Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study

English version

Autoři: Ami Fukunaga ^aff001; Yosuke Inoue ^aff001; Nadeeka Chandraratne ^aff002; Miwa Yamaguchi ^aff001; Keisuke Kuwahara ^aff001; Susantha Indrawansa ^aff005; Nalika Gunawardena ^aff006; Tetsuya Mizoue ^aff001; Diyanath Samarasinghe ^aff007
Působiště autorů: Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan ^aff001; Management, Development & Planning Unit, Ministry of Health, Colombo, Sri Lanka ^aff002; International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan ^aff003; Graduate School of Public Health, Teikyo University, Tokyo, Japan ^aff004; The Foundation for Health Promotion, Dehiwala, Sri Lanka ^aff005; Office for Sri Lanka, World Health Organization Country, Colombo, Sri Lanka ^aff006; Department of Psychological Medicine, University of Colombo, Colombo, Sri Lanka ^aff007
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0226773

Souhrn

Objectives

To investigate the association between a healthy lifestyle index (HLI) (i.e., a composite score comprising multiple lifestyle factors) and hypertension among community adults living in Sri Lanka.

Methods

The present study used baseline information of a cluster randomized controlled trial among 456 adults aged 27–65 years in a semi-urban community in Colombo, Sri Lanka. The HLI was constructed by summing a number of low-risk lifestyle factors: low body mass index, sufficient physical activity, non-smoking, low alcohol consumption, and sufficient fruit and vegetable consumption. Hypertension was defined as systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or the use of antihypertensive medication. A logistic regression model was used to investigate the association between the HLI (low: 0–2; middle: 3; high: 4–5) and hypertension.

Results

A total of 178 (39%) participants were hypertensive. Compared with the low HLI group, multivariate-adjusted odds ratios (95% confidence intervals) of hypertension were 0.72 (0.44–1.19) and 0.28 (0.15–0.54) for the middle and high HLI groups, respectively (p-trend <0.001).

Conclusions

The present study provides essential evidence on an inverse association between adherence to healthy lifestyles and hypertension.

Klíčová slova:

Rice – Physical activity – Alcohol consumption – Schools – Blood pressure – Hypertension – diabetes mellitus – Body Mass Index

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