ArticlePloS one2014
Association between lifestyle factors and quality-adjusted life years in the EPIC-NL cohort.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Mediterranean diet and quality of life: Baseline cross-sectional analysis of the PREDIMED-PLUS trial.PloS one · 2018Trial
- Variations in health-related quality of life across sociodemographic groups, health conditions, and modifiable risk factors: a population-based EQ-5D-3L study.Health and quality of life outcomes · 2026Article
- Health benefits of leisure-time physical activity by socioeconomic status, lifestyle risk, and mental health: a multicohort study.The Lancet. Public health · 2025Article
- Observational
- Association between Parenthood and Health Behaviour in Later Life-Results from the Population-Based CARLA Study.International journal of environmental research and public health · 2021Article
- Trends in health behaviors over 20 years: findings from the 1998-2018 Korea National Health and Nutrition Examination Survey.Epidemiology and health · 2021Article
- Impact of a Blended Periconception Lifestyle Care Approach on Lifestyle Behaviors: Before-and-After Study.Journal of medical Internet research · 2020Article
- Behavioural risk factors and healthy life expectancy: evidence from two longitudinal studies of ageing in England and the US.Scientific reports · 2020Article
- Diet quality as a predictor of cardiometabolic disease-free life expectancy: the Whitehall II cohort study.The American journal of clinical nutrition · 2020Article
- Body mass index as a predictor of healthy and disease-free life expectancy between ages 50 and 75: a multicohort study.International journal of obesity (2005) · 2017Article
- Smoking, physical inactivity and obesity as predictors of healthy and disease-free life expectancy between ages 50 and 75: a multicohort study.International journal of epidemiology · 2016Article
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Authors and funding
11 authors.
Funding
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Abstract
The aim of our study was to relate four modifiable lifestyle factors (smoking status, body mass index, physical activity and diet) to health expectancy, using quality-adjusted life years (QALYs) in a prospective cohort study. Data of the prospective EPIC-NL study were used, including 33,066 healthy men and women aged 20-70 years at baseline (1993-7), followed until 31-12-2007 for occurrence of disease and death. Smoking status, body mass index, physical activity and adherence to a Mediterranean-style diet (excluding alcohol) were investigated separately and combined into a healthy lifestyle score, ranging from 0 to 4. QALYs were used as summary measure of healthy life expectancy, combining a person's life expectancy with a weight for quality of life when having a chronic disease. For lifestyle factors analyzed separately the number of years living longer in good health varied from 0.12 year to 0.84 year, after adjusting for covariates. A combination of the four lifestyle factors was positively associated with higher QALYs (P-trend <0.0001). A healthy lifestyle score of 4 compared to a score of 0 was associated with almost a 2 years longer life in good health (1.75 QALYs [95% CI 1.37, 2.14]).
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