Metabolic Syndrome, Modifiable Lifestyle Factors, and Sleep-Disordered Breathing: The Hispanic Community Health Study.
Ann Behav Med
; 58(3): 179-191, 2024 02 10.
Article
en En
| MEDLINE
| ID: mdl-38175927
ABSTRACT
BACKGROUND:
US Hispanics/Latinos are disproportionately susceptible to metabolic syndrome (MetS), attributed in part to systemic inequities related to health and lifestyle factors such as low physical activity (PA) levels, diet quality, alcohol use, tobacco use, and sleep disorder. Gender and heritage group differences are vastly understudied and need to be examined in this heterogeneous population.PURPOSE:
To examine the relationships between select health and lifestyle factors and MetS among Hispanic gender and heritage subgroups (Hypothesis 1) and determine whether gender and heritage moderate those relationships (Hypothesis 2).METHODS:
Participants included 14,155 Hispanic Americans aged 18-76 (59% female, mean age 45.92 ± 13.97) from seven heritage subgroups. This secondary analysis of cross-sectional data from the observational Hispanic Community Health Study/Study of Latinos (HCHS/SOL) dataset used hierarchical multinomial logistic regression to test Hypothesis 1; the dependent variable, MetS, included three categories delineating absence of MetS and presence of MetS with or without related medication use. Hayes' PROCESS macro tested Hypothesis 2.RESULTS:
Low PA and sleep-disordered breathing (SDB) each had significant (pâ <â .001) predictive value of MetS group membership, whereas both low and high alcohol use (pâ <â .001) were associated with decreased MetS risk. Cigarette pack-years were not significantly associated with MetS outcomes. Gender moderated the association between MetS and alcohol use (pâ <â .001), cigarette pack-years (pâ <â .001), and SDB (pâ <â .001) such that the effects on MetS were higher in females than males. The association between MetS and diet quality (pâ <â .001) was stronger among males than in females.CONCLUSIONS:
Gender and heritage differences were prominent among study variables.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Síndromes de la Apnea del Sueño
/
Síndrome Metabólico
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Ann Behav Med
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos