A healthy lifestyle composite measure: Significance and potential uses.

Abstract:

OBJECTIVES:Our objective was to create and explore potential uses of a composite "Healthy Lifestyle" measure based on Healthy People 2020 (HP2020) Objectives for behaviors shown to be associated with morbidity and mortality. METHODS:Data were from the 2013 Behavioral Risk Factor Surveillance System (N=412,942) on five modifiable behaviors with HP2020 Objectives (leisure time exercise, eating fruits and vegetables 5 or more times/day, getting ≥7h of sleep/24h, not smoking and not drinking excessively). These indicators were combined to form an all-or-none composite Healthy Lifestyle (HLS) measure. Associations between the HLS measure and demographic and other measures, plus details of component measures, were reported. RESULTS:Results indicated that only 7.7% of adults reported a HLS with wide variation among states and demographic groups. Both unadjusted and logistic regression results found associations between a HLS and better health, lower rates of chronic disease and better access to health care. Over one fourth of all respondents (28.0%) needed to only improve fruit and vegetable consumption to be practicing a HLS. CONCLUSIONS:In conclusion, few adults were practicing five behaviors that are generally recognized as healthy. All-or-none metrics like this HLS measure offer a fresh perspective on modifiable behaviors and the need for improvement. Examination of measure components can help explain demographic differences and identify strategies for improvement.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Adams ML,Katz DL,Shenson D

doi

10.1016/j.ypmed.2015.12.005

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

41-7

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(15)00378-3

journal_volume

84

pub_type

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