文献类型：期刊文献

英文题名：Key lifestyles and health outcomes across 16 prevalent chronic diseases: A network analysis of an 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];El Nayal, Mayssah A.[21];El-Raey, Fathiya[22];Ensaldo-Carrasco, Eduardo[23];Escotorin, Pilar[24];Fadodun, Oluwadamilola Agnes[25];Fawole, Israel Opeyemi[26];Goh, Yong-Shian Shawn[27];Irawan, Devi[28];Khan, Naimah Ebrahim[29];Koirala, Binu[3];Krishna, Ashish[30];Kwok, Cannas[31];Le, Tung Thanh[32];Leal, Daniela Giambruno[33];Lezana-Fernandez, Miguel Angel[34];Manirambona, Emery[35];Mantoani, Leandro Cruz[36];Meneses-Gonzalez, Fernando[34];Mohamed, Iman Elmahdi[37];Mukeshimana, Madeleine[38];Nguyen Chinh Thi Minh[32];Nguyen Huong Thi Thanh[32];Nguyen Khanh Thi[32];Nguyen Son Truong[32];Nurumal, Mohd Said[15];Nzabonimana, Aimable[39];Omer, Nagla Abdelrahim Mohamed Ahmed[40];Ogungbe, Oluwabunmi[3];Poon, Angela Chiu Yin[41];Resendiz-Rodriguez, Areli[42];Puang-Ngern, Busayasachee[14];Sagun, Ceryl G.[18];Shaik, Riyaz Ahmed[10];Shankar, Nikhil Gauri[43];Sommer, Kathrin[21];Toro, Edgardo[33];Tran Hanh Thi Hong[32];Urgel, Elvira L.[18];Uwiringiyimana, Emmanuel[35];Vanichbuncha, Tita[14];Youssef, Naglaa[44]

机构：[1]Univ Hong Kong, Li Ka Shing Fac Med, Sch Nursing, Pokfulam, 5-F Acad Bldg,3 Sassoon Rd, 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, NSW, 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, Nigeria;[9]Majmaah Univ, Coll Med, Al Majmaah, Saudi Arabia;[10]Majmaah Univ, Coll Med, Dept Family & Community Med, Al 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 Malaysia, 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 & Hlth Outcomes Res Unit, Rome, Italy;[21]Beirut Arab Univ, Dept Psychol, Beirut, Lebanon;[22]Al Azhar Univ, Damietta Fac Med, Dept Hepatogastroenterol & Infect Dis, Cairo, Egypt;[23]Univ Guadalajara, Ergon Res Ctr ECR, Guadalajara, Jalisco, Mexico;[24]Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Lab Appl Prosocial Res, Barcelona, Spain;[25]Univ Lethbridge, Fac Hlth Sci, Lethbridge, AB, Canada;[26]Ladoke Akintola Univ Technol, Fac Nursing, Ogbomosho, Nigeria;[27]Natl Univ Singapore, Alice Lee Ctr Nursing Studies, Singapore, Singapore;[28]Wijaya Husada Hlth Inst, Sch Nursing, Bogor, Indonesia;[29]Univ KwaZulu Natal, Dept Optometry, Durban, South Africa;[30]Ecove, Ghaziabad, India;[31]Charles Sturt Univ, Sch Nursing Paramed & Hlth Care Sci, Sydney, NSW, Australia;[32]Nam Dinh Univ Nursing, Nam Dinh, Vietnam;[33]Pontificia Univ Catolica Valparaiso, Sch Social Work, Valparaiso, Chile;[34]Natl Commiss Med Arbitrat, Res Dept, Mexico City, Mexico;[35]Univ Rwanda, Coll Med & Hlth Sci, Kigali, Rwanda;[36]Sao Paulo State Univ UNESP, Dept Physiotherapy, Fac Sci & Technol, Presidente Prudente, Brazil;[37]Benghazi Univ, Fac Pharm, Pharmacol & Toxicol Dept, Benghazi, Libya;[38]Univ Rwanda, Coll Med & Hlth Sci, Sch Nursing & Midwifery, Kigali, Rwanda;[39]Univ Rwanda, Coll Arts & Social Sci, Ctr Language Enhancement, Huye, Rwanda;[40]Alzaiem Alazhari Univ, Fac Med, Khartoum, Sudan;[41]Macao Polytech Univ, Fac Hlth Sci & Sports, Taipa, Macao, Peoples R China;[42]Univ Nacl Autonoma Mexico, Mexico City, Mexico;[43]Wrexham Maelor Hosp, Mental Hlth & Learning Div, Wrexham, Wales;[44]Cairo Univ, Fac Nursing, Med Surg Nursing Dept, Cairo, Egypt

年份：2024

卷号：14

外文期刊名：JOURNAL OF GLOBAL HEALTH

收录：;WOS:【SSCI(收录号:WOS:001208974600001)，SCI-EXPANDED(收录号:WOS:001208974600001)】；

语种：英文

摘要：Background Central and bridge nodes can drive significant overall improvements within their respective networks. We aimed to identify them in 16 prevalent chronic diseases during the coronavirus disease 2019 (COVID-19) pandemic to guide effective intervention strategies and appropriate resource allocation for most significant holistic lifestyle and health improvements. Methods We surveyed 16 512 adults from July 2020 to August 2021 in 30 territories. Participants self-reported their medical histories and the perceived impact of COVID-19 on 18 lifestyle factors and 13 health outcomes. For each disease subgroup, we generated lifestyle, health outcome, and bridge networks. Variables with the highest centrality indices in each were identified central or bridge. We validated these networks using nonparametric and case-dropping subset bootstrapping and confirmed central and bridge variables' significantly higher indices through a centrality difference test. Findings Among the 48 networks, 44 were validated (all correlation -stability coefficients >0.25). Six central lifestyle factors were identified: less consumption of snacks (for the chronic disease: anxiety), less sugary drinks (cancer, gastric ulcer, hypertension, insomnia, and pre -diabetes), less smoking tobacco (chronic obstructive pulmonary disease), frequency of exercise (depression and fatty liver disease), duration of exercise (irritable bowel syndrome), and overall amount of exercise (autoimmune disease, diabetes, eczema, heart attack, and high cholesterol). Two central health outcomes emerged: less emotional distress (chronic obstructive pulmonary disease, eczema, fatty liver disease, gastric ulcer, heart attack, high cholesterol, hypertension, insomnia, and pre -diabetes) and quality of life (anxiety, autoimmune disease, cancer, depression, diabetes, and irritable bowel syndrome). Four bridge lifestyles were identified: consumption of fruits and vegetables (diabetes, high cholesterol, hypertension, and insomnia), less duration of sitting (eczema, fatty liver disease, and heart attack), frequency of exercise (autoimmune disease, depression, and heart attack), and overall amount of exercise (anxiety, gastric ulcer, and insomnia). The centrality difference test showed the central and bridge variables had significantly higher centrality indices than others in their networks (P < 0.05). Conclusion To effectively manage chronic diseases during the COVID-19 pandemic, enhanced interventions and optimised resource allocation toward central lifestyle factors, health outcomes, and bridge lifestyles are paramount. The key variables shared across chronic diseases emphasise the importance of coordinated intervention strategies.