On the use of the healthy lifestyle index to investigate specific disease outcomes.

Humans Healthy Lifestyle Male Female Middle Aged Neoplasms / mortality Cardiovascular Diseases / mortality Prospective Studies Aged Adult Diabetes Mellitus, Type 2 / mortality Risk Factors Proportional Hazards Models Europe / epidemiology Mortality, Premature Life Style

Cancer Cardiovascular diseases Composite score Healthy lifestyle index Lifestyle factors Mortality Type 2 diabetes

Journal

Scientific reports

ISSN: 2045-2322

Titre abrégé: Sci Rep

Pays: England

ID NLM: 101563288

Informations de publication

Date de publication:
15 Jul 2024

Historique:

received: 24 10 2023

accepted: 03 07 2024

medline: 16 7 2024

pubmed: 16 7 2024

entrez: 15 7 2024

Statut: epublish

Résumé

The healthy lifestyle index (HLI), defined as the unweighted sum of individual lifestyle components, was used to investigate the combined role of lifestyle factors on health-related outcomes. We introduced weighted outcome-specific versions of the HLI, where individual lifestyle components were weighted according to their associations with disease outcomes. Within the European Prospective Investigation into Cancer and Nutrition (EPIC), we examined the association between the standard and the outcome-specific HLIs and the risk of T2D, CVD, cancer, and all-cause premature mortality. Estimates of the hazard ratios (HRs), the Harrell's C-index and the population attributable fractions (PAFs) were compared. For T2D, the HR for 1-SD increase of the standard and T2D-specific HLI were 0.66 (95% CI: 0.64, 0.67) and 0.43 (0.42, 0.44), respectively, and the C-index were 0.63 (0.62, 0.64) and 0.72 (0.72, 0.73). Similar, yet less pronounced differences in HR and C-index were observed for standard and outcome-specific estimates for cancer, CVD and all-cause mortality. PAF estimates for mortality before age 80 were 57% (55%, 58%) and 33% (32%, 34%) for standard and mortality-specific HLI, respectively. The use of outcome-specific HLI could improve the assessment of the role of lifestyle factors on disease outcomes, thus enhancing the definition of public health recommendations.

Identifiants

DOI: 10.1038/s41598-024-66772-w PMID: 39009699

pubmed: 39009699

doi: 10.1038/s41598-024-66772-w

pii: 10.1038/s41598-024-66772-w

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Pagination

16330

Informations de copyright

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