ArticlePrevention science : the official journal of the Society for Prevention Research2012
Clustering of unhealthy behaviors in the aerobics center longitudinal study.
Article in Prevention science : the official journal of the Society for Prevention Research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Inhibitory control training and unhealthy behaviours: a meta-analysis testing short and long- term effects in clinical and at-risk populations.Scientific reports · 2026Pooled it
- A systematic review of the clinical application of data-driven population segmentation analysis.BMC medical research methodology · 2018Pooled it
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- The association of chronotype, sleep duration and trajectories of health-risk behaviors among college students: a cohort study.Child and adolescent psychiatry and mental health · 2025Article
- Drowning in the ripple effect: identifying a syndemic network of health experience (with modifiable health behaviours) using the UK Biobank.Social psychiatry and psychiatric epidemiology · 2025Article
- Influence of lifestyle patterns on depression among adults with diabetes: a mediation effect of dietary inflammatory index.BMC public health · 2024Article
- Lifestyle patterns, nutritional, and metabolic syndrome determinants in a sample of the older Iranian population.BMC geriatrics · 2024Article
- Lifestyle Behaviors and Cardiometabolic Diseases by Race and Ethnicity and Social Risk Factors Among US Young Adults, 2011 to 2018.Journal of the American Heart Association · 2023Article
- Clustering of Health Risk Behaviors in Mexican and Puerto Rican Men: Results from the Latino Men's Health Initiative.Nutrients · 2022Article
- Clustering of Modifiable Behavioral Risk Factors and Their Association with All-Cause Mortality in Taiwan's Adult Population: a Latent Class Analysis.International journal of behavioral medicine · 2022Article
- Assessment of type 2 diabetes mellitus patients' behavioral characteristics associated with integrated treatment and prevention services in community health centers in China.Frontiers in public health · 2022Article
- Investigating the Association Between the Co-Occurrence of Behavioral Health Risk Factors and Sick Days in General Hospital Patients.International journal of public health · 2022Article
- Applying Latent Profile Analysis to Identify Lifestyle Profiles and Their Association with Loneliness and Quality of Life among Community-Dwelling Middle- and Older-Aged Adults in South Korea.International journal of environmental research and public health · 2021Article
- Article
- Sex-specific clustering of metabolic risk factors and cancer risk: a longitudinal study in Iran.Biology of sex differences · 2020Article
- Coaction Between Physical Activity and Fruit and Vegetable Intake in Racially Diverse, Obese Adults.American journal of health promotion : AJHP · 2020Article
- Article
- Patterns of Diet, Physical Activity, Sitting and Sleep Are Associated with Socio-Demographic, Behavioural, and Health-Risk Indicators in Adults.International journal of environmental research and public health · 2019Article
- Inverse Propensity Score Weighting with a Latent Class Exposure: Estimating the Causal Effect of Reported Reasons for Alcohol Use on Problem Alcohol Use 16 Years Later.Prevention science : the official journal of the Society for Prevention Research · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundClustering of unhealthy behaviors has been reported in previous studies; however the link with all-cause mortality and differences between those with and without chronic disease requires further investigation.
objectivesTo observe the clustering effects of unhealthy diet, fitness, smoking, and excessive alcohol consumption in adults with and without chronic disease and to assess all-cause mortality risk according to the clustering of unhealthy behaviors.
methodsParticipants were 13,621 adults (aged 20-84) from the Aerobics Center Longitudinal Study. Four health behaviors were observed (diet, fitness, smoking, and drinking). Baseline characteristics of the study population and bivariate relations between pairs of the health behaviors were evaluated separately for those with and without chronic disease using cross-tabulation and a chi-square test. The odds of partaking in unhealthy behaviors were also calculated. Latent class analysis (LCA) was used to assess clustering. Cox regression was used to assess the relationship between the behaviors and mortality.
resultsThe four health behaviors were related to each other. LCA results suggested that two classes existed. Participants in class 1 had a higher probability of partaking in each of the four unhealthy behaviors than participants in class 2. No differences in health behavior clustering were found between participants with and without chronic disease. Mortality risk increased relative to the number of unhealthy behaviors participants engaged in.
conclusionUnhealthy behaviors cluster together irrespective of chronic disease status. Such findings suggest that multi-behavioral intervention strategies can be similar in those with and without chronic disease.
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