The Mediating Role of Healthy Behaviors and Self-perceived Health in the Relationship Between Eating Behaviors and Comorbidity in Adults

Overview

Journal Arch Public Health

Publisher Biomed Central

Date 2024 Nov 7

PMID 39506869

Authors

Cristian Ramos-Vera

Gleni Quispe-Callo

Miguel Basauri-Delgado

Yaquelin E Calizaya-Milla

Christian Casas-Galvez

Norma Del Carmen Galvez-Diaz

Jacksaint Saintila

Affiliations

Soon will be listed here.

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.

References

Jezewska-Zychowicz M, Wadolowska L, Kowalkowska J, Lonnie M, Czarnocinska J, Babicz-Zielinska E . Perceived Health and Nutrition Concerns as Predictors of Dietary Patterns among Polish Females Aged 13-21 Years (GEBaHealth Project). Nutrients. 2017; 9(6). PMC: 5490592. DOI: 10.3390/nu9060613. View

Petrie J, Guzik T, Touyz R . Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol. 2018; 34(5):575-584. PMC: 5953551. DOI: 10.1016/j.cjca.2017.12.005. View

Hariharan D, Vellanki K, Kramer H . The Western Diet and Chronic Kidney Disease. Curr Hypertens Rep. 2015; 17(3):16. DOI: 10.1007/s11906-014-0529-6. View

Li Y, Schoufour J, Wang D, Dhana K, Pan A, Liu X . Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ. 2020; 368:l6669. PMC: 7190036. DOI: 10.1136/bmj.l6669. View

Gropper S . The Role of Nutrition in Chronic Disease. Nutrients. 2023; 15(3). PMC: 9921002. DOI: 10.3390/nu15030664. View

Park S, Rim S, Lee J . Associations between dietary behaviours and perceived physical and mental health status among Korean adolescents. Nutr Diet. 2018; 75(5):488-493. DOI: 10.1111/1747-0080.12444. View

Boersma P, Black L, Ward B . Prevalence of Multiple Chronic Conditions Among US Adults, 2018. Prev Chronic Dis. 2020; 17:E106. PMC: 7553211. DOI: 10.5888/pcd17.200130. View

van den Bemd M, Schalk B, Bischoff E, Cuypers M, Leusink G . Chronic diseases and comorbidities in adults with and without intellectual disabilities: comparative cross-sectional study in Dutch general practice. Fam Pract. 2022; 39(6):1056-1062. PMC: 9680667. DOI: 10.1093/fampra/cmac042. View

Hill J, Commerford R . Physical activity, fat balance, and energy balance. Int J Sport Nutr. 1996; 6(2):80-92. DOI: 10.1123/ijsn.6.2.80. View

10.

Rakhra V, Galappaththy S, Bulchandani S, Cabandugama P . Obesity and the Western Diet: How We Got Here. Mo Med. 2020; 117(6):536-538. PMC: 7721435. View

11.

Kowalkowska J, Lonnie M, Wadolowska L, Czarnocinska J, Jezewska-Zychowicz M, Babicz-Zielinska E . Health- and Taste-Related Attitudes Associated with Dietary Patterns in a Representative Sample of Polish Girls and Young Women: A Cross-Sectional Study (GEBaHealth Project). Nutrients. 2018; 10(2). PMC: 5852830. DOI: 10.3390/nu10020254. View

12.

Shmueli D, Prochaska J . Resisting tempting foods and smoking behavior: implications from a self-control theory perspective. Health Psychol. 2009; 28(3):300-6. PMC: 2736876. DOI: 10.1037/a0013826. View

13.

Yang R, Zeng K, Jiang Y . Prevalence, Factors, and Association of Electronic Communication Use With Patient-Perceived Quality of Care From the 2019 Health Information National Trends Survey 5-Cycle 3: Exploratory Study. J Med Internet Res. 2022; 24(2):e27167. PMC: 8857700. DOI: 10.2196/27167. View

14.

Chao A, Wadden T, Ashare R, Loughead J, Schmidt H . Tobacco Smoking, Eating Behaviors, and Body Weight: A Review. Curr Addict Rep. 2020; 6:191-199. PMC: 7678013. DOI: 10.1007/s40429-019-00253-3. View

15.

Guma J . What influences individual perception of health? Using machine learning to disentangle self-perceived health. SSM Popul Health. 2021; 16:100996. PMC: 8669356. DOI: 10.1016/j.ssmph.2021.100996. View

16.

Zhang S, Gao H, Cui Y, Wang X, Cao W, Ding Q . Relationship between energy balance-related behaviors and personal and family factors in overweight/obese primary school students aged 10-12 years in China: a cross-sectional study. BMC Public Health. 2022; 22(1):1968. PMC: 9608935. DOI: 10.1186/s12889-022-14238-x. View

17.

Feka K, Brusa J, Cannata R, Giustino V, Bianco A, Gjaka M . Is bodyweight affecting plantar pressure distribution in children?: An observational study. Medicine (Baltimore). 2020; 99(36):e21968. PMC: 7478521. DOI: 10.1097/MD.0000000000021968. View

18.

Orlich M, Fraser G . Vegetarian diets in the Adventist Health Study 2: a review of initial published findings. Am J Clin Nutr. 2014; 100 Suppl 1:353S-8S. PMC: 4144107. DOI: 10.3945/ajcn.113.071233. View

19.

Miller S, Wolfe R . Physical exercise as a modulator of adaptation to low and high carbohydrate and low and high fat intakes. Eur J Clin Nutr. 1999; 53 Suppl 1:S112-9. DOI: 10.1038/sj.ejcn.1600751. View

20.

Chao A, White M, Grilo C, Sinha R . Examining the effects of cigarette smoking on food cravings and intake, depressive symptoms, and stress. Eat Behav. 2016; 24:61-65. PMC: 5269575. DOI: 10.1016/j.eatbeh.2016.12.009. View