The Association of Healthy Behaviors and Metabolic Factors With Dyslipidemia Among Miao Adults: The China Multi-Ethnic Cohort (CMEC) Study

Background: Behavioral and metabolic risk factors will increase the risk of dyslipidemia, the association of behaviors and metabolic factors with dyslipidemia among Miao adults are still unclear. Objective: To evaluate the association between behaviors, metabolic factors and dyslipidemia. Methods: Based on the CMEC study, a representative samples of 5,559 Miao participants aged 30 to 79 years old who were included in the baseline survey from 2018 to 2019 were analyzed. A binary logistic regression model was utilized to evaluate the odds ratios (OR) and 95% confidence intervals (CI) of the associations of healthy behaviors and metabolic factors with dyslipidemia. Results: In both sexes, only a small percentage of females with ideal levels of waist-to-hip ratio (WHR) (27.2%). However, participants were more likely to have ideal levels of fasting blood glucose (FBG). In addition, males with dyslipidemia had poor levels of body mass index (BMI) (60.3%), WHR (59.2%) and FBG (65.8%). While females with dyslipidemia had poor levels of FBG (60.0%). Notably, our study found that WHR, BMI, FBG, and blood pressure were major risk factors for almost all dyslipidemia components. Conclusions: The rate of dyslipidemia cannot be ignored, particularly high TG levels. In addition, healthy behaviors and metabolic factors, especially WHR, BMI, FBG levels, and blood pressure were significantly associated with dyslipidemia, which may have become a major challenge to public health problems in the ethnic minority areas of Guizhou.