Resilience and CVD-protective Health Behaviors in Older Women: Examining Racial and Ethnic Differences in a Cross-Sectional Analysis of the Women’s Health Initiative

Nutrients

UrsulaM. Staudinger¹  MilagrosC. Rosal²  Sparkle Springfield³  FeiFei Qin⁴  Haley Hedlin⁴  Herman Taylor⁵  MarciaL. Stefanick⁶  CharlesB. Eaton⁷ 

[1] Columbia Aging Center &Department of Socio Medical Science, Mailman School of Public Health, Columbia University, New York, NY 10032, USA;Department of Population and Quantitative Health Sciences, Medical School of Massachusetts University, Massachusetts University, Worcester, MA 01605, USA;Parkinson School of Health Sciences and Public Health, Department of Public Health, Loyola University, Chicago, 2160 S N 1st Ave, Maywood, IL 60153, USA;Quantitative Sciences Unit, Stanford University, Alto, CA 94304, USA;Research Wing Room, Morehouse School of Medicine Cardiovascular Research Institute, Atlanta, GA 30310, USA;Stanford Prevention Research Center, Stanford University, Alto, CA 94304, USA;Warren Alpert Medical School, Department of Family Medicine School of Public Health Brown, Providence University, Providence, RI 02912, USA;

关键词: resilience;    health behaviors;    prevention;    WHI;    lifestyle;   

DOI  :  10.3390/nu12072107

来源: DOAJ

【 摘 要 】

Little is known about the relationship between self-reported psychological resilience (resilience) and health behaviors shown to reduce the risk of cardiovascular disease (CVD). This study examines the associations between resilience and CVD-related risk factors, such as diet, smoking, physical activity, sleep, and alcohol consumption among older American women from diverse backgrounds. Methods: A cross-sectional secondary analysis was conducted on 77,395 women (mean age 77 years, Black (N = 4475, 5.8%), non-Hispanic white (N = 69,448, 89.7%), Latina (N = 1891, 2.4%), and Asian or Pacific Islander (N = 1581, 2.0%)) enrolled in the Women’s Health Initiative Extension Study II. Resilience was measured using an abbreviated version of the brief resilience scale. Multivariable logistic regression models were used to evaluate the association between resilience and health behaviors associated with risk for CVD, while adjusting for stressful life events and sociodemographic information. To test whether these associations varied among racial/ethnic groups, an interaction term was added to the fully adjusted models between resilience and race/ethnicity. Results: High levels of resilience were associated with better diet quality (top 2 quintiles of the Healthy Eating Index 2015) (OR = 1.22 (95% Confidence Interval (1.15–1.30)), adhering to recommended physical activity (≥ 150 min per week) (1.56 (1.47, 1.66)), sleeping the recommended hours per night (7–9) (1.36 (1.28–1.44)), and moderate alcohol intake (consuming alcoholic drink(s) 1–7 days per week) (1.28 (1.20–1.37)). The observed association between resilience and sleep is modified by race/ethnicity (p = 0.03). Conclusion: Irrespective of race/ethnicity, high resilience was associated with CVD-protective health behaviors. This warrants further investigation into whether interventions aimed at improving resilience could increase the effectiveness of lifestyle interventions.

【 授权许可】

Unknown