ArticleJMIR public health and surveillance2023
US Adults Practicing Healthy Lifestyles Before and During COVID-19: Comparative Analysis of National Surveys.
Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- The short and long-term efficacy of nurse-led interventions for improving blood pressure control in people with hypertension in primary care settings: a systematic review and meta-analysis.BMC primary care · 2024Pooled it
- The Use of mHealth Apps for the Assessment and Management of Diabetes-Related Foot Health Outcomes: Systematic Review.Journal of medical Internet research · 2023Pooled it
- A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial.BMC public health · 2025Trial
- Factors Associated with Smoking Status and Self-Reported Physical Activity Among Spanish Nursing Professionals: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Current status of cardiovascular health among US adults using the American heart association's new "life's essential 8": Results from the National health and nutrition examination survey, 2017-2023.American journal of preventive cardiology · 2025Article
- Self-efficacy and healthy lifestyle behaviors as mediators between COVID-19 care knowledge and health status.Scientific reports · 2024Article
- Perceived Well-Being among Adults with Diabetes and Hypertension: A National Study.Healthcare (Basel, Switzerland) · 2024Article
- The mediation of health-promoting lifestyle on self-perceived health status and quality of life among nurses: a cross-sectional study.BMC nursing · 2023Article
- Sex differences in effect of patients-centered intervention on blood pressure in patients with hypertension.Scientific reports · 2023Article
- Changes in lifestyle-related behaviour during the COVID-19 pandemic in Japan: a questionnaire survey for examinees who underwent an annual health check-up.The Journal of international medical research · 2023Article
- Article
- Association Between Big Five Personality Traits and Hypertension in Saudi Patients: A Case Control Study.Psychology research and behavior management · 2023Article
- Re-Engagement in Physical Activity Slows the Decline in Older Adults' Well-Being - A Longitudinal Study.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPracticing healthy lifestyles can reduce the risk to develop noncommunicable diseases and the related mortality. Studies showed that practicing healthy lifestyles could enhance disease-free life expectancy and preserve bodily functions. However, engagement in healthy lifestyle behavior was suboptimal.
objectiveThis study aimed to define individuals' lifestyle characteristics before and during COVID-19 and determine the factors associated with practicing a healthy lifestyle. This cross-sectional study was conducted using data from the 2019 and 2021 Behavioral Risk Factor Surveillance System surveys.
methodsUS individuals aged ≥18 years were interviewed via phone call. Healthy lifestyles were assessed through corresponding questions regarding the maintenance of optimal body weight, physical activity, daily consumption of at least five portions of fruits and vegetables, current smoking status, and alcohol consumption. Missing data were imputed using a package in the R statistical software. The effects of practicing a healthy lifestyle on cases without missing data and those with imputation were reported.
resultsThere were 550,607 respondents (272,543 and 278,064 from 2019 and 2021, respectively) included in this analysis. The rates of practicing a healthy lifestyle were 4% (10,955/272,543) and 3.6% (10,139/278,064) in 2019 and 2021, respectively. Although 36.6% (160,629/438,693) of all 2021 respondents had missing data, the results of the logistic regression analysis for cases without missing data and those with imputation were similar. Of the cases with imputation, women (odds ratio [OR] 1.87) residing in urban areas (OR 1.24) with high education levels (OR 1.73) and good or better health status (OR 1.59) were more likely to practice healthier lifestyles than young individuals (OR 0.51-0.67) with a low household income (OR 0.74-0.78) and chronic health conditions (OR 0.48-0.74).
conclusionsA healthy lifestyle should be strongly promoted at the community level. In particular, factors associated with a low rate of practice of healthy lifestyles should be targeted.
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