Effects of Healthy Lifestyles on Chronic Diseases: Diet, Sleep and Exercise

Oster, Henrik; Chaves, Inês

doi:10.3390/nu15214627

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Adopting a healthy lifestyle, particularly through consistent exercise, is recognized as a cost-effective strategy for self-care and secondary prevention of chronic diseases. 40 However, it is crucial to recognize that maintaining a healthy lifestyle and engaging in exercise does not provide absolute immunity against chronic diseases, given the multifaceted influences of genetic predisposition and environmental factors on their development.…”

Section: Main Findingsmentioning

confidence: 99%

“…43 Common chronic conditions prevalent among the elderly encompass hypertension, diabetes, visual impairment, hyperlipidemia, joint diseases, and obesity. 40 These health conditions can exert a substantial influence on different facets of a healthful lifestyle, affecting areas such as physical activity, dietary habits, and social interactions. 44 , 45 Individuals grappling with chronic illnesses may encounter difficulties in engaging in regular exercise, adhering to a well-balanced diet, and managing social relationships—integral components of a healthy lifestyle.…”

Section: Main Findingsmentioning

confidence: 99%

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There is no association between anxiety and lifestyle in older adults during the COVID-19 pandemic: A cross-sectional study

Moya-Salazar,

Damián,

Goicochea-Palomino

et al. 2024

SAGE Open Medicine

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Introduction and objective: The COVID-19 pandemic has caused mental health problems worldwide. Older people have been particularly affected by the lockdown as their health conditions have changed, although they have been kept in isolation to avoid exposure to contagion. We sought to determine the association between lifestyles and anxiety in older adults during the COVID-19 pandemic. Materials and methods: This study was cross-sectional. We enrolled 150 older adults of both sexes and with a history of chronic diseases from the municipality of El Agustino (Lima, Peru). The 20-item Geriatric Anxiety Scale and the 25-item Lifestyle Questionnaire on eating, physical activity, rest, and sleep were administered in Spanish during July–August 2021. Results: The mean age was 70.8 ± 8.1 years, 54.7% were male, and 75.3% practiced exercise. During the COVID-19 pandemic, 99.3% of the elderly had healthy lifestyles and 40% presented anxiety (mild, moderate, and severe anxiety in 26.7%, 8.7%, and 4.7%, respectively). We found no association between anxiety and lifestyle ( p = 0.189), physical exercise was a predictor of lifestyle ( p < 0.001) and we did not find predictors of anxiety symptoms ( p > 0.05). Conclusions: Our results suggest that there was no link between anxiety symptoms and lifestyle in older adults during the lockdown. It is important to conduct in-depth research on factors associated with anxiety symptoms among older residents in other regions, focusing on population groups with the highest rates of infection and death from COVID-19.

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Section: Main Findingsmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

There is no association between anxiety and lifestyle in older adults during the COVID-19 pandemic: A cross-sectional study

Moya-Salazar,

Damián,

Goicochea-Palomino

et al. 2024

SAGE Open Medicine

View full text Add to dashboard Cite

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Psychometric evaluation of the translated arabic version of the geriatrics health behavior questionnaire (GHBQ) for geriatric nurses: a cross-sectional study

shaban,

Mohammed,

Amer

et al. 2024

BMC Nurs

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Background The Geriatrics Health Behavior Questionnaire (GHBQ) is essential for assessing health-related behaviors among older adults populations. This study focuses on the translation, cultural adaptation, and psychometric evaluation of the Arabic version of the GHBQ to ensure its relevance and accuracy for Arabic-speaking older adults individuals. Methods This cross-sectional study was conducted at the Cairo University Educational Hospital’s outpatient clinic. The GHBQ was translated and culturally adapted through a systematic process, including initial translation, back-translation, expert review, and pilot testing. The psychometric properties of the Arabic-translated GHBQ were evaluated using a sample of 200 older adults Arabic-speaking participants. Reliability was assessed using Cronbach’s alpha (α) and Intraclass Correlation Coefficient (ICC). Validity was evaluated through Content Validity Index (CVI), Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA). Results The Arabic GHBQ demonstrated excellent reliability with Cronbach’s alpha values ranging from 0.74 to 0.87 across subscales and ICC values confirming reproducibility (ICC = 0.82). The CVI indicated strong content validity (average CVI = 0.91). EFA revealed a five-factor structure, explaining 72% of the variance, with all factor loadings exceeding 0.60. CFA supported the questionnaire’s structure with fit indices meeting recommended criteria: χ²/df = 2.05, NFI = 0.92, TLI = 0.94, GFI = 0.90, SRMR = 0.05, AIC = 140.35, and BIC = 160.22. Criterion validity was confirmed through significant correlations with established health behavior measures (r = 0.63, p < 0.001). Conclusions The culturally adapted Arabic version of the GHBQ is a reliable and valid tool for assessing health behaviors in the older adults population in Egypt. This instrument can aid healthcare providers in identifying and addressing health behaviors, ultimately improving the well-being of this demographic. Future research should focus on expanding the sample and comparing the GHBQ with other similar tools used in Arabic-speaking populations.

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Association of Lifestyle Behaviors with Quality of Life in Patients with COPD: A Cross-Sectional Study in Primary Care

Bouloukaki,

Christodoulakis,

Margetaki

et al. 2024

JCM

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Background/Objectives: The association between healthy lifestyle behaviors and their effect on quality of life among patients with COPD remains unclear. Therefore, the aim of this study was to explore the lifestyle behaviors and their association with the disease-specific quality of life among a primary care population with COPD in Greece. Methods: This cross-sectional study included 236 participants aged 40 years and older from the COCARE COPD study. The healthy lifestyle index (HLI) was created based on smoking, alcohol consumption, BMI, physical activity, and sleep duration, with each factor categorized as either healthy (1) or unhealthy (0). The HLI ranged from 0 (least healthy) to 5 (healthiest). COPD-specific quality of life was assessed using the COPD assessment test (CAT), where higher scores indicate poorer health status. Multiple logistic regression was used to analyze the association between HLI and CAT scores, adjusting for confounders. Results: Half of the participants were non-smokers or former smokers, while 92% reported consuming low levels of alcohol (less than 14 units per week). Additionally, 56% had a BMI below 30, indicating they were not obese. Surprisingly, only 32% engaged in regular exercise, with at least 150 min per week, and only 25% reported getting adequate sleep, ranging from 7 to 9 h per night. Importantly, poorer health status was inversely associated with non/former smoking (OR: 0.543, 95% CI: 0.282–1.049), physical activity (OR: 0.238, 95% CI: 0.122–0.463), and adequate sleep (OR: 0.337, 95% CI: 0.160–0.710). Patients with higher HLI scores were less likely to have poor health status. Conclusions: In conclusion, our findings indicate that a significant proportion of patients with COPD failed to adhere to a minimum of three out of five healthy behaviors. Additionally, a higher number of healthy lifestyle factors defined by a high HLI score were independently associated with a better disease-specific quality of life. This is particularly important for COPD where quality of life is in the epicenter of management. Therefore, healthcare providers could significantly improve the management of COPD and patient outcomes by targeting and improving these lifestyle behaviors with targeted and holistic intervention strategies.

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Effects of Healthy Lifestyles on Chronic Diseases: Diet, Sleep and Exercise

Abstract: Among the many factors affecting general health and resilience to disease, lifestyle is at the same time the most controllable and the most influential factor [...]

Cited by 4 publications

References 15 publications

There is no association between anxiety and lifestyle in older adults during the COVID-19 pandemic: A cross-sectional study

There is no association between anxiety and lifestyle in older adults during the COVID-19 pandemic: A cross-sectional study

Psychometric evaluation of the translated arabic version of the geriatrics health behavior questionnaire (GHBQ) for geriatric nurses: a cross-sectional study

Association of Lifestyle Behaviors with Quality of Life in Patients with COPD: A Cross-Sectional Study in Primary Care

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