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Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011
- Source :
- PLoS ONE, PLoS ONE, Vol 14, Iss 9, p e0222218 (2019)
- Publication Year :
- 2019
- Publisher :
- Public Library of Science, 2019.
-
Abstract
- Background The combined impact of multiple healthy behaviors on health exceeds that of single behaviors. This study aimed to estimate trends in the prevalence of a healthy lifestyle among adults in Germany. Methods A data set of 18,058 adults aged 25–69 years from three population-based national health examination surveys 1990–92, 1997–99 and 2008–11 with complete information for five healthy behavior factors was used. A ‘daily intake of both fruits and vegetables, ‘sufficient physical exercise’, ‘no current smoking’ and ‘no current risk drinking’ were assessed with self-reports and ‘normal body weight’ was calculated based on measured body weight and height. A dichotomous ‘healthy lifestyle’ indicator was defined as meeting at least four out of five healthy behaviors. Age-standardized prevalence was calculated stratified by sex, age groups (25–34, 35–44, 45–54 and 55–69 years) and education level (low, medium and high). Trends were expressed in relative change (RC) between 1990–92 and 2008–11. Results In Germany, the overall prevalence of healthy lifestyle increased from 9.3% in 1990–92 to 13.5% in 1997–99 and to 14.7% in 2008–11 (RC: +58.1%). The prevalence increased among men and women and in all age groups, with the exception of men aged 45–54 years. The RC of increasing healthy lifestyle prevalence between 1990–92 and 2008–11 was stronger albeit on a higher level among women compared to men. Therefore, the gender difference in healthy lifestyle has increased, but age-related differences have overall decreased in this period. Among high educated men the prevalence of a healthy lifestyle increased between 1990–92 and 2008–11 from 10.6% to 16.3% (p = 0.01) and among high educated women from 16.4% to 30.3% and also among medium educated women (10.9 to 16.6, p
- Subjects :
- Male
Health Behavior
Psychological intervention
Social Sciences
Educational attainment
Geographical locations
0302 clinical medicine
Sociology
Germany
Medicine and Health Sciences
Medicine
Psychology
Alcohol consumption
Public and Occupational Health
030212 general & internal medicine
education.field_of_study
Multidisciplinary
Alcohol Consumption
Smoking
Middle Aged
Sports Science
Europe
Health education and awareness
Health Education and Awareness
Female
Behavioral and Social Aspects of Health
Research Article
Adult
Science
Population
030209 endocrinology & metabolism
Physical exercise
Body weight
Education
03 medical and health sciences
Sex Factors
Age groups
Humans
ddc:610
European Union
Healthy Lifestyle
Sports and Exercise Medicine
education
Exercise
Educational Attainment
Nutrition
Aged
National health
Behavior
business.industry
Behavioral and social spects of health
Biology and Life Sciences
Physical Activity
Health Surveys
Diet
Health Care
Health promotion
Physical Fitness
Age Groups
People and Places
Population Groupings
business
610 Medizin und Gesundheit
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....f2186c344e0e30e58567491e5e9fe2df