The Impact of Sedentary Behavior and Self-Rated Health on Cardiovascular Disease and Cancer among South Korean Elderly Persons Using the Korea National Health and Nutrition Examination Survey (KNHANES) 2014–2018 Data
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants and Database Information
2.2. Sedentary Behavior
2.3. Self-Rated Health
2.4. Cardiovascular Disease and Cancer
2.5. Covariates
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Cardiovascular Disease (CVD) | Cancer | |||||
---|---|---|---|---|---|---|---|
Total | Yes (n = 914) | No (n = 5871) | p-Value | Yes (n = 663) | No (n = 6122) | p-Value | |
N (%) | N (%) | N (%) | N (%) | ||||
Sedentary behavior (hours) | |||||||
0–6 | 2629 | 305 (11.6) | 2324 (88.4) | 0.0003 | 243 (9.2) | 2386 (90.8) | 0.2436 |
≥7 | 4156 | 609 (14.7) | 3547 (85.3) | 420 (10.1) | 3736 (89.9) | ||
Self-rated health | |||||||
Good | 1448 | 96 (6.6) | 1352 (93.4) | <0.0001 | 111 (7.7) | 1337 (92.3) | 0.0023 |
Poor | 5337 | 818 (23.0) | 4519 (77.0) | 552 (10.3) | 4785 (89.7) | ||
Sex | |||||||
Men | 3024 | 468 (15.5) | 2556 (84.5) | <0.0001 | 330 (11.0) | 2691 (89.0) | 0.0020 |
Women | 3761 | 446 (11.9) | 3315 (88.1) | 333 (8.8) | 3431 (91.2) | ||
Age | |||||||
Young-old | 4615 | 567 (12.3) | 4048 (87.7) | <0.0001 | 456 (9.9) | 4159 (90.1) | 0.6585 |
Old-old | 2170 | 347 (16.0) | 1823 (84.0) | 207 (9.5) | 1963 (90.5) | ||
Household income | |||||||
Quartile1 | 3107 | 435 (14.0) | 2672 (86.0) | 0.0739 | 281 (9.0) | 2826 (91.0) | 0.1254 |
Quartile2 | 1875 | 254 (13.6) | 1621 (86.4) | 207 (11.0) | 1668 (89.0) | ||
Quartile3 | 1042 | 148 (14.2) | 894 (85.8) | 106 (10.2) | 936 (89.8) | ||
Quartile4 | 728 | 76 (10.4) | 652 (89.6) | 67 (9.2) | 661 (90.8) | ||
Missing | 33 | ||||||
Education level | |||||||
Under middle school | 4932 | 678 (13.7) | 4254 (86.3) | 0.2408 | 440 (8.9) | 4492 (91.1) | 0.0001 |
High schooland above | 1826 | 231 (12.7) | 1595 (87.3) | 220 (12.0) | 1606 (88.0) | ||
Missing | 27 | ||||||
Marital status | |||||||
Yes | 4565 | 637 (14.0) | 3925 (86.0) | 0.0964 | 456 (10.0) | 4106 (90.0) | 0.2831 |
No | 2171 | 271 (12.5) | 1900 (87.5) | 199 (9.2) | 1972 (90.8) | ||
Missing | 52 | ||||||
Physical activity | |||||||
Yes | 2079 | 256 (12.3) | 1823 (87.7) | 0.0624 | 189 (9.1) | 1890 (90.9) | 0.2041 |
No | 4660 | 652 (14.0) | 4008 (86.0) | 470 (10.1) | 4190 (89.9) | ||
Missing | 46 | ||||||
Current smoking | |||||||
Yes | 649 | 98 (15.1) | 551 (84.9) | 0.2110 | 47 (7.2) | 602 (92.8) | 0.0252 |
No | 6052 | 807 (13.3) | 5245 (86.7) | 604 (10.0) | 5448 (90.0) | ||
Missing | 84 | ||||||
High-risk alcohol drinking | |||||||
Yes | 272 | 27 (9.9) | 245 (90.1) | 0.0777 | 20 (7.3) | 252 (92.7) | 0.1807 |
No | 6435 | 879 (13.7) | 5556 (86.3) | 631 (9.8) | 5804 (90.2) | ||
Missing | 78 | ||||||
Waist circumference | |||||||
Normal | 3889 | 481 (12.4) | 3408 (87.6) | 0.0008 | 245 (9.0) | 2508 (91.0) | 0.0318 |
Obese | 2753 | 419 (15.2) | 2334 (84.8) | 408 (10.5) | 3481 (89.5) | ||
Missing | 143 | ||||||
Diabetes mellitus | |||||||
Yes | 1501 | 268 (17.9) | 1233 (82.1) | <0.0001 | 149 (9.9) | 1352 (90.1) | 0.5555 |
No | 4495 | 516 (11.5) | 3979 (88.5) | 423 (9.4) | 4072 (90.6) | ||
Missing | 789 | ||||||
Hypertension | |||||||
Yes | 4247 | 660 (15.5) | 3587 (84.5) | <0.0001 | 389 (9.2) | 3858 (90.8) | 0.0251 |
No | 2530 | 253 (10.0) | 2277 (90.0) | 274 (10.8) | 2256 (89.2) | ||
Missing | 8 | ||||||
Dyslipidemia | |||||||
Yes | 2397 | 362 (15.1) | 2035 (84.9) | 0.0036 | 216 (9.1) | 2167 (90.9) | 0.1440 |
No | 4388 | 552 (12.6) | 3836 (87.4) | 443 (10.2) | 3913 (89.8) |
Cardiovascular Disease (CVD) | Cancer | |||
---|---|---|---|---|
OR | 95% CI | OR | 95% CI | |
Sedentary behavior | ||||
0–6 | 1.00 | 1.00 | ||
≥7 | 1.28 | 1.08–1.51 | 1.10 | 0.91–1.33 |
Self-rated health | ||||
Good | 1.00 | 1.00 | ||
Poor | 2.36 | 1.85–3.01 | 1.48 | 1.17–1.88 |
Sex | ||||
Women | 1.00 | 1.00 | ||
Men | 1.73 | 1.43–2.09 | 1.36 | 1.10–1.69 |
Age | ||||
Young-old | 1.00 | 1.00 | ||
Old-old | 1.37 | 1.15–1.63 | 1.00 | 0.81–1.23 |
Household income | ||||
Quartile1 | 1.25 | 0.93–1.70 | 1.12 | 0.81–1.56 |
Quartile2 | 1.30 | 0.96–1.77 | 1.38 | 1.00–1.91 |
Quartile3 | 1.40 | 1.00–1.95 | 1.25 | 0.88–1.78 |
Quartile4 | 1.00 | 1.00 | ||
Education level | ||||
Under middle school | 1.10 | 0.90–1.33 | 0.71 | 0.57–0.87 |
High school and above | 1.00 | 1.00 | ||
Marital status | ||||
No | 1.00 | 1.00 | ||
Yes | 1.21 | 0.92–1.36 | 0.94 | 0.75–1.17 |
Physical activity | ||||
No | 1.08 | 0.91–1.29 | 1.18 | 0.97–1.44 |
Yes | 1.00 | 1.00 | ||
Current smoking | ||||
No | 1.00 | 1.00 | ||
Yes | 0.98 | 0.75–1.28 | 0.63 | 0.45–0.90 |
High-risk alcohol drinking | ||||
No | 1.00 | 1.00 | ||
Yes | 0.52 | 0.33–0.84 | 0.64 | 0.37–1.10 |
Waist circumference | ||||
Normal | 1.00 | 1.00 | ||
Obesity | 1.40 | 1.41–1.92 | 0.88 | 0.73–1.19 |
Diabetes mellitus | ||||
No | 1.00 | 1.00 | ||
Yes | 1.41 | 1.19–1.67 | 1.06 | 0.86–1.30 |
Hypertension | ||||
No | 1.00 | 1.00 | ||
Yes | 1.45 | 1.21–1.73 | 0.94 | 0.78–1.14 |
Dyslipidemia | ||||
No | 1.00 | 1.00 | ||
Yes | 1.32 | 1.12–1.56 | 0.99 | 0.82–1.19 |
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Park, S.; Nam, J.Y. The Impact of Sedentary Behavior and Self-Rated Health on Cardiovascular Disease and Cancer among South Korean Elderly Persons Using the Korea National Health and Nutrition Examination Survey (KNHANES) 2014–2018 Data. Int. J. Environ. Res. Public Health 2021, 18, 7426. https://doi.org/10.3390/ijerph18147426
Park S, Nam JY. The Impact of Sedentary Behavior and Self-Rated Health on Cardiovascular Disease and Cancer among South Korean Elderly Persons Using the Korea National Health and Nutrition Examination Survey (KNHANES) 2014–2018 Data. International Journal of Environmental Research and Public Health. 2021; 18(14):7426. https://doi.org/10.3390/ijerph18147426
Chicago/Turabian StylePark, Soojin, and Jin Young Nam. 2021. "The Impact of Sedentary Behavior and Self-Rated Health on Cardiovascular Disease and Cancer among South Korean Elderly Persons Using the Korea National Health and Nutrition Examination Survey (KNHANES) 2014–2018 Data" International Journal of Environmental Research and Public Health 18, no. 14: 7426. https://doi.org/10.3390/ijerph18147426