ArticleFrontiers in public health2022
Healthy lifestyle over the life course: Population trends and individual changes over 30 years of the Doetinchem Cohort Study.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Cohort Profile Update: The Doetinchem Cohort Study 1987-2028--capturing four decades of health and disease.International journal of epidemiology · 2026Article
- The Mediating Effect of 24-Hour Movement Behaviors on Mortality Risk in Chronic Kidney Disease: A Compositional Mediation and Life Expectancy Analysis.Journal of physical activity & health · 2026Article
- Article
- Exploring digital health: a qualitative study on adults' experiences with health apps and wearables.International journal of qualitative studies on health and well-being · 2025Article
- Coupling wastewater-based epidemiology with data-driven machine learning for managing public health risks.Risk analysis : an official publication of the Society for Risk Analysis · 2025Article
- ADHD in adults: despite evidence sufficient to guide diagnosis and treatment, many questions remain.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Lifestyle and cognition: Separating the effects of average lifestyle and lifestyle changes based on the LIBRA score.The journal of prevention of Alzheimer's disease · 2025Article
- Behavioral risk factors and socioeconomic inequalities in ischemic heart disease mortality in the United States: A causal mediation analysis using record linkage data.PLoS medicine · 2024Article
- Association between sleep traits and risk of colorectal cancer: a bidirectional Mendelian randomization study.Journal of gastrointestinal oncology · 2024Article
- Stability of clustering of lifestyle risk factors in the Dutch adult population and the association with mental health.European journal of public health · 2023Article
- Impact of health-related behavioral factors on participation in a cervical cancer screening program: the lifelines population-based cohort.BMC public health · 2023Article
- Challenges in anti-aging medicine-trends in biomarker discovery and therapeutic interventions for a healthy lifespan.Journal of cellular and molecular medicine · 2023Review
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Authors and funding
5 authors.
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Abstract
For five health-related lifestyle factors (physical activity, weight, smoking, sleep, and alcohol consumption) we describe both population trends and individual changes over a period of 30 years in the same adult population. Dichotomous indicators (healthy/unhealthy) of lifestyle were analyzed for 3,139 participants measured every 5 years in the Doetinchem Cohort Study (1987-2017). Population trends over 30 years in physical inactivity and "unhealthy" alcohol consumption were flat (i.e., stable); overweight and unhealthy sleep prevalence increased; smoking prevalence decreased. The proportion of the population being healthy on all five lifestyle factors declined from 17% in the round 1 to 10.8% in round 6. Underlying these trends a dynamic pattern of changes at the individual level was seen: sleep duration and physical activity level changed in almost half of the individuals; Body Mass Index (BMI) and alcohol consumption in one-third; smoking in one-fourth. Population trends don't give insight into change at the individual level. In order to be able to gauge the potential for change of health-related lifestyle, it is important to take changes at the individual level into account.
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