ArticleEuropean journal of public health2023
Stability of clustering of lifestyle risk factors in the Dutch adult population and the association with mental health.
Article in European journal of public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Association of accelerated phenotypic aging, lifestyle and genetic risk with progression of cardiometabolic multimorbidity: a multi-state model analysis.GeroScience · 2026Article
- The Clustering of Lifestyle Risk Factors in the Serbian Adult Population and Association with Self-Rated Health.Zdravstveno varstvo · 2025Article
- Dietary Knowledge and Its Associated Factors Among Patients with Diabetes and Hypertension in Tertiary Hospitals in Dodoma, Tanzania: A Cross-sectional Study.The East African health research journal · 2025Article
- Patterns of lifestyle risk behaviors for cardiovascular disease in family caregivers: a latent class analysis.Frontiers in public health · 2025Article
- Lifestyle trajectories in middle-aged adults and their relationship with health indicators.Frontiers in public health · 2024Article
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Authors and funding
9 authors.
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Abstract
backgroundLifestyle factors often co-occur in clusters. This study examines whether clusters of lifestyle risk factors, such as smoking, alcohol use, physical inactivity, poor diet, sexual risk behaviour, cannabis and other drug use, change over time in a representative sample of Dutch adults. Additionally, the association between mental health and self-reported depression of lifestyle clusters was examined.
methodsEach year cross-sectional data of approximately 7500 individuals of 18 years and older from the annual Dutch Health Survey of 2014-2019 were used. Clusters were determined by a two-step cluster analysis. Furthermore, regression analyses determined the association between clusters of lifestyle risk factors and mental health.
resultsResults show six clusters composed of one, multiple or no lifestyle risk factors. The clusters remained relatively stable over time: in some clusters, the number of people slightly changed between 2014 and 2019. More specifically, clusters that increased in size were the cluster with no lifestyle risk factors and the cluster with multiple lifestyle risk factors. Furthermore, results show that clusters with none to a few lifestyle risk factors were associated with better mental health and a lower prevalence of self-reported depression compared with clusters with multiple lifestyle risk factors.
conclusionsThe clustering of lifestyle risk factors remained stable over time. People with multiple lifestyle risk factors had poorer mental health than those without risk factors. These findings may emphasize the need for intervention strategies targeting this subgroup with multiple lifestyle risk factors.
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