The mediating role of healthy behaviors and self-perceived health in the relationship between eating behaviors and comorbidity in adults.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Archives of Public Health Pub Date : 2024-11-06 DOI:10.1186/s13690-024-01435-w

Cristian Ramos-Vera, Gleni Quispe-Callo, Miguel Basauri-Delgado, Yaquelin E Calizaya-Milla, Christian Casas-Gálvez, Norma Del Carmen Gálvez-Díaz, Jacksaint Saintila

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Abstract

Background: There is limited information on how healthy behaviors and individual health perceptions mediate the relationship between eating behaviors and noncommunicable diseases in adults. This study aimed to evaluate the mediating role of these factors in the relationship between eating behaviors and comorbidity in U.S. adults.

Methods: A cross-sectional predictive study using data from 5,247 adults from the Health Information National Trends Survey (HINTS) 5, cycle 3 (2019) was conducted. Structural equation modeling (SEM) was used to assess the mediating effect.

Results: The model showed good fit (χ2/df = 1.22, CFI = 971, TLI = 959, RMSEA = 0.050, SRMR = 0.036). It was found that self-perceived health totally mediated the relationship between eating behaviors and comorbidities (β = - 0.026, p < .001). Additionally, healthy behaviors and self-perceived health together mediated the relationship between eating behaviors and comorbidities (β = - 0.025, p < .001). A direct relationship was also observed between healthy behaviors and comorbidities, mediated by self-perceived health (β = - 0.103, p < .001).

Conclusion: The study concludes that eating behaviors are significantly related to comorbidities through the mediation of healthy behaviors and self-perceived health.

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健康行为和自我感觉健康在成年人饮食行为与合并症之间的关系中的中介作用。

背景：关于健康行为和个人健康观念如何调节成年人饮食行为与非传染性疾病之间关系的信息很有限。本研究旨在评估这些因素在美国成年人饮食行为与合并症之间关系中的中介作用：本研究利用第 5 次全国健康信息趋势调查（HINTS）第 3 周期（2019 年）中 5247 名成年人的数据进行了一项横断面预测研究。采用结构方程模型（SEM）评估中介效应：模型拟合度良好（χ2/df = 1.22，CFI = 971，TLI = 959，RMSEA = 0.050，SRMR = 0.036）。研究发现，自我感觉健康完全介导了饮食行为与合并症之间的关系（β = - 0.026，p 结论：饮食行为与合并症之间的关系并不明显：本研究得出结论，通过健康行为和自我感觉健康的中介作用，饮食行为与合并症有显著关系。

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来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.