Evidence map›Paper›PMID 31923198›Full record

ArticlePloS one2020

Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study.

Ami Fukunaga, Yosuke Inoue, Nadeeka Chandraratne, Miwa Yamaguchi, Keisuke Kuwahara, Susantha Indrawansa, Nalika Gunawardena, Tetsuya Mizoue, Diyanath Samarasinghe

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Construction of a healthy lifestyle index using Italian national survey data.International journal of population data science · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Ami FukunagaDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.ORCID 0000-0002-8705-0056
Yosuke InoueDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.ORCID 0000-0002-7690-3447
Nadeeka ChandraratneManagement, Development & Planning Unit, Ministry of Health, Colombo, Sri Lanka.
Miwa YamaguchiDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.ORCID 0000-0001-6084-1539
Keisuke KuwaharaDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
Susantha IndrawansaThe Foundation for Health Promotion, Dehiwala, Sri Lanka.
Nalika GunawardenaOffice for Sri Lanka, World Health Organization Country, Colombo, Sri Lanka.
Tetsuya MizoueDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
Diyanath SamarasingheDepartment of Psychological Medicine, University of Colombo, Colombo, Sri Lanka.
National Center for Global Health and Medicine · JPNational Institute of Infectious Diseases · JPSri Lanka Foundation · LKUniversity of Colombo · LK

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesTo investigate the association between a healthy lifestyle index (HLI) (i.e., a composite score comprising multiple lifestyle factors) and hypertension among community adults living in Sri Lanka.

methodsThe present study used baseline information of a cluster randomized controlled trial among 456 adults aged 27-65 years in a semi-urban community in Colombo, Sri Lanka. The HLI was constructed by summing a number of low-risk lifestyle factors: low body mass index, sufficient physical activity, non-smoking, low alcohol consumption, and sufficient fruit and vegetable consumption. Hypertension was defined as systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or the use of antihypertensive medication. A logistic regression model was used to investigate the association between the HLI (low: 0-2; middle: 3; high: 4-5) and hypertension.

resultsA total of 178 (39%) participants were hypertensive. Compared with the low HLI group, multivariate-adjusted odds ratios (95% confidence intervals) of hypertension were 0.72 (0.44-1.19) and 0.28 (0.15-0.54) for the middle and high HLI groups, respectively (p-trend <0.001).

conclusionsThe present study provides essential evidence on an inverse association between adherence to healthy lifestyles and hypertension.

Indexed as

Healthy LifestyleSri LankaAdultAgedCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedResidence Characteristics

Identifiers

PMID31923198
PMCPMC6953878
OpenAlexW3000413663

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.