You are here

  • Home
  • Online First
  • Association between changes in lifestyle and all-cause mortality: the health and lifestyle study

Article Text

Article menu

other Versions

Download PDFPDF
Short report
Association between changes in lifestyle and all-cause mortality: the health and lifestyle study
  1. James White1,2,
  2. Giles Greene3,
  3. Mika Kivimaki4,
  4. G David Batty4
  1. 1Centre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
  2. 2Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
  3. 3Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK
  4. 4Department of Epidemiology and Public Health, University College London, London, UK
  1. Correspondence to Dr James White, Centre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF14 4YS, UK; whitej11{at}cf.ac.uk

Abstract

Background To examine the combined influence of changes in physical activity, diet, smoking and alcohol consumption on all-cause mortality.

Methods Health behaviours were assessed in 1984/1985 and 1991/1992 in 8123 adults from the UK (4666 women, median age 41.0 years). An unhealthy lifestyle score was calculated, allocating one point for smoking, fruits and vegetables <3 times a day, physical activity <2 hours a week and >14 units (women) or >21 units of alcohol (men) per week.

Results There were 2003 deaths over a median follow-up of 6.6 years (IQR 5.9–7.2) following the resurvey. The modal change in the unhealthy lifestyle score was zero, 41.8% had the same score, 35.5% decreased and 22.7% increased score between surveys. A one unit decrease in the unhealthy lifestyle score was not associated with a beneficial effect on mortality (HR 0.93; 95% CI 0.83 to 1.04). A one unit increase in the unhealthy lifestyle score increased the risk of mortality (adjusted HR 1.09; 95% CI 1.01 to 1.18).

Conclusions In this general population sample, the adoption of an unhealthy lifestyle was associated with an increased risk of mortality.

  • epidemiology
  • lifestyle
  • mortality

https://doi.org/10.1136/jech-2017-210363

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors JW and GDB designed the study. JW acquired the data and undertook the analyses. GG and MK contributed to refining the analyses. All authors drafted the manuscript and approved its publication.

    • Funding This work is undertaken with the support of the Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged (JW).

    • Disclaimer All funders had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript and decision to submit the manuscript for publication.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval UK HALS I and II approved by the local ethics committees in England, Scotland and Wales.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement All data are openly available from the UK Data Archive (https://discover.ukdataservice.ac.uk/).