Clustering of lifestyle risk factors in a general adult population

A.J. Schuit, A Jeanne M van Loon, Marja Tijhuis, Marga Ocké

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:

The objective of the study was to evaluate the degree of clustering of common lifestyle risk factors in a general adult population and to define subgroups with elevated clustering.

Methods:

Data on lifestyle risk factors (smoking, low vegetable and fruit consumption, excessive alcohol intake, and low physical activity), sociodemographics, and health perception were collected by questionnaire from 16,789 men and women aged 20 to 59.

Results:

About 20% of the subjects had at least three lifestyle risk factors. Prevalence of risk factors was higher among unemployed, low-educated subjects and those who had experienced health deterioration. All lifestyle risk factors showed significant clustering, except for low physical activity and excessive alcohol consumption. The strongest association was observed for alcohol and smoking (prevalence odds ratio (POR): 2.38; 95% confidence interval: 2.18-2.61). Clustering of smoking and alcohol consumption was strongest among the young subjects (POR: 3.78) and, although moderately, clustering of lifestyle risk factors was elevated in subjects who had experienced a deterioration in health.

Conclusions:

These findings suggest that common lifestyle risk factors cluster among adult subjects. The tendency for risk factors to aggregate has important implications for health promotion. Information on high-risk groups will help in planning future preventive strategies.

Original languageEnglish
Pages (from-to)219-224
JournalPreventive Medicine
Volume35
Issue number3
DOIs
Publication statusPublished - Sep 2002
Externally publishedYes

Fingerprint

Cluster Analysis
Alcohol Drinking
Odds Ratio
Exercise
Alcohols
Confidence Intervals

Keywords

  • Adult
  • Age Distribution
  • Alcohol Drinking
  • Cluster Analysis
  • Cross-Sectional Studies
  • Diet
  • Educational Status
  • Female
  • Health Status
  • Humans
  • Income
  • Life Style
  • Male
  • Middle Aged
  • Netherlands
  • Prevalence
  • Risk Factors
  • Smoking
  • Surveys and Questionnaires
  • Journal Article

Cite this

Schuit, A.J. ; van Loon, A Jeanne M ; Tijhuis, Marja ; Ocké, Marga. / Clustering of lifestyle risk factors in a general adult population. In: Preventive Medicine. 2002 ; Vol. 35, No. 3. pp. 219-224.
@article{742d6e93177042508bdcb6144a47eba4,
title = "Clustering of lifestyle risk factors in a general adult population",
abstract = "Background: The objective of the study was to evaluate the degree of clustering of common lifestyle risk factors in a general adult population and to define subgroups with elevated clustering.Methods: Data on lifestyle risk factors (smoking, low vegetable and fruit consumption, excessive alcohol intake, and low physical activity), sociodemographics, and health perception were collected by questionnaire from 16,789 men and women aged 20 to 59.Results: About 20{\%} of the subjects had at least three lifestyle risk factors. Prevalence of risk factors was higher among unemployed, low-educated subjects and those who had experienced health deterioration. All lifestyle risk factors showed significant clustering, except for low physical activity and excessive alcohol consumption. The strongest association was observed for alcohol and smoking (prevalence odds ratio (POR): 2.38; 95{\%} confidence interval: 2.18-2.61). Clustering of smoking and alcohol consumption was strongest among the young subjects (POR: 3.78) and, although moderately, clustering of lifestyle risk factors was elevated in subjects who had experienced a deterioration in health.Conclusions: These findings suggest that common lifestyle risk factors cluster among adult subjects. The tendency for risk factors to aggregate has important implications for health promotion. Information on high-risk groups will help in planning future preventive strategies.",
keywords = "Adult, Age Distribution, Alcohol Drinking, Cluster Analysis, Cross-Sectional Studies, Diet, Educational Status, Female, Health Status, Humans, Income, Life Style, Male, Middle Aged, Netherlands, Prevalence, Risk Factors, Smoking, Surveys and Questionnaires, Journal Article",
author = "A.J. Schuit and {van Loon}, {A Jeanne M} and Marja Tijhuis and Marga Ock{\'e}",
year = "2002",
month = "9",
doi = "10.1006/pmed.2002.1064",
language = "English",
volume = "35",
pages = "219--224",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "ACADEMIC PRESS INC ELSEVIER SCIENCE",
number = "3",

}

Clustering of lifestyle risk factors in a general adult population. / Schuit, A.J.; van Loon, A Jeanne M; Tijhuis, Marja; Ocké, Marga.

In: Preventive Medicine, Vol. 35, No. 3, 09.2002, p. 219-224.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Clustering of lifestyle risk factors in a general adult population

AU - Schuit, A.J.

AU - van Loon, A Jeanne M

AU - Tijhuis, Marja

AU - Ocké, Marga

PY - 2002/9

Y1 - 2002/9

N2 - Background: The objective of the study was to evaluate the degree of clustering of common lifestyle risk factors in a general adult population and to define subgroups with elevated clustering.Methods: Data on lifestyle risk factors (smoking, low vegetable and fruit consumption, excessive alcohol intake, and low physical activity), sociodemographics, and health perception were collected by questionnaire from 16,789 men and women aged 20 to 59.Results: About 20% of the subjects had at least three lifestyle risk factors. Prevalence of risk factors was higher among unemployed, low-educated subjects and those who had experienced health deterioration. All lifestyle risk factors showed significant clustering, except for low physical activity and excessive alcohol consumption. The strongest association was observed for alcohol and smoking (prevalence odds ratio (POR): 2.38; 95% confidence interval: 2.18-2.61). Clustering of smoking and alcohol consumption was strongest among the young subjects (POR: 3.78) and, although moderately, clustering of lifestyle risk factors was elevated in subjects who had experienced a deterioration in health.Conclusions: These findings suggest that common lifestyle risk factors cluster among adult subjects. The tendency for risk factors to aggregate has important implications for health promotion. Information on high-risk groups will help in planning future preventive strategies.

AB - Background: The objective of the study was to evaluate the degree of clustering of common lifestyle risk factors in a general adult population and to define subgroups with elevated clustering.Methods: Data on lifestyle risk factors (smoking, low vegetable and fruit consumption, excessive alcohol intake, and low physical activity), sociodemographics, and health perception were collected by questionnaire from 16,789 men and women aged 20 to 59.Results: About 20% of the subjects had at least three lifestyle risk factors. Prevalence of risk factors was higher among unemployed, low-educated subjects and those who had experienced health deterioration. All lifestyle risk factors showed significant clustering, except for low physical activity and excessive alcohol consumption. The strongest association was observed for alcohol and smoking (prevalence odds ratio (POR): 2.38; 95% confidence interval: 2.18-2.61). Clustering of smoking and alcohol consumption was strongest among the young subjects (POR: 3.78) and, although moderately, clustering of lifestyle risk factors was elevated in subjects who had experienced a deterioration in health.Conclusions: These findings suggest that common lifestyle risk factors cluster among adult subjects. The tendency for risk factors to aggregate has important implications for health promotion. Information on high-risk groups will help in planning future preventive strategies.

KW - Adult

KW - Age Distribution

KW - Alcohol Drinking

KW - Cluster Analysis

KW - Cross-Sectional Studies

KW - Diet

KW - Educational Status

KW - Female

KW - Health Status

KW - Humans

KW - Income

KW - Life Style

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Prevalence

KW - Risk Factors

KW - Smoking

KW - Surveys and Questionnaires

KW - Journal Article

U2 - 10.1006/pmed.2002.1064

DO - 10.1006/pmed.2002.1064

M3 - Article

C2 - 12202063

VL - 35

SP - 219

EP - 224

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 3

ER -