ArticleBMC public health2020
The association between subjective health perception and lifestyle factors in Shiga prefecture, Japan: a cross-sectional study.
Article in BMC public health, 2020. 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, 24 citations in OpenAlex.
- Mental and physical factors influencing self-rated health in Japanese older adults.BMC geriatrics · 2026Article
- Workplace social capital and self-rated health among nursery school teachers in Japan: a nationwide cross-sectional study.Frontiers in public health · 2026Article
- The Associations Between Physical Activity, Body Perception, and Self-Rated Health in Korean Adults: An Analysis of the 2023 Korean Community Health Survey.Medicina (Kaunas, Lithuania) · 2025Article
- Factors Affecting Low Health-Related Quality of Life and Health Issues in Gastric Cancer Survivors: A Propensity Score-Matched, Nationwide Study.Journal of gastroenterology and hepatology · 2025Article
- Association of meal component combinations with nutrient adequacy in Japanese adults.Asia Pacific journal of clinical nutrition · 2025Article
- Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea.Scientific reports · 2025Article
- Domain-specific physical activity, sedentary behavior, subjective health, and health-related quality of life among older adults.Health and quality of life outcomes · 2023Article
- Self-assessment of the health status and leisure activities of individuals on haemodialysis.Scientific reports · 2022Article
- The health status: the ignored risk factor in dementia incidence. NEDICES cohort.Aging clinical and experimental research · 2022Article
- Clustering of health behaviors among Japanese adults and their association with socio-demographics and happiness.PloS one · 2022Article
- Associations between deterioration of self-rated health and occupational form among community-dwelling Japanese individuals.Public health in practice (Oxford, England) · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe Ministry of Health has reported that in Japan, the Shiga prefecture has the highest life expectancy. Subjective health perception is a predictive indicator of mortality. For this study, we examined the association between subjective health perception and multiple lifestyle factors.
methodsData were obtained from the 2015 Health and Nutrition Survey in Shiga prefecture. The analytic sample comprised 6057 adults aged 20 or older. Information on subjective health perception and lifestyle behaviors was obtained from a self-administered questionnaire. As for subjective health perception, participants were divided into 2 groups: (1) Excellent or Good and (2) Average, Poor, or Very Poor. A 1-day dietary survey was also administered. The health behaviors score (HBS) was calculated based on 5 factors: consuming a healthy diet, never smoking, low-risk alcohol drinking, regular exercise, and moderate sleep duration. HBS scores ranged from 0 to 5. Multiple logistic regression was used to calculate the sex-, age- BMI- and energy intake-adjusted odds ratios (ORs) of poor subjective health across HBS, with 0 points as the reference.
resultsAmong all participants, 2397 (39.6%) individuals were classified into the good subjective health group. Participants with an HBS of 3 (OR 0.59, 95% CI 0.37-0.96), 4 (OR 0.40, 95% CI 0.24-0.65) or 5 (OR 0.33, 95% CI 0.19-0.59) had a lower OR of rating themselves as being average/poor health compared with those having zero. The association with a higher HBS was remarkable (p for trend: < 0.001). Additional analyses revealed that the combinations including regular exercise were particularly associated with a lower risk of subjective average/poor health.
conclusionsThis study showed that the higher the number of healthy lifestyle factors, the lower risk of subjective average/poor health. Combinations of healthy lifestyle factors, especially those involving exercise, suggest good subjective health for individuals living in the Shiga prefecture.
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