文献类型：期刊文献

英文题名：Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study

作者：Li, Jiaying[1];Fong, Daniel Yee Tak[1];Lok, Kris Yuet Wan[1];Wong, Janet Yuen Ha[2];Ho, Mandy Man[1];Choi, Edmond Pui Hang[1];Pandian, Vinciya[3];Davidson, Patricia M.[4];Duan, Wenjie[5];Tarrant, Marie[6];Lee, Jung Jae[1];Lin, Chia-Chin[1];Akingbade, Oluwadamilare[7,8];Alabdulwahhab, Khalid M.[9];Ahmad, Mohammad Shakil[10];Alboraie, Mohamed[11];Alzahrani, Meshari A.[12];Bilimale, Anil S.[13];Boonpatcharanon, Sawitree[14];Byiringiro, Samuel[3];Hasan, Muhammad Kamil Che[15];Schettini, Luisa Clausi[16];Corzo, Walter[17];De Leon, Josephine M.[18];De Leon, Anjanette S.[18];Deek, Hiba[19];Efficace, Fabio[20,21];El Nayal, Mayssah A.[22];El-Raey, Fathiya[23];Ensaldo-Carrasco, Eduardo[24];Escotorin, Pilar[25];Fadodun, Oluwadamilola Agnes[26];Fawole, Israel Opeyemi[27];Goh, Yong-Shian Shawn[28];Irawan, Devi[29];Khan, Naimah Ebrahim[30];Koirala, Binu[3];Krishna, Ashish[31];Kwok, Cannas[32];Le, Tung Thanh[33];Leal, Daniela Giambruno[34];Lezana-Fernandez, Miguel Angel[35];Manirambona, Emery[36];Mantoani, Leandro Cruz[37];Meneses-Gonzalez, Fernando[35];Mohamed, Iman Elmahdi[38];Mukeshimana, Madeleine[39];Nguyen, Chinh Thi Minh[33];Nguyen, Huong Thi Thanh[33];Nguyen, Khanh Thi[33];Nguyen, Son Truong[33];Nurumal, Mohd Said[15];Nzabonimana, Aimable[40];Omer, Nagla Abdelrahim Mohamed Ahmed[41];Ogungbe, Oluwabunmi[4];Poon, Angela Chiu Yin[42];Resendiz-Rodriguez, Areli[43];Puang-Ngern, Busayasachee[14];Sagun, Ceryl G.[18];Shaik, Riyaz Ahmed[10];Shankar, Nikhil Gauri[44];Sommer, Kathrin[20,21];Toro, Edgardo[34];Tran, Hanh Thi Hong[33];Urgel, Elvira L.[18];Uwiringiyimana, Emmanuel[36];Vanichbuncha, Tita[14];Youssef, Naglaa[45]

机构：[1]Univ Hong Kong, Li Ka Shing Fac Med, Sch Nursing, Hong Kong, Peoples R China;[2]Hong Kong Metropolitan Univ, Sch Nursing & Hlth Studies, Hong Kong, Peoples R China;[3]Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA;[4]Univ Wollongong, Wollongong, Australia;[5]East China Univ Sci & Technol, Dept Social Work, Shanghai, Peoples R China;[6]Univ British Columbia, Sch Nursing, Kelowna, BC, Canada;[7]Chinese Univ Hong Kong, Nethersole Sch Nursing, Hong Kong, Peoples R China;[8]Inst Nursing Res, Osogbo, Osun State, Nigeria;[9]Majmaah Univ, Coll Med, Al Majmaah, Saudi Arabia;[10]Majmaah Univ, Dept Family & Community Med, Coll Med, Majmaah, Saudi Arabia;[11]Al Azhar Univ, Dept Internal Med, Cairo, Egypt;[12]Majmaah Univ, Coll Med, Dept Urol, Al Majmaah, Saudi Arabia;[13]JSS AHER, Sch Publ Hlth, JSS Med Coll, Mysuru, India;[14]Chulalongkorn Business Sch, Dept Stat, Bangkok, Thailand;[15]Int Islamic Univ, Kulliyyah Nursing, Kuantan, Malaysia;[16]Italian Assoc Leukaemia Lymphoma & Myeloma AIL, Rome, Italy;[17]Dialogos Guatemala, Guatemala City, Guatemala;[18]Ctr Escolar Univ, Sch Nursing, Manila, Philippines;[19]Beirut Arab Univ, Fac Hlth Sci, Nursing Dept, Beirut, Lebanon;[20]Italian Grp Adult Hematol Dis GIMEMA, Data Ctr, Rome, Italy;[21]Hlth Outcomes Res Unit, Rome, Italy;[22]Beirut Arab Univ, Dept Psychol, Beirut, Lebanon;[23]Al Azher Univ, Damietta Fac Med, Dept Hepatogastroenterol & Infect Dis, Cairo, Egypt;[24]Univ Guadalajara, Ergon Res Ctr ECR, Guadalajara, Jalisco, Mexico;[25]Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Lab Appl Prosocial Res, Barcelona, Spain;[26]Univ Lethbridge, Fac Hlth Sci, Lethbridge, AB, Canada;[27]Ladoke Akintola Univ Technol, Fac Nursing, Ogbomosho, Nigeria;[28]Natl Univ Singapore, Alice Lee Ctr Nursing Studies, Singapore, Singapore;[29]Wijaya Husada Hlth Inst, Sch Nursing, Bogor, Indonesia;[30]Univ Kwazulu Natal, Dept Optometry, Durban, South Africa;[31]Ecove, Ghaziabad, India;[32]Charles Sturt Univ, Sch Nursing Paramed & Health Care Sci, Bathurst, NSW, Australia;[33]Nam Dinh Univ Nursing, Nam Dinh, Vietnam;[34]Pontificia Univ Catolica Valparaiso, Sch Social Work, Valparaiso, Chile;[35]Natl Commiss Med Arbitrat, Res Dept, Mexico City, Mexico;[36]Univ Rwanda, Coll Med & Hlth Sci, Kigali, Rwanda;[37]State Univ Londrina UEL, Dept Physiotherapy, Lab Res Resp Physiotherapy LFIP, Londrina, Brazil;[38]Benghazi Univ, Fac Pharm, Pharmacol & Toxicol Dept, Benghazi, Libya;[39]Univ Rwanda, Coll Med & Hlth Sci, Sch Nursing & Midwifery, Kigali, Rwanda;[40]Univ Rwanda, Coll Arts & Social Sci, Ctr Language Enhancement, Huye, Rwanda;[41]Alzaiem Alazhari Univ, Fac Med, Khartoum, Sudan;[42]Macao Polytech Univ, Fac Hlth Sci & Sports, Macau, Peoples R China;[43]Univ Nacl Autonoma Mexico, Mexico City, Mexico;[44]Wrexham Maelor Hosp, Mental Hlth & Learning Div, Wrexham, Wales;[45]Cairo Univ, Fac Nursing, Med Surg Nursing Dept, Cairo, Egypt

年份：2023

卷号：13

外文期刊名：JOURNAL OF GLOBAL HEALTH

收录：;WOS:【SSCI(收录号:WOS:001101921900001)，SCI-EXPANDED(收录号:WOS:001101921900001)】；

语种：英文

摘要：Background The interconnect-ed nature of lifestyles and interim health outcomes implies the presence of the central lifestyle, central interim health outcome and bridge lifestyle, which are yet to be deter-mined. Modifying these factors holds immense potential for substantial positive changes across all aspects of health and lifestyles. We aimed to identify these factors from a pool of 18 lifestyle factors and 13 interim health outcomes while investigating potential gender and occupation differences.Methods An international cross -sectional study was conducted in 30 countries across six World Health Organization regions from July 2020 to August 2021, with 16 512 adults self-reporting changes in 18 lifestyle factors and 13 interim health outcomes since the pandemic.Results Three networks were computed and tested. The central variables decided by the expect-ed influence centrality were con-sumption of fruits and vegetables (centrality = 0.98) jointly with less sugary drinks (centrality = 0.93) in the lifestyles network; and quality of life (centrality = 1.00) co-dominant (centrality = 1.00) with less emotional distress in the interim health outcomes network. The overall amount of exercise had the highest bridge expected influence centrality in the bridge network (centrality = 0.51). No significant differences were found in the network global strength or the centrality of the aforementioned key variables within each network between males and females or health workers and non-health workers (all P-values >0.05 after Holm-Bonferroni correction).Conclusions Consumption of fruits and vegetables, sugary drinks, quality of life, emotional distress, and the overall amount of exercise are key intervention components for improving overall lifestyle, overall health and overall health via lifestyle in the general population, respectively. Although modifications are needed for all aspects of lifestyle and interim health outcomes, a larger allocation of resources and more intensive interventions were recommended for these key variables to produce the most cost-effective improvements in lifestyles and health, regardless of gender or occupation.