The relationship between lifestyle and self-reported health in a general population: the Inter99 study

Prev Med. 2009 Nov;49(5):418-23. doi: 10.1016/j.ypmed.2009.08.011. Epub 2009 Aug 28.

Abstract

Objectives: The aim of this paper is to describe the relationship between smoking status, dietary habits, physical activity and alcohol intake, and mental and physical self-reported health in a general population.

Measures: A large population-based study Inter99, Copenhagen, Denmark, 1999-2006. Self-reported health-related quality of life was measured by Short Form 12 (SF-12). Mental and physical health component scores were computed.

Results: At baseline, SF-12 was completed by 6305 (92.3%) participants in the intervention groups, and 3017 (72.4%) persons in the control group. In cross-sectional analyses, persons with an unhealthy lifestyle reported significantly worse physical and mental health than persons with a healthier lifestyle. In longitudinal data, using adjusted multivariate analyses (N=3,084), we found an association between increased physical activity at five-year follow-up and improvement in physical health ( odds ratio=2.30 (95% confidence interval=1.7-3.2)) in the high-intensity intervention group. Improvement in mental health was associated with a much healthier diet at 5-year follow-up than at baseline ( odds ratio=1.68 (95% confidence interval=1.1-2.5)).

Conclusions: This study describes the negative relationship between unhealthy lifestyle and self-reported mental and physical health in a general population. Also, it shows the impact of improvements in lifestyle on self-reported health in a general population, which has not been investigated before.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Alcohol Drinking / epidemiology
  • Analysis of Variance
  • Attitude to Health*
  • Confidence Intervals
  • Cross-Sectional Studies
  • Denmark
  • Feeding Behavior
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Health Status*
  • Humans
  • Life Style*
  • Male
  • Mental Health*
  • Middle Aged
  • Multivariate Analysis
  • Odds Ratio
  • Patient Participation
  • Physical Fitness / physiology
  • Probability
  • Quality of Life*
  • Risk Assessment
  • Sex Factors
  • Smoking / epidemiology
  • Surveys and Questionnaires