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Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study

Li, Jiaying and Fong, Daniel Yee Tak and Lok, Kris Yuet Wan and Wong, Janet Yuen Ha and Ho, Mandy Man and Choi, Edmond Pui Hang and Pandian, Vinciya and Davidson, Patricia M and Duan, Wenjie and Marie, Tarrant and Lee, Jung Jae and Lin, Chia-Chin and Akingbade, Oluwadamilare and Alabdulwahhab, Khalid M and Ahmad, Mohammad Shakil and Alboraie, Mohamed and Alzahrani, Meshari A and Bilimale, Anil S and Boonpatcharanon, Sawitree and Byiringiro, Samuel and Che Hasan, Muhammad Kamil and Schettini, Luisa Clausi and Corzo, Walter and De Leon, Josephine M and De Leon, Anjanette S and Deek, Hiba and Efficace, Fabio and Nayal, Mayssah A El and El-Raey, Fathiya and Ensaldo-Carrasco, Eduardo and Escotorin, Pilar and Fadodun, Oluwadamilola Agnes and Fawole, Israel Opeyemi and Goh, Yong-Shian Shawn and Irawan, Devi and Khan, Naimah Ebrahim and Koirala, Binu and Krishna, Ashish and Kwok, Cannas and Le, Tung Thanh and Leal, Daniela Giambruno and Lezana-Fernández, Miguel Ángel and Manirambona, Emery and Mantoani, Leandro Cruz and Meneses-González, Fernando and Mohamed, Iman Elmahdi and Mukeshimana, Madeleine and Nguyen, Chinh Thi Minh and Nguyen, Huong Thi Thanh and Nguyen, Khanh Thi and Nguyen, Son Truong and Nurumal, Mohd. Said and Nzabonimana, Aimable and Omer, Nagla Abdelrahim Mohamed Ahmed and Ogungbe, Oluwabunmi and Poon, Angela Chiu Yin and Reséndiz-Rodriguez, Areli and Puang-Ngern, Busayasachee and Sagun, Ceryl G and Shaik, Riyaz Ahmed and Shankar, Nikhil Gauri and Sommer, Kathrin and Toro, Edgardo and Tran, Hanh Thi Hong and Urgel, Elvira L and Uwiringiyimana, Emmanuel and Vanichbuncha, Tita and Youssef, Naglaa (2023) Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study. Journal of Global Health, 13. pp. 1-14. ISSN 2047-2986

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Official URL: https://jogh.org/

Abstract

Background 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. Methods 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. Results 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 P-values >0.05 after Holm-Bonferroni correction). Conclusions 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.

Item Type: Article (Journal)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Nursing
Depositing User: Dr Muhammad Kamil Che Hasan
Date Deposited: 30 Oct 2023 15:37
Last Modified: 12 Jan 2024 15:57
URI: http://irep.iium.edu.my/id/eprint/107737

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