Purpose <p>To evaluate the association between the healthy lifestyle score (HLS) and metabolic syndrome (MetS) among Japanese male workers.</p> Methods <p>This cross-sectional study included 940 participants aged 20–63 years. The longitudinal analysis included 744 participants without MetS at baseline who completed at least one follow-up examination between 2013 and 2019. The HLS was derived from ten lifestyle-related factors: body mass index, smoking, alcohol consumption, current physical activity, sleep quality, weight change, meal skipping, snacking, eating speed, and family history of non-communicable diseases. MetS was defined according to the Japanese criteria. In the cross-sectional analysis, multivariable logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for MetS, after adjusting for potential confounders. In the longitudinal analysis, generalized estimating equations were used to estimate ORs and 95% CIs for incident MetS during follow-up per 1-point increase in baseline HLS, with adjustment for potential confounders.</p> Results <p>In the cross-sectional analysis, HLS was inversely associated with MetS (<i>p</i> &lt; 0.001). Consistent findings were observed in the longitudinal analysis, in which each 1-point increase in baseline HLS was associated with lower odds of MetS during follow-up (OR: 0.676, 95% CI: 0.600–0.762; <i>p</i> &lt; 0.001).</p> Conclusions <p>These cross-sectional and longitudinal findings suggest that adherence to healthy lifestyle factors may help prevent MetS among Japanese male workers.</p>

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Association between healthy lifestyle score and metabolic syndrome among japanese male workers: Cross-sectional and longitudinal analyses

  • Thuy Thi Bui,
  • Mariko Nakamoto,
  • Akiko Nakamoto,
  • Ayumi Tojyo,
  • Akiko Hata,
  • Nanako Aki,
  • Yosuke Shikama,
  • Yukiko Bando,
  • Takako Ichihara,
  • Takako Minagawa,
  • Yumi Kuwamura,
  • Makoto Funaki,
  • Tohru Sakai

摘要

Purpose

To evaluate the association between the healthy lifestyle score (HLS) and metabolic syndrome (MetS) among Japanese male workers.

Methods

This cross-sectional study included 940 participants aged 20–63 years. The longitudinal analysis included 744 participants without MetS at baseline who completed at least one follow-up examination between 2013 and 2019. The HLS was derived from ten lifestyle-related factors: body mass index, smoking, alcohol consumption, current physical activity, sleep quality, weight change, meal skipping, snacking, eating speed, and family history of non-communicable diseases. MetS was defined according to the Japanese criteria. In the cross-sectional analysis, multivariable logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for MetS, after adjusting for potential confounders. In the longitudinal analysis, generalized estimating equations were used to estimate ORs and 95% CIs for incident MetS during follow-up per 1-point increase in baseline HLS, with adjustment for potential confounders.

Results

In the cross-sectional analysis, HLS was inversely associated with MetS (p < 0.001). Consistent findings were observed in the longitudinal analysis, in which each 1-point increase in baseline HLS was associated with lower odds of MetS during follow-up (OR: 0.676, 95% CI: 0.600–0.762; p < 0.001).

Conclusions

These cross-sectional and longitudinal findings suggest that adherence to healthy lifestyle factors may help prevent MetS among Japanese male workers.