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Co-occurrence of unhealthy lifestyle behaviours in middle-aged adults : findings from the Swedish CArdioPulmonary bioImage Study (SCAPIS)

Klompstra, Leonie ; Löf, Marie ; Björkelund, Cecilia ; Hellenius, Mai Lis ; Kallings, Lena V. ; Orho-Melander, Marju LU ; Wennberg, Patrik ; Bendtsen, Preben and Bendtsen, Marcus (2024) In Scientific Reports 14(1).
Abstract

Middle-aged adults engaging in unhealthy lifestyle behaviors are at higher risk of chronic diseases. However, little is known about the co-occurrence of these behaviors and their determinants. This cohort study examined the co-occurrence of unhealthy lifestyle behaviors (alcohol consumption, diet, physical inactivity, and smoking) in 30,154 middle-aged adults and their associations with sociodemographic factors, social support, and disease history. Alcohol use was measured by the AUDIT, diet by the MiniMeal-Q, and physical inactivity and smoking by single questions. Participants had a mean age of 58 years, with 51% being female. Of them, 14% had no unhealthy behaviors, 38% had one, 36% had two, 10% had three, and 2% had all four. The... (More)

Middle-aged adults engaging in unhealthy lifestyle behaviors are at higher risk of chronic diseases. However, little is known about the co-occurrence of these behaviors and their determinants. This cohort study examined the co-occurrence of unhealthy lifestyle behaviors (alcohol consumption, diet, physical inactivity, and smoking) in 30,154 middle-aged adults and their associations with sociodemographic factors, social support, and disease history. Alcohol use was measured by the AUDIT, diet by the MiniMeal-Q, and physical inactivity and smoking by single questions. Participants had a mean age of 58 years, with 51% being female. Of them, 14% had no unhealthy behaviors, 38% had one, 36% had two, 10% had three, and 2% had all four. The most common co-occurrence was between physical inactivity and poor diet (38%). Higher education decreased the likelihood of having three or four unhealthy behaviors, while financial difficulties, having no one around who appreciated one’s efforts, and suffering of a lung disease increased it. In conclusion, middle-aged adults exhibit varying levels of unhealthy lifestyle behaviors. Higher education is linked to reduced engagement in multiple unhealthy behaviors, whereas financial strain, lower quality of social support, and lung disease increase the risk.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scientific Reports
volume
14
issue
1
article number
22853
publisher
Nature Publishing Group
external identifiers
  • scopus:85205527873
  • pmid:39353999
ISSN
2045-2322
DOI
10.1038/s41598-024-71092-0
language
English
LU publication?
yes
id
ec47f493-59ec-47ef-86db-e78641317881
date added to LUP
2024-11-27 10:31:19
date last changed
2025-07-10 05:15:35
@article{ec47f493-59ec-47ef-86db-e78641317881,
  abstract     = {{<p>Middle-aged adults engaging in unhealthy lifestyle behaviors are at higher risk of chronic diseases. However, little is known about the co-occurrence of these behaviors and their determinants. This cohort study examined the co-occurrence of unhealthy lifestyle behaviors (alcohol consumption, diet, physical inactivity, and smoking) in 30,154 middle-aged adults and their associations with sociodemographic factors, social support, and disease history. Alcohol use was measured by the AUDIT, diet by the MiniMeal-Q, and physical inactivity and smoking by single questions. Participants had a mean age of 58 years, with 51% being female. Of them, 14% had no unhealthy behaviors, 38% had one, 36% had two, 10% had three, and 2% had all four. The most common co-occurrence was between physical inactivity and poor diet (38%). Higher education decreased the likelihood of having three or four unhealthy behaviors, while financial difficulties, having no one around who appreciated one’s efforts, and suffering of a lung disease increased it. In conclusion, middle-aged adults exhibit varying levels of unhealthy lifestyle behaviors. Higher education is linked to reduced engagement in multiple unhealthy behaviors, whereas financial strain, lower quality of social support, and lung disease increase the risk.</p>}},
  author       = {{Klompstra, Leonie and Löf, Marie and Björkelund, Cecilia and Hellenius, Mai Lis and Kallings, Lena V. and Orho-Melander, Marju and Wennberg, Patrik and Bendtsen, Preben and Bendtsen, Marcus}},
  issn         = {{2045-2322}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Scientific Reports}},
  title        = {{Co-occurrence of unhealthy lifestyle behaviours in middle-aged adults : findings from the Swedish CArdioPulmonary bioImage Study (SCAPIS)}},
  url          = {{http://dx.doi.org/10.1038/s41598-024-71092-0}},
  doi          = {{10.1038/s41598-024-71092-0}},
  volume       = {{14}},
  year         = {{2024}},
}