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Article: Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study
Title | Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study |
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Authors | Li, JiayingFong, Daniel Yee TakLok, Kris Yuet WanHo, Mandy ManChoi, Edmond Pui HangPandian, VinciyaDavidson, Patricia MDuan, WenjieTarrant, MarieLee, Jung JaeLin, Chia-ChinAkingbade, OluwadamilareAlabdulwahhab, Khalid MAhmad, Mohammad ShakilAlboraie, MohamedAlzahrani, Meshari ABilimale, Anil SBoonpatcharanon, SawitreeByiringiro, SamuelHasan, Muhammad Kamil CheSchettini, Luisa ClausiCorzo, Walterde Leon, Josephine Mde Leon, Anjanette SDeek, HibaEfficace, FabioEl, Nayal Mayssah AEl-Raey, FathiyaEnsaldo-Carrasco, EduardoEscotorin, PilarFadodun, Oluwadamilola AgnesFawole, Israel OpeyemiGoh, Yong-Shian ShawnIrawan, DeviKhan, Naimah EbrahimKoirala, BinuKrishna, AshishKwok, CannasLe Tung, ThanhLeal, Daniela GiambrunoLezana-Fernández, Miguel ÁngelManirambona, EmeryMantoani, Leandro CruzMeneses-González, FernandoMohamed, Iman ElmahdiMukeshimana, MadeleineNguyen, Chinh Thi MinhNguyen, Huong Thi ThanhNguyen, Khanh ThiNguyen, Son TruongNurumal, Mohd SaidNzabonimana, AimableOmer, Nagla Abdelrahim Mohamed AhmedOgungbe, OluwabunmiPoon, Angela Chiu YinReséndiz-Rodriguez, AreliPuang-Ngern, BusayasacheeSagun, Ceryl GShaik, Riyaz AhmedShankar, Nikhil GauriSommer, KathrinToro, EdgardoTran, Hanh Thi HongUrgel, Elvira LUwiringiyimana, EmmanuelVanichbuncha, TitaYoussef, Naglaa |
Issue Date | 20-Oct-2023 |
Publisher | International Society of Global Health |
Citation | Journal of Global Health, 2023, v. 13 How to Cite? |
Abstract | BackgroundThe interconnected nature of lifestyles and interim health outcomes implies the presence of the central lifestyle, central interim health outcome and bridge lifestyle, which are yet to be determined. Modifying these factors holds immense potential for substantial positive changes across all aspects of health and lifestyles. We aimed to identify these factors from a pool of 18 lifestyle factors and 13 interim health outcomes while investigating potential gender and occupation differences. MethodsAn international cross-sectional study was conducted in 30 countries across six World Health Organization regions from July 2020 to August 2021, with 16 512 adults self-reporting changes in 18 lifestyle factors and 13 interim health outcomes since the pandemic. ResultsThree networks were computed and tested. The central variables decided by the expected influence centrality were consumption of fruits and vegetables (centrality = 0.98) jointly with less sugary drinks (centrality = 0.93) in the lifestyles network; and quality of life (centrality = 1.00) co-dominant (centrality = 1.00) with less emotional distress in the interim health outcomes network. The overall amount of exercise had the highest bridge expected influence centrality in the bridge network (centrality = 0.51). No significant differences were found in the network global strength or the centrality of the aforementioned key variables within each network between males and females or health workers and non-health workers (all P-values >0.05 after Holm-Bonferroni correction). ConclusionsConsumption of fruits and vegetables, sugary drinks, quality of life, emotional distress, and the overall amount of exercise are key intervention components for improving overall lifestyle, overall health and overall health via lifestyle in the general population, respectively. Although modifications are needed for all aspects of lifestyle and interim health outcomes, a larger allocation of resources and more intensive interventions were recommended for these key variables to produce the most cost-effective improvements in lifestyles and health, regardless of gender or occupation. |
Persistent Identifier | http://hdl.handle.net/10722/340706 |
ISSN | 2023 Impact Factor: 4.5 2023 SCImago Journal Rankings: 1.093 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Li, Jiaying | - |
dc.contributor.author | Fong, Daniel Yee Tak | - |
dc.contributor.author | Lok, Kris Yuet Wan | - |
dc.contributor.author | Ho, Mandy Man | - |
dc.contributor.author | Choi, Edmond Pui Hang | - |
dc.contributor.author | Pandian, Vinciya | - |
dc.contributor.author | Davidson, Patricia M | - |
dc.contributor.author | Duan, Wenjie | - |
dc.contributor.author | Tarrant, Marie | - |
dc.contributor.author | Lee, Jung Jae | - |
dc.contributor.author | Lin, Chia-Chin | - |
dc.contributor.author | Akingbade, Oluwadamilare | - |
dc.contributor.author | Alabdulwahhab, Khalid M | - |
dc.contributor.author | Ahmad, Mohammad Shakil | - |
dc.contributor.author | Alboraie, Mohamed | - |
dc.contributor.author | Alzahrani, Meshari A | - |
dc.contributor.author | Bilimale, Anil S | - |
dc.contributor.author | Boonpatcharanon, Sawitree | - |
dc.contributor.author | Byiringiro, Samuel | - |
dc.contributor.author | Hasan, Muhammad Kamil Che | - |
dc.contributor.author | Schettini, Luisa Clausi | - |
dc.contributor.author | Corzo, Walter | - |
dc.contributor.author | de Leon, Josephine M | - |
dc.contributor.author | de Leon, Anjanette S | - |
dc.contributor.author | Deek, Hiba | - |
dc.contributor.author | Efficace, Fabio | - |
dc.contributor.author | El, Nayal Mayssah A | - |
dc.contributor.author | El-Raey, Fathiya | - |
dc.contributor.author | Ensaldo-Carrasco, Eduardo | - |
dc.contributor.author | Escotorin, Pilar | - |
dc.contributor.author | Fadodun, Oluwadamilola Agnes | - |
dc.contributor.author | Fawole, Israel Opeyemi | - |
dc.contributor.author | Goh, Yong-Shian Shawn | - |
dc.contributor.author | Irawan, Devi | - |
dc.contributor.author | Khan, Naimah Ebrahim | - |
dc.contributor.author | Koirala, Binu | - |
dc.contributor.author | Krishna, Ashish | - |
dc.contributor.author | Kwok, Cannas | - |
dc.contributor.author | Le Tung, Thanh | - |
dc.contributor.author | Leal, Daniela Giambruno | - |
dc.contributor.author | Lezana-Fernández, Miguel Ángel | - |
dc.contributor.author | Manirambona, Emery | - |
dc.contributor.author | Mantoani, Leandro Cruz | - |
dc.contributor.author | Meneses-González, Fernando | - |
dc.contributor.author | Mohamed, Iman Elmahdi | - |
dc.contributor.author | Mukeshimana, Madeleine | - |
dc.contributor.author | Nguyen, Chinh Thi Minh | - |
dc.contributor.author | Nguyen, Huong Thi Thanh | - |
dc.contributor.author | Nguyen, Khanh Thi | - |
dc.contributor.author | Nguyen, Son Truong | - |
dc.contributor.author | Nurumal, Mohd Said | - |
dc.contributor.author | Nzabonimana, Aimable | - |
dc.contributor.author | Omer, Nagla Abdelrahim Mohamed Ahmed | - |
dc.contributor.author | Ogungbe, Oluwabunmi | - |
dc.contributor.author | Poon, Angela Chiu Yin | - |
dc.contributor.author | Reséndiz-Rodriguez, Areli | - |
dc.contributor.author | Puang-Ngern, Busayasachee | - |
dc.contributor.author | Sagun, Ceryl G | - |
dc.contributor.author | Shaik, Riyaz Ahmed | - |
dc.contributor.author | Shankar, Nikhil Gauri | - |
dc.contributor.author | Sommer, Kathrin | - |
dc.contributor.author | Toro, Edgardo | - |
dc.contributor.author | Tran, Hanh Thi Hong | - |
dc.contributor.author | Urgel, Elvira L | - |
dc.contributor.author | Uwiringiyimana, Emmanuel | - |
dc.contributor.author | Vanichbuncha, Tita | - |
dc.contributor.author | Youssef, Naglaa | - |
dc.date.accessioned | 2024-03-11T10:46:32Z | - |
dc.date.available | 2024-03-11T10:46:32Z | - |
dc.date.issued | 2023-10-20 | - |
dc.identifier.citation | Journal of Global Health, 2023, v. 13 | - |
dc.identifier.issn | 2047-2978 | - |
dc.identifier.uri | http://hdl.handle.net/10722/340706 | - |
dc.description.abstract | <h3>Background</h3><p>The interconnected nature of lifestyles and interim health outcomes implies the presence of the central lifestyle, central interim health outcome and bridge lifestyle, which are yet to be determined. Modifying these factors holds immense potential for substantial positive changes across all aspects of health and lifestyles. We aimed to identify these factors from a pool of 18 lifestyle factors and 13 interim health outcomes while investigating potential gender and occupation differences.</p><h3>Methods</h3><p>An international cross-sectional study was conducted in 30 countries across six World Health Organization regions from July 2020 to August 2021, with 16 512 adults self-reporting changes in 18 lifestyle factors and 13 interim health outcomes since the pandemic.</p><h3>Results</h3><p>Three networks were computed and tested. The central variables decided by the expected influence centrality were consumption of fruits and vegetables (centrality = 0.98) jointly with less sugary drinks (centrality = 0.93) in the lifestyles network; and quality of life (centrality = 1.00) co-dominant (centrality = 1.00) with less emotional distress in the interim health outcomes network. The overall amount of exercise had the highest bridge expected influence centrality in the bridge network (centrality = 0.51). No significant differences were found in the network global strength or the centrality of the aforementioned key variables within each network between males and females or health workers and non-health workers (all <em>P</em>-values >0.05 after Holm-Bonferroni correction).</p><h3>Conclusions</h3><p>Consumption of fruits and vegetables, sugary drinks, quality of life, emotional distress, and the overall amount of exercise are key intervention components for improving overall lifestyle, overall health and overall health via lifestyle in the general population, respectively. Although modifications are needed for all aspects of lifestyle and interim health outcomes, a larger allocation of resources and more intensive interventions were recommended for these key variables to produce the most cost-effective improvements in lifestyles and health, regardless of gender or occupation.</p> | - |
dc.language | eng | - |
dc.publisher | International Society of Global Health | - |
dc.relation.ispartof | Journal of Global Health | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study | - |
dc.type | Article | - |
dc.identifier.doi | 10.7189/jogh.13.04125 | - |
dc.identifier.scopus | eid_2-s2.0-85174865796 | - |
dc.identifier.volume | 13 | - |
dc.identifier.eissn | 2047-2986 | - |
dc.identifier.isi | WOS:001101921900001 | - |
dc.identifier.issnl | 2047-2978 | - |