Cardiometabolic comorbidity burden and low domain-specific health-promoting lifestyle scores among ethnic minority adults in Yunnan, China: A cross-sectional study.

Hanglin Yu, Shiyuan Wen, Hansen Li, Lifang Zhao, Haodong Tian, Zhaozhi Liu, Li Peng

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Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Hanglin YuSchool of Physical Education, Southwest University, Chongqing, China.

Shiyuan WenDepartment of Intensive Care Unit, First People's Hospital of Yunnan Province, Kunming, China.

Hansen LiSchool of Physical Education, Sichuan Agricultural University, Ya'an, China.

Lifang ZhaoDepartment of Medicine, Kunming University of Science and Technology, Kunming, China.

Haodong TianSchool of Physical Education, Southwest University, Chongqing, China.

Zhaozhi LiuSchool of Physical Education, Southwest University, Chongqing, China.

Li PengSchool of Physical Education, Southwest University, Chongqing, China.

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6 · The paper itself

Abstract

Objective: To examine associations between cardiometabolic comorbidity burden and sample-defined low total and domain-specific health-promoting lifestyle scores among ethnic minority adults in Yunnan Province, China. Methods: This cross-sectional secondary analysis used survey data collected from October 2024 to June 2025 in Yunnan Province, China. The analytic sample comprised 735 Tibetan, Bai, and Naxi adults with previously physician- or medical-institution-diagnosed hypertension, type 2 diabetes, or dyslipidemia. Results: Among participants, 385 had one condition, 256 had two, and 94 had three. Compared with one condition, two conditions were associated with higher odds of a low total score (odds ratio [OR] 1.66, 95% confidence interval [CI] 1.11, 2.50), whereas three conditions and the ordinal trend were not significant. For the physical activity domain, two conditions (OR 1.64, 95% CI 1.13, 2.38) and three conditions (OR 1.98, 95% CI 1.19, 3.30) were associated with higher odds of a low score, and the ordinal trend remained significant after false discovery rate correction. Sensitivity analyses were consistent. Conclusions: In this cross-sectional sample, greater cardiometabolic comorbidity burden was associated most consistently with a sample-defined low physical activity domain score. These associations may inform prospective evaluation of domain-specific behavioral needs and culturally appropriate physical activity support.

Indexed as

Cardiometabolic comorbidityCross-sectional studyEthnic minorityHealth-promoting lifestyleMultimorbidityPhysical activity

Identifiers

PMID42765026

DOI10.1016/j.pmedr.2026.103625

PMCPMC13590044

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