ArticleScientific reports2020
Behavioural risk factors and healthy life expectancy: evidence from two longitudinal studies of ageing in England and the US.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Prevalence of behavioural risk factors and their combinations among older adults: cross-sectional results of the nationwide study Gesundheit 65.BMC geriatrics · 2026Article
- Article
- Demographic and biosocial determinants of beneficial trends in older adult cognition in the USA and England: the role of cohort succession.International journal of epidemiology · 2026Article
- Limitations of Daily Step Count for Assessing Health in Older Adults: The Need to Consider Walking Intensity.Epidemiologia (Basel, Switzerland) · 2026Article
- Independent and joint associations of key social exposome components with cognitive aging: triangulating evidence through cross-national data.American journal of epidemiology · 2026Article
- Article
- Association of behaviour-related health risk factors with working life expectancy in adults aged ≥ 50 years: findings from the English Longitudinal Study of Ageing and the Finnish Public Sector Study.European journal of ageing · 2025Article
- Estimating the Sex Gap in Depression-Free Life Expectancy Among Widowed Americans Aged 50 and Older: An Application Using the Interpolated Markov Chain Approach.Journal of aging and health · 2025Article
- Co-occurrence and clustering characteristics of health risk behaviors among older adults in China.Frontiers in public health · 2025Article
- Co-occurrence of unhealthy lifestyle behaviours in middle-aged adults: findings from the Swedish CArdioPulmonary bioImage Study (SCAPIS).Scientific reports · 2024Article
- Gender disparities in multi-state health transitions and life expectancy among the ≥50-year-old population: A cross-national multi-cohort study.Journal of global health · 2024Article
- Midlife health in Britain and the United States: a comparison of two nationally representative cohorts.International journal of epidemiology · 2024Article
- Are We Adding Pain-Free Years to Life? A Test of Compression Versus Expansion of Morbidity.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Association of Life's Simple 7 lifestyle metric with cardiometabolic disease-free life expectancy in older British men.Communications medicine · 2024Article
- Impact of physical activity on disability-free and disabled life expectancies in middle-aged and older adults: Data from the healthy aging longitudinal study in Taiwan.Geriatrics & gerontology international · 2024Article
- Living longer but in poor health: healthcare system responses to ageing populations in industrialised countries based on the Findings from the Global Burden of Disease Study 2019.BMC public health · 2024Article
- Childhood and adult socioeconomic status influence on late-life healthy longevity: evidence from the Chinese longitudinal healthy longevity survey.Frontiers in public health · 2024Article
- Protocol for a co-design study for the development of a chronotherapeutic mobile health behaviour change intervention targeting light exposure among older adults.F1000Research · 2024Article
- Midlife Health in Britain and the US: A comparison of Two Nationally Representative Cohorts.medRxiv : the preprint server for health sciences · 2023Article
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Abstract
We examined whether the co-occurrence of four behavioural risk factors (alcohol consumption, smoking, physical inactivity and obesity) is associated with disability-free and chronic disease-free life expectancy similarly in two longitudinal studies of ageing in England and the United States. Data were from 17,351 individuals aged 50+ from the US Health and Retirement Study (HRS) and, 10,388 from the English Longitudinal Study of Ageing (ELSA), from 2002 to 2013. Disability-free life expectancy was estimated using repeat measures of limitations with instrumental activities and activities of daily living and, chronic disease-free life expectancy was based on chronic health conditions. Multistate life table models were used to estimate sex-specific health expectancy at the ages of 50, 60 and 70. In both countries and at all ages, there was a clear gradient towards shorter health expectancy with increasing number of behavioural risk factors. Compared to people with 2+ behavioural risk factors, in both countries, those with no behavioural risk factors could expect to live up to 11 years longer without disability and, up to 12 years longer without chronic conditions. Individual and co-occurring behavioural risk factors were strongly associated with shorter healthy life expectancy in both countries, attesting to the robustness of the contribution of lifestyle factors on health expectancy.
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