Few European Adults are Living a Healthy Lifestyle

Marques, Adilson; Peralta, Miguel; Martins, João; Loureiro, Vânia; Almanzar, Paola Cortés; Matos, Margarida Gaspar de

doi:10.1177/0890117118787078

Cited by 27 publications

(32 citation statements)

References 20 publications

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“…In addition, an unhealthy lifestyle with a lower number of healthy behavior factors has been linked to a higher risk of developing type 2 diabetes and cardiovascular diseases and to premature death [15–17]. Another recent study based on the European Social Survey 2014 observed that only 5.8% of adults in Europe were adhering to five healthy behaviors with strong differences between the 20 countries under study [18]. Hungary with 1.3% and the Czech Republic with 1.9% were the countries with the lowest prevalence of five healthy behaviors and the United Kingdom with 8.6% and Finland with 9.2% were those with the highest prevalence [18].…”

Section: Introductionmentioning

confidence: 99%

“…Another recent study based on the European Social Survey 2014 observed that only 5.8% of adults in Europe were adhering to five healthy behaviors with strong differences between the 20 countries under study [18]. Hungary with 1.3% and the Czech Republic with 1.9% were the countries with the lowest prevalence of five healthy behaviors and the United Kingdom with 8.6% and Finland with 9.2% were those with the highest prevalence [18]. In Germany in 2009–10, 7.1% of women and 3.2% of men were adhering to five healthy behaviors and 29.1% of women and 17.8% of men showed at least four out of five healthy behaviors [19].…”

Section: Introductionmentioning

confidence: 99%

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Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011

et al. 2019

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BackgroundThe combined impact of multiple healthy behaviors on health exceeds that of single behaviors. This study aimed to estimate trends in the prevalence of a healthy lifestyle among adults in Germany.MethodsA data set of 18,058 adults aged 25–69 years from three population-based national health examination surveys 1990–92, 1997–99 and 2008–11 with complete information for five healthy behavior factors was used. A ‘daily intake of both fruits and vegetables, ‘sufficient physical exercise’, ‘no current smoking’ and ‘no current risk drinking’ were assessed with self-reports and ‘normal body weight’ was calculated based on measured body weight and height. A dichotomous ‘healthy lifestyle’ indicator was defined as meeting at least four out of five healthy behaviors. Age-standardized prevalence was calculated stratified by sex, age groups (25–34, 35–44, 45–54 and 55–69 years) and education level (low, medium and high). Trends were expressed in relative change (RC) between 1990–92 and 2008–11.ResultsIn Germany, the overall prevalence of healthy lifestyle increased from 9.3% in 1990–92 to 13.5% in 1997–99 and to 14.7% in 2008–11 (RC: +58.1%). The prevalence increased among men and women and in all age groups, with the exception of men aged 45–54 years. The RC of increasing healthy lifestyle prevalence between 1990–92 and 2008–11 was stronger albeit on a higher level among women compared to men. Therefore, the gender difference in healthy lifestyle has increased, but age-related differences have overall decreased in this period. Among high educated men the prevalence of a healthy lifestyle increased between 1990–92 and 2008–11 from 10.6% to 16.3% (p = 0.01) and among high educated women from 16.4% to 30.3% and also among medium educated women (10.9 to 16.6, p<0.01), but no significant increase in healthy lifestyle prevalence was observed among men with low and medium education and among women with low education level.ConclusionsThe prevalence of a lifestyle with at least four out of five healthy behaviors markedly increased from 1990–92 to 2008–11. Nevertheless, additional health promotion interventions are needed to improve the number of combined healthy behavior factors and the awareness in the population that each additional healthy behavior factor leads to a further improvement in health, especially in men in the age-range 45 to 54 years, and among persons with low education level.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011

et al. 2019

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“…In 20 European countries, the most commonly reported healthy lifestyle factors were moderate alcohol intake (89.1%), sleep quality (83.1%), and non-smoking habits (75.7%). Adequate FV intake was reported by 21.0% of adults 7 . In 52 low and middle-income countries (2002)(2003), 78.0% of subjects had an insufficient FV intake 29 .…”

Section: Discussionmentioning

confidence: 99%

“…In the United States, the observance of 5 healthy lifestyle factors by adults (FV intake, physical activity, healthy BMI, nonsmoking habits, and moderate alcohol intake) has fallen from 15% to 8%, according to the National Health and Nutrition Examination Survey results from 1988-1994 and 2001-2006 6 . In 20 European countries, only 5.8% of adults report adherence to 5 healthy lifestyle factors (FV intake, physical activity, non-smoking habits, moderate alcohol intake, and good sleep quality) 7 . In Brazil, the 2013 National Health Survey has shown that 37.3% of the Brazilian population eat 5 or more FV servings a day, 22.5% practice leisure time physical activity, 14.5% currently smoke, and 13.7% report alcohol abuse 8 .…”

Section: Introductionmentioning

confidence: 99%

Adherence to healthy lifestyles in the Programa Academia da Saúde

Mendonça

Lopes

Carvalho

et al. 2020

Rev Bras Ativ Fís Saúde

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This study aims to measure healthy lifestyles according to the time of participation in the Programa Academia da Saúde (PAS). We used baseline data from a randomized controlled community trial with a representative sample of PAS users from Belo Horizonte, Brazil (n = 3,414). The data on healthy lifestyles collected were: daily fruit and vegetables intake (≥5 servings); physical activity engagement (≥180min/week); body mass index (18.5kg/m² ≥ BMI ≤ 24.9kg/m²), smoking and drinking habits. The time of participation in the PAS was calculated by the difference between the date of registration in the program and the date of the data collection. Logistic regression models were used to evaluate associations between healthy lifestyles and time of participation in the PAS. Almost half of the participants (43.3%) had three healthy lifestyle factors. The prevalence of having all five factors varied according to the time of participation in the service; the lowest rates were in the first quartile (4.9%) and the highest rates in the fourth quartile (8.1%). Those who have attended the service for the longest time (fourth quartile) were more likely to have a healthy BMI (OR = 1.43; 95%CI: 1.14-1.80; p = 0.002) and to avoid smoking (OR = 1.62; 95%CI: 1.06-4.49; p = 0.01), compared to those who have attended the program for less time (first quartile). The prevalence of healthy lifestyles in PAS users was low. However, a longer permanence in the program seems to favor positive changes on BMI and on smoking habits.

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“…To become long-term, motivated, and healthy plant-based dieters, individuals need to change their lifestyle behaviors. A healthy and active lifestyle is associated with health and quality of life [ 28 ], while an unhealthy lifestyle, which also includes an unhealthy diet, is recognized as a major risk factor for the development of various chronic diseases and premature mortality [ 29 – 31 ]. Physical activity (PA) [ 32 ], sleep hygiene [ 33 ], and stress status [ 34 ] are well-established modifiers that play key roles in health and disease prevention.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Slovenian Adults in Community-Based Whole-Food Plant-Based Lifestyle Program

Jakše

Pinter

et al. 2020

Journal of Nutrition and Metabolism

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Objective. Adopting a plant-based diet (PBD) and lifestyle is healthy, sustainable, and increasingly popular, while also demanding. Individuals might face challenges to maintain this lifestyle. We aimed to determine the anthropometric values and lifestyle factors and motives of adults to adopt a whole-food, plant-based (WFPB) lifestyle by joining our ongoing, community-based, WFPB lifestyle program 0.5–10 years ago. Methods. We measured body mass index (BMI) and body fat percentage status (BF%) using bioimpedance. Lifestyle status was obtained by standardized electronic questionnaires. For evaluating the motives for following strict PBD, the participants were asked to rank 8 different motives (i.e., 8: the most-, 1: the least important). Setting. A cross-sectional study in Slovenia. Participants. A total of 151 healthy adults with an average age of 39.6 years (SD: 12.5 years). Results. The participants had an average BMI of 23.9 kg/m2 (SD: 3.8 kg/m2) and an average BF% of 22.3% (SD: 7.3%), were physically very active, with an average Long International Physical Activity Questionnaire (L-IPAQ) score of 5541.2 metabolic equivalents (METs) min/week (SD: 4677.0 METs min/week), having good sleep quality, with an average Pittsburgh Sleep Quality Index (PSQI) score of 2.7 (SD: 1.8), perceiving low stress, and with an average Perceived Stress Questionnaire (PSQ) score of 0.29 (SD: 0.1). We discovered no significant differences in lifestyle between participants who were involved in our WFPB lifestyle program for short, medium, or long periods of time. The motives for WFPB lifestyle included health benefits (score: 7.9/8), body mass management (6.3), eating to satiety (4.9), convenience (4.3), environmental concerns (4.1), affordability (3.7), animal ethics (3.6), and religious reasons (1.1). Conclusion. A WFPB lifestyle program for any length of time that includes an extensive support system provides favorable, long-term lifestyle changes.

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Few European Adults are Living a Healthy Lifestyle

Abstract: Few European adults were practicing 5 healthy behaviors. This should be a message for governments and be considered in the establishment of preventive public policies in the areas of health and health education.

Cited by 27 publications

References 20 publications

Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011

Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011

Adherence to healthy lifestyles in the Programa Academia da Saúde

Characteristics of Slovenian Adults in Community-Based Whole-Food Plant-Based Lifestyle Program

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