Clustering of Five Health-Related Behaviors for Chronic Disease Prevention Among Adults, United States, 2013

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Liu, Yong ; Croft, Janet B. ; Wheaton, Anne G. ; Kanny, Dafna ; Cunningham, Timothy J. ; Lu, Hua ; Onufrak, Stephen ; Malarcher, Ann M. ; Greenlund, Kurt J. ; Giles, Wayne H.
• Description:
  Introduction
  
  Five key health-related behaviors for chronic disease prevention are never smoking, getting regular physical activity, consuming no alcohol or only moderate amounts, maintaining a normal body weight, and obtaining daily sufficient sleep. The objective of this study was to estimate the clustering of these 5 health-related behaviors among adults aged 21 years or older in each state and the District of Columbia and to assess geographic variation in clustering.
  
  Methods
  
  We used data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS) to assess the clustering of the 5 behaviors among 395,343 BRFSS respondents aged 21 years or older. The 5 behaviors were defined as currently not smoking cigarettes, meeting the aerobic physical activity recommendation, consuming no alcohol or only moderate amounts, maintaining a normal body mass index (BMI), and sleeping at least 7 hours per 24-hour period. Prevalence of having 4 or 5 of these behaviors, by state, was also examined.
  
  Results
  
  Among US adults, 81.6% were current nonsmokers, 63.9% obtained 7 hours or more sleep per day, 63.1% reported moderate or no alcohol consumption, 50.4% met physical activity recommendations, and 32.5% had a normal BMI. Only 1.4% of respondents engaged in none of the 5 behaviors; 8.4%, 1 behavior; 24.3%, 2 behaviors; 35.4%, 3 behaviors; and 24.3%, 4 behaviors; only 6.3% reported engaging in all 5 behaviors. The highest prevalence of engaging in 4 or 5 behaviors was clustered in the Pacific and Rocky Mountain states. Lowest prevalence was in the southern states and along the Ohio River.
  
  Conclusion
  
  Additional efforts are needed to increase the proportion of the population that engages in all 5 health-related behaviors and to eliminate geographic variation. Collaborative efforts in health care systems, communities, work sites, and schools can promote all 5 behaviors and produce population-wide changes, especially among the socioeconomically disadvantaged.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Age Distribution Body Mass Index Chronic Disease Cluster Analysis Exercise Female Health Behavior Humans Life Style Male Middle Aged Prevalence Sex Distribution Sleep Smoking Young Adult

  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160054
• ISSN:
  1545-1151
• Pubmed ID:
  27236381
• Pubmed Central ID:
  PMC4885683
• Document Type:
  Journal Article
• Name as Subject:
  Behavioral Risk Factor Surveillance System ; Behavioral Risk Factor Surveillance System
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:8e780b94504a1bc262f7f9a61a55f3d601131abd2784da954e22e7ca4b3e0f7c022418fcd80e46373a91349e6a24d68574567893c7094248a61c6883661141a6
• Download URL:
  https://stacks.cdc.gov/view/cdc/39730/cdc_39730_DS1.pdf
• File Type:
  [PDF - 427.51 KB ]