Association between healthy lifestyle factors and health
摘要
BackgroundTo examine the associations of the independent and combined healthy lifestyle factors with health-related quality of life (HRQOL) in adolescents, and to test the moderating role of gender.MethodsThis cross-sectional study included 5125 adolescents aged between 11 and 20 years. They provided self-reported data on six healthy lifestyle factors, including never smoking, never drinking, good sleep quality, sufficient sleep duration, appropriate Internet use, and adequate physical activity. Adolescents' HRQOL was evaluated using the Pediatric Quality of Life Inventory version 4.0. Linear regression models were conducted to explore the association of individual and combined healthy lifestyle factors with adolescents' HRQOL. We further performed stratified analyses and likelihood ratio test to explore the moderating role of gender in these associations.ResultsOf the included adolescents, the proportions with 0-2, 3, 4, and 5-6 healthy lifestyle factors were 13.6, 26.4, 44.3, and 15.7, respectively. Compared to adolescents with composite healthy lifestyle scores of 0-2, those with scores of 3, 4, or 5-6 had significantly higher HRQOL scores across all dimensions, summary scales, and total scale in both unadjusted and adjusted models. Specifically, adolescents with 5-6 healthy lifestyle factors had a total scale score that was 19.03 (95CI: 17.76 to 20.30) points higher than their counterparts who only had 0-2 healthy lifestyle factors. Significant dose-response patterns were also observed in aforementioned associations. Gender was a significant moderator in the associations between composite healthy lifestyle groups and HRQOL scores, except for the social functioning dimension.ConclusionsOur results confirmed that combined healthy lifestyle factors were associated with improved HRQOL among adolescents, with a stronger association observed in girls. These findings underscore the necessity for education and healthcare authorities to design health-promoting strategies that encourage multiple healthy lifestyle factors in adolescents, with the objective of enhancing their overall health outcomes.展开▼
机译：背景探讨独立和综合健康生活方式因素与青少年健康相关生活质量（HRQOL）的关联，并检验性别的调节作用。方法这项横断面研究纳入了5125名年龄在11-20岁之间的青少年。他们提供了关于六个健康生活方式因素的自我报告数据，包括从不吸烟、从不饮酒、良好的睡眠质量、充足的睡眠时间、适当的互联网使用和足够的身体活动。使用儿科生活质量量表 4.0 版评估青少年的 HRQOL。采用线性回归模型探讨个体和组合健康生活方式因素与青少年HRQOL的关联。我们进一步进行了分层分析和似然比检验，以探讨性别在这些关联中的调节作用。结果在纳入的青少年中，0-2岁、3岁、4岁和5-6岁健康生活方式因素的比例分别为13.6%、26.4%、44.3%和15.7%。与综合健康生活方式得分为 0-2 的青少年相比，得分为 3、4 或 5-6 的青少年在未调整和调整模型中在所有维度、总量表和总量表上的 HRQOL 得分均显着更高。具体来说，具有 5-6 个健康生活方式因素的青少年的总量表得分比只有 0-2 个健康生活方式因素的同龄人高出 19.03 分（95% CI：17.76 至 20.30）。在上述关联中也观察到显着的剂量反应模式。除社会功能维度外，性别是复合健康生活方式组与HRQOL评分之间关联的重要调节因素。结论我们的研究结果证实，综合健康生活方式因素与青少年HRQOL的改善相关，在女孩中观察到更强的相关性。这些发现强调了教育和医疗保健当局制定健康促进策略的必要性，以鼓励青少年采取多种健康生活方式因素，以提高他们的整体健康结果。展开▼
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