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Mediation factors of the association between coronary heart disease and physical activity among rural residents

A cross-sectional study

Bibliographic Data

ID15366751
AuthorsGuangcui Xu (0000-0002-3040-0879, Xinxiang Medical University, corresponding author), Jiaojiao Ma (0000-0001-8683-7861, Xinxiang Medical University), Yongbin Wang (0000-0001-7854-7020, Xinxiang Medical University), Ying‐Zheng Zhao (0009-0007-6819-3231, Xinxiang Medical University), Yingzheng Zhao, Ting Fan (0000-0001-8286-0896), Ting‐Jun Fan (0000-0002-5155-7015, Xinxiang Medical University), Jiaxin Lv (0000-0001-9152-160X, Xinxiang Medical University), Yingjun Tao (Xian Center for Disease Control and Prevention), Hui Wu (0000-0003-0296-5204, Xinxiang Medical University), Weidong Wu (0000-0002-5591-2221, Xinxiang Medical University)
Year2025
Volume25
Issue1
Pages1837-1837
Publication date2025-05-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-025-23060-0
PMID40389927
OpenAlexW4410508182
LanguageEN
References cited38

There is evidence that physical and chemical factors and risky lifestyle behaviours are significantly correlated with elevated susceptibility to coronary heart disease (CHD). Nevertheless, the mediation factors of this relationship are little investigated. This article attempts to assess the mediating factors between CHD and physical activity (PA) in rural residents. We conducted a cross-sectional study of 9,004 permanent residents in rural regions of Xinxiang County, Henan Province. The correlation between CHD and PA was evaluated using a logistic regression model, as well as the association between CHD and its associated risk factors. The robustness of the outcomes was evaluated through sensitivity analysis. The mediating factors of the correlation between CHD and PA in rural residents were explored through mediation analysis. The results showed that CHD was associated with PA (0.72, 95%CI:0.56-0.95), and the levels of fasting insulin (FINS), total cholesterol (TC), and blood glucose (GLU) were associated with PA (-0.92, 95%CI: (-1.48, -0.37), 0.08, 95%CI: (0.01, 0.15), -0.17, 95%CI: (-0.28, -0.06)). The levels of FINS, TC and GLU had significant mediating effects on the association of PA with CHD (1.00, 95%CI: (-0.0028, 0.0000), 1.00, 95%CI: (-0.0016, 0.0000), 1.00, 95%CI: (-0.0014, 0.0000)). In rural populations, PA is associated with CHD, possibly mediated by FINS, TC and GLU, rather than relying solely on the direct effects of PA

Association (psychology · Biostatistics · Coronary heart disease · Cross-sectional study · Environmental health · Mediation · Pathology · Physical activity · Physical therapy · Public health · Cardiac Health and Mental Health · Cardiovascular Health and Risk Factors · Health and Lifestyle Studies · Medicine · Epidemiology · Gerontology · Internal Medicine

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