; those currently married and/or residing with children reported higher intake of starches. Older age and female sex were associated with higher odds (ORs 1.25 to 12.54 versus the youngest age group) of overweight/obesity. Older age and female sex were also associated with lower odds (ORs 0.29 to 0.65 versus male sex) of doctor-informed medical conditions, except for blood glucose, for which females had higher odds. Those currently married had higher odds of high cholesterol and overweight/obesity, and separated/divorced/widowed respondents had higher odds of high blood pressure and high cholesterol. Short sleep duration (< 5 versus 7–8 h/night) was associated with higher odds (ORs 1.36to 2.22) of any given doctor-informed medical condition. Strength training was associated with lower probability of high cholesterol, high triglycerides, and low HDL, and higher probability of overweight/obesity. Dietary factors were variably associated with doctor-informed medical conditions and overweight/obesity. Conclusions This study observed pronounced associations between health behaviors—especially sleep—and medical conditions, thus adding to evidence that sleep is a critical, potentially modifiable behavior within this population. When possible, adequate sleep should continue to be promoted as an important part of overall health and wellness throughout the military community.
机译:摘要背景卫生行为和心脏素质疾病风险因素可能在军事和民用人口之间存在差异;因此,在美国现役军人,我们评估了人口特征,自我报告的健康行为和医生知情的医疗条件之间的关系。方法数据由27,034军事和海岸警卫队人员自我报告,后卫人员应回复2011年国防部健康系相关行为调查。多变量线性和逻辑回归用于估计(1)人口特征(年龄,性,服务分支,婚姻状况,儿童,种族/种族,工资等级)和自我报告的行为之间的横截面关联(运动,饮食,吸烟,酒精,睡觉); (2)人口统计学特征和医生明智的医疗条件(高血压,高胆固醇血症,低密度脂蛋白(HDL)胆固醇,高血糖)和超重型/肥胖; (3)行为和医生明智的医疗状况。受访者的结果(29.9±0.1岁,14.7%的女性),女性报告比水果,蔬菜和乳制品的男性更高摄入;高等教育的人报告了全谷物的摄入量更高;那些目前与儿童结婚和/或居住的人报告淀粉摄入量更高。年龄和女性性别与超重/肥胖的赔率较高(或1.25至12.54与最年轻的年龄组)相关。除了血糖外,年龄较大的年龄和女性也与医生通知的医疗条件的少量赔率(或0.29至0.65与男性)相关联。女性赔率较高。目前已婚的人的高胆固醇和超重/肥胖的几率较高,分离/离婚/丧偶受访者的高血压和高胆固醇的几率较高。短期睡眠时间(<5与7-8 H /夜)与任何给定医生通知的医疗状况的少量赔率(或1.36至2.22)相关。力量培训与高胆固醇,高甘油三酯和低HDL的较低概率相关,以及更高的超重/肥胖的概率。饮食因子与医生明智的医疗条件和超重/肥胖有关。结论本研究观察了健康行为之间的发明关联 - 特别是睡眠和医疗条件,从而增加了睡眠的证据,这是在这个人口中的一个关键的潜在可修改的行为。在可能的情况下,应继续促进充足的睡眠作为整个军事界整体健康和健康的重要组成部分。

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