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18-01-2023

Association of lifestyle behaviors with health-related quality of life among patients with hematologic diseases

Auteurs: Jingyu Zhao, Zhexiang Kuang, Jing Xu, Xiao Yu, Jin Dong, Juan Li, Liyun Li, Yanjie Liu, Xintong He, Chun Xu, Xia Li, Jun Shi

Gepubliceerd in: Quality of Life Research | Uitgave 4/2023

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Abstract

Purpose

Health-related quality of life (HRQoL) is a multi-dimensional construct used to assess the impact of health status on quality of life, and it is known to be affected by lifestyle behaviors. This study focused on multiple lifestyle behaviors among patients with hematologic diseases, including physical activity, dietary intake, sleep quality, occupational exposure, alcohol consumption and smoking. The main objective was to investigate the association of both individual and clustering of health behaviors with HRQoL among the population with hematologic diseases based on a comprehensive lifestyle survey.

Methods

A total of 539 patients with hematologic diseases aged over 18 years were enrolled in this cross-sectional study. Latent class analysis was used to identify homogeneous, mutually exclusive lifestyle classes, and multinomial logistic regression was then performed to explore the association of lifestyle classes membership with HRQoL. Meanwhile, multiple linear regression and quantile regression were used to identify the relationship between individual lifestyle behaviors and HRQoL.

Results

A three-class model was selected based on conceptual interpretation and model fit. We found no association between multiple lifestyle behaviors and HRQoL in the 3-class model, either in the whole patients or in subgroups stratified by hematological malignancies. Further research on each lifestyle found that physical activity, dietary intake, occupational exposure, alcohol consumption or smoking were independent of HRQoL. Sleep quality was positively associated with HRQoL.

Conclusion

Our findings suggested that clustering of lifestyle behaviors may not be an indicator to reflect the health quality of patients with hematologic diseases. Sleep represents a viable intervention target that can confer health benefits on the hematologic patients.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
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Metagegevens
Titel
Association of lifestyle behaviors with health-related quality of life among patients with hematologic diseases
Auteurs
Jingyu Zhao
Zhexiang Kuang
Jing Xu
Xiao Yu
Jin Dong
Juan Li
Liyun Li
Yanjie Liu
Xintong He
Chun Xu
Xia Li
Jun Shi
Publicatiedatum
18-01-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03343-y