Effects of health risk factors on health status among physical examinees

ObjectiveTo evaluate the effects of health behaviors on the health status.MethodsData on yearly physical examination of 4 926 physical examinees from January 2008 to December 2010 were collected from a health management center in Beijing.Multivariate multilevel(MVML)model was used to explore the changes in lipoprotein,triglycerides(TG),total cholesterol(TC) and other related indicators resulted from the changes in body mass index(BMI),smoking,alcohol consumption,physical activity,and vegetable/fruit consumption for the same individual at different times.ResultsWe evaluated the effects of controllable health risk behaviors on health status.With the increasing of BMI,TG,TC,and low density lipoprotein(LDL)increased significantly,but high density lipoprotein(HDL)significantly reduced.For the males,with an average BMI increase of 1 kg/m²,the average increments of TG(10.14 mg/dL),TC(1.72 mg/dL),and LDL(1.91 mg/dL),and a decrease of HDL(1.01 mg/dL)were observed;for the females,an average increase of BMI of 1 kg/m² was associated with the increases of TG(8.50 mg/dL),TC(1 mg/dL),and LDL(1.40 mg/dL)and a decrease of HDL(1.27 mg/dL).The examinees participating physical exercise frequently had significantly lower TC,TG,and LDL.For the males,regular smoking and alcohol drinking could significantly increase TC,TG,and LDL,and the examinees with deficience of vegetables and fruit intake showed higher TC and TG level.ConclusionThe results of the study indicate that health risk factors have impacts on health status,which may provide evidence for health management and effective health promotion in Chinese residents through evidence-based selective interventions.