Evidence map›Paper›PMID 41436996›Full record

ArticleBMC public health2025

Tracing the undercurrents: a scoping review of the lifestyle drift concept.

Tanya Halsall, Heather Orpana, Misha Jan

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Underinvestment, Corporate Power and Health Promotion's Moral Jeopardy.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tanya Halsall *University of Ottawa Institute of Mental Health Research at the Royal, Ottawa, Canada.
Heather Orpana *Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Canada. heather.orpana@phac-aspc.gc.ca.
Misha JanDepartment of Psychology, Carleton University, Ottawa, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLifestyle drift refers to the tendency for health interventions that are initially intended to address upstream social determinants of health to shift focus toward downstream efforts targeting individual behaviours. Although increasingly cited in the literature, as far as we are aware, no scoping or systematic reviews that examine the concept of lifestyle drift exist. The objective of this scoping review is to summarize the existing literature on lifestyle drift, describe how it is defined in the literature, the causes or mechanisms of influence that lead to lifestyle drift and ways to address it.

methodsA comprehensive search strategy was developed with guidance from a librarian and seven databases were searched. Title and abstract and full text screening was conducted in Covidence according to inclusion and exclusion criteria. Included documents were imported into NVivo, and data from articles were analysed using a thematic analysis approach.

resultsWe identified 318 articles and 32 met the inclusion criteria with lifestyle drift as a focus or major theme. Definitions of lifestyle drift shared some common elements along with variability of concepts. Neoliberalism and the biomedical model were frequently identified as drivers of lifestyle drift across articles. While many strategies to counteract lifestyle drift were proposed, applying a health in all policies approach, and participation from priority populations were the most common strategies suggested.

conclusionWhile lifestyle drift is a recognized concern in public health, health promotion and chronic disease prevention, there remains a need for more empirical research on lifestyle drift, including mechanisms and mitigation. Strengthening understanding of how to identify, prevent, and address lifestyle drift may enhance the effectiveness of upstream interventions aimed at reducing health inequities.

Indexed as

Health BehaviorLife StyleSocial Determinants of HealthHealth PromotionHumansBiomedical modelHealth equityInterventionsLifestyle driftNeoliberalismPublic healthUpstream prevention

Identifiers

PMID41436996
PMCPMC12837583

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.