Clustering of multiple health risk behaviors and its association with diabetes in a Southern Chinese adult population: a cross-sectional study

Abstract

Background Identifying the clustering patterns of health risk behaviors (HRBs) within individuals and their health impacts are essential to develop lifestyle promotion strategies. This study aimed to explore the clustering of a range of HRBs and the associations between such identified clusters and diabetes in Southern Chinese adults. Methods Data from 5,734 adults aged 35–75 years and underwent health examinations from November 2012 to December 2013 at a tertiary hospital in Guangzhou were analyzed. Behavioral characteristics, including smoking, alcohol use, physical activity, and sleep duration and quality, were measured by questionnaires. Latent class analysis was conducted by gender to identify HRBs clustering patterns, and logistic regression models were used to estimate the associations between behavioral patterns and diabetes. Results Three distinct behavioral clusters emerged in both genders. Male classes were defined as: (1) healthy lifestyle (Class 1, 62.9%); (2) cumulate harmful habits (Class 2, 27.1%); (3) poor sleep and risky habits (Class 3, 10.0%). Female classes were: (1) healthy lifestyle (Class 1, 83.0%); (2) inactive, daytime dysfunction (Class 2, 5.7%); (3) poor sleep habits (Class 3, 11.3%). Individuals of Class 2 and Class 3 showed a higher likelihood of diabetes across genders (multivariable-adjusted ORs [95% CIs], 2.03 [1.49–2.76] and 2.61 [1.78–3.81] among males, 2.64 [1.16–5.98] and 1.81 [1.07–3.06] among females) when compared with those of Class 1. Conclusions Our data provided additional evidence of HRBs clustering among adults, and such clustering was associated with an increased risk of diabetes. These findings have implications for identifying vulnerable subgroups and developing diabetes prevention programs.

Correlation between serum lipid profiles and cognitive impairment in old age: a cross-sectional study

“… 24 Drinking was defined as consuming >14 drinks/week for men (seven drinks/week for women) for ≥1 year, and one drink was defined as 14 g of pure alcohol, which equates to a 150 mL glass of wine, a 350 mL can of beer or two shots of spirits. 25 Physical activities were estimated by recalling the frequency and time spent on nine activities, such as walking, dancing, jogging or playing sports in a typical week, according to the guidelines for Chinese adults. 26 Intellectual activities were defined as activities like reading, writing, playing chess/poker/mahjong or using an app for playing games ≥3 times/week for ≥30 min/activity.…”

“…Current smoking referred to smoking ≥1 cigarette/day within the last 6 months, consistent with the definition of the 2010 National Smoking Survey of Chinese Adults 24. Drinking was defined as consuming >14 drinks/week for men (seven drinks/week for women) for ≥1 year, and one drink was defined as 14 g of pure alcohol, which equates to a 150 mL glass of wine, a 350 mL can of beer or two shots of spirits 25. Physical activities were estimated by recalling the frequency and time spent on nine activities, such as walking, dancing, jogging or playing sports in a typical week, according to the guidelines for Chinese adults 26.…”

Assessment of type 2 diabetes mellitus patients' behavioral characteristics associated with integrated treatment and prevention services in community health centers in China

“…There are a limited number of clustering technology studies on the behavior of T2DM patients. The majority of the current studies concentrate on identifying profiles of lifestyle behaviors or self-management behaviors of T2DM patients, and exploring the influencing factors and their relationship with health outcomes (23)(24)(25)(26)(27). It is of great significance to identify typical behavioral patterns in T2DM patients.…”

Urban–rural disparities in mild cognitive impairment and its functional subtypes among community-dwelling older residents in central China

“… 14 Drinking was defined as consuming >14 drinks/week for men (7 drinks/week for women) for ≥1 year and one drink was defined as 14 g of pure alcohol, which equates to a 150 mL glass of wine, a 350 mL can of beer or two shots of spirits. 15 Having a healthy diet was defined by eating fresh fish once a week. 16 Physical activities were estimated based on the recall of the frequency and time spent on nine activities, such as walking, dancing, jogging or playing sports in a typical week, according to the guidelines for Chinese adults.…”

“…17 Cognitive activities were defined as activities like reading, writing, playing chess/poker/mahjong or using an app for playing games ≥3 times/week for ≥30 min/activity. 15 18 For self-reported insomnia, participants were asked about ‘trouble falling asleep’, ‘dreaming’, ‘sleep time <6 h/day’, ‘early morning awakening’, ‘daytime sleepiness’ and ‘dissatisfaction with sleep’. For each positive response, if the characteristic has been present for ≥4 weeks, it was defined as self-reported insomnia.…”