Key lifestyles and interim health outcomes for effective interventions in general populations : A network analysis of a large international observational study
Li, Jiaying (University of Hong Kong)
Fong, Daniel Yee Tak (University of Hong Kong. School of Nursing)
Lok, Kris Yuet Wan (University of Hong Kong. School of Nursing)
Wong, Janet Yuen Ha (University of Hong Kong. School of Nursing)
Ho, Mandy Man (University of Hong Kong. School of Nursing)
Choi, Edmond Pui Hang (University of Hong Kong. School of Nursing)
Pandian, Vinciya (School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA)
Davidson, Patricia M (Vice-Chancellor and Principal, University of Wollongong, Wollongong, Australia)
Duan, Wenjie (Department of Social Work, East China University of Science and Technology, Shanghai, China)
Tarrant, Marie (School of Nursing, The University of British Columbia, Kelowna British Columbia, Canada)
Lee, Jung Jae (University of Hong Kong. School of Nursing)
Lin, Chia-Chin (University of Hong Kong. School of Nursing)
Akingbade, Oluwadamilare (Institute of Nursing Research, Osogbo, Osun State, Nigeria)
Alabdulwahhab, Khalid M (College of Medicine, Maimaah University, Al Majmaah, Saudi Arabia)
Ahmad, Mohammad Shakil (Department of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia)
Alboraie, Mohamed (Department of Internal Medicine, Al-Azhar University, Cairo, Egypt)
Alzahrani, Meshari A (Department of Urology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia)
Bilimale, Anil S (School of Public Health, JSS Medical College, JSS AHER, Mysuru, India)
Boonpatcharanon, Sawitree (Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand)
Byiringiro, Samuel (School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA)
Hasan, Muhammad Kamil Che (Kulliyyah of Nursing, International Islamic University, Kuantan, Malaysia)
Schettini, Luisa Clausi (Italian Association against Leukemia, Lymphoma and Myeloma (AIL), Rome, Italy)
Corzo, Walter (Diálogos Guatemala, Guatemala, Guatemala)
De Leon, Josephine M (School of Nursing, Centro Escolar University, Manila, Philippines)
De Leon, Anjanette S (School of Nursing, Centro Escolar University, Manila, Philippines)
Deek, Hiba (Nursing Department, Faculty of Health Science, Beirut Arab University, Lebanon)
Efficace, Fabio (Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center and Health Outcomes Research Unit, Rome, Italy)
El Nayal, Mayssah A (Department of Psychology, Beirut Arab University, Lebanon)
El-Raey, Fathiya (Department of hepatogastroenterology and infectious diseases, Damietta faculty of medicine, Al-Azher University, Egypt)
Ensaldo-Carrasco, Eduardo (Ergonomics Research Center (ECR), University of Guadalajara, Jalisco, Mexico)
Escotorin, Pilar (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Fadodun, Oluwadamilola Agnes (University of Lethbridge (Canadà). Faculty of Health Sciences)
Fawole, Israel Opeyemi (Faculty of Nursing, Ladoke Akintola University of Technology, Ogbomosho, Nigeria)
Goh, Yong-Shian Shawn (Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore)
Irawan, Devi (School of Nursing, Wijaya Husada Health Institute, Bogor, Indonesia)
Khan, Naimah Ebrahim (Department of Optometry, University of Kwazulu-Natal, Durban, South Africa)
Koirala, Binu (School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA)
Krishna, Ashish (Ecove, Ghaziabad, India)
Kwok, Cannas (School of Nursing, Paramedicine and Health Care Science, Charles Sturt University, New South Wales, Australia)
Le, Tung Thanh (Nam Dinh University of Nursing, Nam Dinh, Vietnam)
Leal, Daniela Giambruno (Pontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile)
Lezana-Fernández, Miguel Ángel (Research Department, National Commission for Medical Arbitration, Mexico, Mexico)
Manirambona, Emery (College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda)
Mantoani, Leandro Cruz (Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil)
Meneses-González, Fernando (Research Department, National Commission for Medical Arbitration, Mexico, Mexico)
Mohamed, Iman Elmahdi (Pharmacology and Toxicology Department, Faculty of Pharmacy, Benghazi University, Libya)
Mukeshimana, Madeleine (School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda)
Nguyen, Chinh Thi Minh (Nam Dinh University of Nursing, Nam Dinh, Vietnam)
Nguyen, Huong Thi Thanh (Nam Dinh University of Nursing, Nam Dinh, Vietnam)
Nguyen, Khanh Thi (Nam Dinh University of Nursing, Nam Dinh, Vietnam)
Nguyen, Son Truong (Nam Dinh University of Nursing, Nam Dinh, Vietnam)
Nurumal, Mohd Said (Kulliyyah of Nursing, International Islamic University, Kuantan, Malaysia)
Nzabonimana, Aimable (Center for Language Enhancement, College of Arts and Social Sciences, University of Rwanda, Huye, Rwanda)
Omer, Nagla Abdelrahim Mohamed Ahmed (Faculty of Medicine, Alzaiem Alazhari University, Khartoum North, Sudan)
Ogungbe, Oluwabunmi (School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA)
Poon, Angela Chiu Yin (Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao)
Reséndiz-Rodriguez, Areli (Universidad Nacional Autónoma de México)
Puang-Ngern, Busayasachee (Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand)
Sagun, Ceryl G (School of Nursing, Centro Escolar University, Manila, Philippines)
Shaik, Riyaz Ahmed (Department of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia)
Shankar, Nikhil Gauri (Mental Health and Learning division, Wrexham Maelor Hospital, Wrexham, United Kingdom)
Sommer, Kathrin (Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center and Health Outcomes Research Unit, Rome, Italy)
Toro, Edgardo (Pontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile)
Tran, Hanh Thi Hong (Nam Dinh University of Nursing, Nam Dinh, Vietnam)
Urgel, Elvira L (School of Nursing, Centro Escolar University, Manila, Philippines)
Uwiringiyimana, Emmanuel (College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda)
Vanichbuncha, Tita (Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand)
Youssef, Naglaa (Medical-surgical Nursing Department, Faculty of Nursing, Cairo University, Egypt)

Date:	2023
Abstract:	The interconnected nature of lifestyles and interim health outcomes implies the presence of the central lifestyle, central interim health outcome and bridge lifestyle, which are yet to be determined. Modifying these factors holds immense potential for substantial positive changes across all aspects of health and lifestyles. We aimed to identify these factors from a pool of 18 lifestyle factors and 13 interim health outcomes while investigating potential gender and occupation differences. An international cross-sectional study was conducted in 30 countries across six World Health Organization regions from July 2020 to August 2021, with 16 512 adults self-reporting changes in 18 lifestyle factors and 13 interim health outcomes since the pandemic. Three networks were computed and tested. The central variables decided by the expected influence centrality were consumption of fruits and vegetables (centrality = 0. 98) jointly with less sugary drinks (centrality = 0. 93) in the lifestyles network; and quality of life (centrality = 1. 00) co-dominant (centrality = 1. 00) with less emotional distress in the interim health outcomes network. The overall amount of exercise had the highest bridge expected influence centrality in the bridge network (centrality = 0. 51). No significant differences were found in the network global strength or the centrality of the aforementioned key variables within each network between males and females or health workers and non-health workers (all P -values >0. 05 after Holm-Bonferroni correction). Consumption of fruits and vegetables, sugary drinks, quality of life, emotional distress, and the overall amount of exercise are key intervention components for improving overall lifestyle, overall health and overall health via lifestyle in the general population, respectively. Although modifications are needed for all aspects of lifestyle and interim health outcomes, a larger allocation of resources and more intensive interventions were recommended for these key variables to produce the most cost-effective improvements in lifestyles and health, regardless of gender or occupation.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Journal of Global Health, Vol. 13 (october 2023) , article 04125, ISSN 2047-2986

DOI: 10.7189/jogh.13.04125
PMID: 37861130

14 p, 3.0 MB

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