Large Cohort Study
Prevalence of 'healthy lifestyle’ in Chinese adults
Zhu Nanbo, Zhou Mi, Yu Canqing, Guo Yu, Bian Zheng, Tan Yunlong, Pei Pei, Chen Junshi, Chen Zhengming, Lyu Jun, Li Liming, for the China Kadoorie Biobank Collaborative Group
Published 2019-02-10
Cite as Chin J Epidemiol, 2019, 40(2): 136-141. DOI: 10.3760/cma.j.issn.0254-6450.2019.02.003
Abstract
ObjectiveTo examine the prevalence of 'healthy lifestyle’ from data extracted from the China Kadoorie Biobank (CKB) of 0.5 million adults from ten areas across China.
MethodsAfter excluding participants with self-reported histories of coronary heart disease, stroke or cancer, a total of 487 198 participants at baseline (2004-2008) and 22 604 participants at second survey (2013- 2014), were included for analysis. 'Healthy lifestyle’ was defined as haing the following characteristics: a) never smoking or having stopped smoking for reasons other than illness; b) alcohol drinking <25 g/day (men)/<15 g/day (women); c) diet rich in vegetables, fruits, legumes and fish, but low in red meat; d) upper quarter of the physical activity level; e) body mass index of 18.5-23.9 kg/m 2 and waist circumstance <85 cm (men)/80 cm (women). We calculated the healthy lifestyle scores (HLS) by counting the number of all the healthy lifestyle factors, with a range from 0 to 6.
ResultsAt baseline, prevalence rates of the above five healthy lifestyles (except physical activity) were 70.6%, 92.6%, 8.7%, 52.6% and 59.0%, respectively, with the mean HLS being 3.1±1.2. Most participants (81.4%) had2-4 healthy components, while only 0.7% (0.2% in men and 1.0% in women) of all the participants had all six healthy lifestyles. Participants who were women, at younger age, with more schooling and rural residents, were more likely to adhere to the healthy lifestyle. After ten years, the mean HLS showed a slight decrease.
ConclusionThe prevalence of optimal lifestyles in Chinese adults appeared extremely low. Levels of 'healthy lifestyle’ varied greatly among those populations with different socio-demographic characteristics across the ten areas in China.
Key words:
Healthy lifestyle; Chronic disease; Population distribution; Regional distribution
Contributor Information
Zhu Nanbo
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Zhou Mi
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Yu Canqing
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Guo Yu
Chinese Academy of Medical Sciences, Beijing 100730, China
Bian Zheng
Chinese Academy of Medical Sciences, Beijing 100730, China
Tan Yunlong
Chinese Academy of Medical Sciences, Beijing 100730, China
Pei Pei
Chinese Academy of Medical Sciences, Beijing 100730, China
Chen Junshi
China National Center for Food Safety Risk Assessment, Beijing 100022, China
Chen Zhengming
Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
Lyu Jun
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Li Liming
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
for the China Kadoorie Biobank Collaborative Group
