Association between composite lifestyle factors and cardiometabolic multimorbidity in Chongqing, China

A cross-sectional exploratory study in people over 45 years and older

Bibliographic Data

ID22076216
AuthorsYuanjie Zheng (0000-0002-5786-2491, Chongqing Public Health Medical Center), Zhongqing Zhou (Chongqing Public Health Medical Center), Tingting Wu (0000-0001-8236-2256, Silla University), Kailuo Zhong (Chongqing Public Health Medical Center), Hailing Hu (Chongqing Public Health Medical Center), Hengrui Zhang (0000-0003-1404-7996, Chongqing Public Health Medical Center), Rong Sun (0000-0003-4729-3878, The Affiliated Yongchuan Hospital of Chongqing Medical University), Weiwei Liu (0000-0002-7521-2265, Chongqing Public Health Medical Center, corresponding author)
Year2023
Volume11
Pages1118628-1118628
Publication date2023-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1118628
PMID36817881
OpenAlexW4318815663
LanguageEN
Citations received4
References cited48

Introduction Modifiable lifestyle factors are considered key to the control of cardiometabolic diseases. This study aimed to explore the association between multiple lifestyle factors and cardiometabolic multimorbidity. Methods A total of 14,968 participants were included in this cross-sectional exploratory study (mean age 54.33 years, range 45–91; 49.6% male). Pearson's Chi-square test, logistic regression, and latent class analysis were employed. Results We found that men with 4–5 high-risk lifestyle factors had a 2.54-fold higher risk (95% CI: 1.60–4.04) of developing multimorbidity compared to males with zero high-risk lifestyle factors. In an analysis of dietary behavior, we found that in women compared to men, over-eating (OR = 1.94, P < 0.001) and intra-meal water drinking (OR = 2.15, P < 0.001) were more likely to contribute to the development of cardiometabolic multimorbidity. In an analysis of taste preferences, men may be more sensitive to the effect of taste preferences and cardiometabolic multimorbidity risk, particularly for smoky (OR = 1.71, P < 0.001), hot (OR = 1.62, P < 0.001), and spicy (OR = 1.38, P < 0.001) tastes. Furthermore, “smoking and physical activity” and “physical activity and alcohol consumption” were men's most common high-risk lifestyle patterns. “Physical activity and dietary intake” were women's most common high-risk lifestyle patterns. A total of four common high-risk dietary behavior patterns were found in both males and females. Conclusions This research reveals that the likelihood of cardiometabolic multimorbidity increases as high-risk lifestyle factors accumulate. Taste preferences and unhealthy dietary behaviors were found to be associated with an increased risk of developing cardiometabolic multimorbidity and this association differed between genders. Several common lifestyle and dietary behavior patterns suggest that patients with cardiometabolic multimorbidity may achieve better health outcomes if those with certain high-risk lifestyle patterns are identified and managed

Cross-sectional study · Environmental health · Latent class model · Logistic regression · Physical activity · Physical therapy · Cardiac Health and Mental Health · Cardiovascular Health and Risk Factors · Chronic Disease Management Strategies · Demography · Medicine · Gerontology · Internal Medicine