A transition in health status from childhood to adulthood and associated lifestyle risk factors: a 13-year interval follow-up study in South Africa

ObjectivesThe aim of this study is to assess (1) whether lifestyle risk factors are related to work ability and sick leave in a general working population over time, and (2) these associations within specific disease groups (ie, respiratory diseases, cardiovascular disease and diabetes, and mental illness).SettingTelemark county, in the south-eastern part of Norway.DesignLongitudinal study with 5 years follow-up.ParticipantsThe Telemark study is a longitudinal study of the general working population in Telemark county, Norway, aged 16 to 50 years at baseline in 2013 (n=7952) and after 5-year follow-up.Outcome measureSelf-reported information on work ability (moderate and poor) and sick leave (short-term and long-term) was assessed at baseline, and during a 5-year follow-up.ResultsObesity (OR=1.64, 95% CI: 1.32 to 2.05) and smoking (OR=1.62, 95% CI: 1.35 to 1.96) were associated with long-term sick leave and, less strongly, with short-term sick leave. An unhealthy diet (OR=1.57, 95% CI: 1.01 to 2.43), and smoking (OR=1.67, 95% CI: 1.24 to 2.25) were associated with poor work ability and, to a smaller extent, with moderate work ability. A higher lifestyle risk score was associated with both sick leave and reduced work ability. Only few associations were found between unhealthy lifestyle factors and sick leave or reduced work ability within disease groups.ConclusionLifestyle risk factors were associated with sick leave and reduced work ability. To evaluate these associations further, studies assessing the effect of lifestyle interventions on sick leave and work ability are needed.

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Characteristics of Patients in Treatment for Alcohol and Drug Addiction Who Succeed in Changing Smoking, Weight, and Physical Activity: A Secondary Analysis of an RCT on Combined Lifestyle Interventions

European Addiction Research ◽

10.1159/000510608 ◽

2020 ◽

pp. 1-8

Author(s):

Mette Rasmussen ◽

Karen Hovhannisyan ◽

Johanna Adami ◽

Hanne Tønnesen

Keyword(s):

Risk Factors ◽

Drug Addiction ◽

Addiction Treatment ◽

Secondary Analysis ◽

Lifestyle Changes ◽

Successful Outcome ◽

Lifestyle Interventions ◽

Lifestyle Risk Factors ◽

Lifestyle Risk

Introduction: Patients addicted to alcohol or drug often have additional unhealthy lifestyles, adding to the high mortality and morbidity in this patient group. Therefore, it is important to consider lifestyle interventions as part of the usual addiction treatment. Objective: The aim was to identify predictors of successful changes in lifestyle risk factors among patients in treatment for alcohol or drug addiction. Methods: We conducted a secondary analysis of a trial using a 6-week intensive integrated lifestyle intervention: The very integrated program (VIP). Patients were recruited in Addiction Centres Malmö and Psychiatry Skåne, Sweden. The primary outcome was successful changes in lifestyle, measured as quitting tobacco, exercising 30 min per day, and not being over- or underweight after 6 weeks and 12 months. Results: A total of 212 patients were included in the RCT, and 128 were included in this secondary analysis: 108 at 6 weeks and 89 at 12 months of follow-up. A total of 69 patients were respondents at both follow-ups. The follow-up rates were 51 and 42%, respectively. More education, having at least 2 lifestyle risk factors and having a high quality of life were predictors of a successful change in lifestyle after 6 weeks. After 12 months, the predictors for a successful outcome were having 3 or more risk factors, while an education level up to 3 years was a negative predictor. Conclusions: Having several unhealthy lifestyles in addition to alcohol and drug addiction was a significant predictor of successful lifestyle changes in the short- and long term after the VIP for lifestyle interventions. Likewise, education was significant. The results should be considered in future development and research among this vulnerable group of patients.

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Sleep Duration Interacts With Lifestyle Risk Factors and Health Status to Alter Risk of All-Cause Mortality: The Rural Chinese Cohort Study

Journal of Clinical Sleep Medicine ◽

10.5664/jcsm.7124 ◽

2018 ◽

Vol 14 (05) ◽

pp. 857-865 ◽

Cited By ~ 4

Author(s):

Feiyan Liu ◽

Hongyan Zhang ◽

Yu Liu ◽

Xizhuo Sun ◽

Zhaoxia Yin ◽

...

Keyword(s):

Risk Factors ◽

Cohort Study ◽

Health Status ◽

Sleep Duration ◽

Lifestyle Risk Factors ◽

All Cause Mortality ◽

Chinese Cohort ◽

Lifestyle Risk

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Medication adherence, biological and lifestyle risk factors in patients with myocardial infarction: a ten-year follow-up on socially differentiated cardiac rehabilitation

Scandinavian Journal of Primary Health Care ◽

10.1080/02813432.2019.1608046 ◽

2019 ◽

Vol 37 (2) ◽

pp. 182-190 ◽

Cited By ~ 2

Author(s):

Kathrine Hald ◽

Finn Breinholt Larsen ◽

Kirsten Melgaard Nielsen ◽

Lucette Kirsten Meillier ◽

Martin Berg Johansen ◽

...

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Medication Adherence ◽

Cardiac Rehabilitation ◽

Lifestyle Risk Factors ◽

Lifestyle Risk

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Burden of stroke attributable to selected lifestyle risk factors in rural South Africa

BMC Public Health ◽

10.1186/s12889-016-2805-7 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 15

Author(s):

Mandy Maredza ◽

Melanie Y. Bertram ◽

Xavier F. Gómez-Olivé ◽

Stephen M. Tollman

Keyword(s):

Risk Factors ◽

South Africa ◽

Rural South ◽

Lifestyle Risk Factors ◽

Lifestyle Risk ◽

Rural South Africa

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Impact of Behavioral Risk Factors on Mortality Risk in Older Korean Women

Iranian Journal of Public Health ◽

10.18502/ijph.v51i1.8301 ◽

2022 ◽

Author(s):

Shinuk Kim ◽

Hyunsik Kang

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Behavioral Risk ◽

Korean Women ◽

Lifestyle Risk Factors ◽

Premature Deaths ◽

Lifestyle Risk ◽

The Impact ◽

Cvd Mortality

Background: To investigate the impact of lifestyle risk factors on all-cause and cardiovascular disease (CVD) mortality in Korean women aged 60 yr and older. Methods: Data (n = 3,034) obtained from the Korean longitudinal study of aging were analyzed. Exposures included lifestyle risk factors, such as smoking, alcohol abuse, underweight/obesity, physical inactivity, and unintentional weight loss. Primary outcomes were premature deaths from specific and all-causes. Results: During 9.6±2.0 yr of follow-up, there were 628 cases (20.7%) of death from all causes, of which 137 cases (4.5%) were from CVD. Compared to zero risk factor (hazard ratio, HR=1), crude HR of all-cause mortality was 2.277 (95% confidence interval, CI, 1.712 ~ 3.030, P < 0.001) for one risk factor, 2.977 (95% CI, 2.124 ~ 4.003, P < 0.001) for two risk factors, and 5.154 (95% CI, 3.515 ~ 7.557, P < 0.001) for three or more risk factors. Compared to zero risk factor (HR=1), crude HR of CVD mortality was 2.035 (95% CI, 1.422 ~ 2.913, P < 0.001) for one risk factor, 2.468 (95% CI, 1.708 ~ 3.567, P < 0.001) for two risk factor, and 4.484 (95% CI, 2.830 ~ 7.102, P < 0.001) for three or more risk factors. Adjusted HRs of all-cause (P = 0.016) and CVD (P = 0.050) for three or more risk factors only remained significant for three or more risk factors. Conclusion: The current findings showed that individual and combined lifestyle risk factors were significantly associated with increased risks of all-cause and CVD mortality in older Korean women.

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