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
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Body Mass Index
  • Chronic Disease
  • Cluster Analysis
  • Exercise
  • Female
  • Health Behavior
  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
• Corporate as Subject:
  Behavioral Risk Factor Surveillance System ; Behavioral Risk Factor Surveillance System
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Download URL:
  https://stacks.cdc.gov/view/cdc/39730/cdc_39730_DS1.pdf
• File Type:
  [PDF - 427.51 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:8e780b94504a1bc262f7f9a61a55f3d601131abd2784da954e22e7ca4b3e0f7c022418fcd80e46373a91349e6a24d68574567893c7094248a61c6883661141a6