Combined Influence of Eight Lifestyle Factors on Metabolic Syndrome Incidence: A Prospective Cohort Study from the MECH-HK Study

Yunyang Deng, Fei Wan Ngai, Jing Qin, Lin Yang, Ka Po Wong, Harry Haoxiang Wang, Yao Jie Xie

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

Although previous studies have shown significant associations between individual lifestyles and metabolic syndrome, limited studies have explored the combined effect of lifestyles. The purpose of this study was to investigate whether a combined lifestyle score was associated with metabolic syndrome incidence in Hong Kong Chinese women. This prospective cohort study included 1634 women (55.9 ± 8.6 years) without baseline metabolic syndrome, diabetes, myocardial infarction, or stroke. Eight lifestyle factors (smoking, physical activity, sedentary time, sleep, stress, fatigue, diet, and alcohol) were included by assigning 0 (unhealthy) or 1 point (healthy). The overall score was the sum of these points, ranging from 0 (the least healthy) to 8 points (the healthiest). Metabolic syndrome was diagnosed by the joint interim statement. During a 1.16-year follow-up, 179 (11.0%) new metabolic syndrome cases were identified. The incidences for the 0–3-point, 4-point, 5-point, and 6–8-point groups were 12.8% (79/618), 11.5% (42/366), 9.4% (29/309), and 8.5% (29/341), respectively. Compared to the lowest combined lifestyle score group, the highest group had a 47% reduced metabolic syndrome incidence, with an adjusted odds ratio and 95% confidence interval of 0.53 (0.33–0.86) (p = 0.010). These findings indicate that a higher combined lifestyle score was associated with a lower metabolic syndrome incidence in this population.

Original languageEnglish
Article number547
JournalNutrients
Volume16
Issue number4
DOIs
Publication statusPublished - Feb 2024

Keywords

  • combined lifestyle
  • lifestyle
  • lifestyle index
  • lifestyle score
  • metabolic syndrome

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics
  • Health Professions(all)

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