TitleAssociation between changes in lifestyle and all-cause mortality: the Health and Lifestyle Survey.
Publication TypeJournal Article
Year of Publication2018
AuthorsWhite, J, Greene, G, Kivimäki, M, Batty, GD
JournalJ Epidemiol Community Health
Date Published08/2018

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.

Alternate JournalJ Epidemiol Community Health
PubMed ID29602792
Grant ListMR/K013351/1 / / Medical Research Council / United Kingdom
MR/K023233/1 / / Medical Research Council / United Kingdom