Abstract
Objective: To evaluate lifestyle habits in older adults with and without NCDs and to investigate whether the number and profile of healthy behaviors are associated with disease presence.
Methods: This cross-sectional study included 100 individuals aged ≥74 years. Participants were categorized into two groups: with NCDs (n=61) and without NCDs (n=39). Lifestyle habits were assessed using the Individual Lifestyle Profile (PEVI) questionnaire and a structured survey. Comparisons between groups were performed using t-tests and chi-square tests.
Results: Overall lifestyle scores were positive in both groups, with no significant difference in total scores (p=0.17). However, individuals without NCDs had a higher proportion of favorable lifestyle classification (51.2% vs. 39%; p=0.02). Adequate sleep duration (6–8 hours), lower saturated fat intake, and marital status were associated with lower prevalence of NCDs, while a higher proportion of former smokers was observed among individuals with NCDs. No significant association was found between the cumulative number of healthy lifestyle habits and NCD presence.
Conclusion: In older adults, specific lifestyle behaviors—rather than the cumulative number of healthy habits—are associated with the presence of NCDs. These findings highlight the need for targeted interventions focusing on key modifiable behaviors in aging populations.
References
World Health Organization. Noncommunicable diseases. 2023.
GBD 2019 Diseases and Injuries Collaborators. Global burden of disease study 2019. Lancet. 2020. doi:10.1016/S0140-6736(20)30925-9
Prince MJ, et al. The burden of disease in older people. Lancet. 2015. doi:10.1016/S0140-6736(14)61347-7
Beard JR, et al. Healthy ageing. Lancet. 2016. doi:10.1016/S0140-6736(15)00516-4
Kivimäki M, et al. Body-mass index and risk of diseases. Lancet Public Health. 2022. doi:10.1016/S2468-2667(22)00197-1
Ding D, et al. Physical activity and risk of chronic disease. Lancet. 2016. doi:10.1016/S0140-6736(16)30370-1
Irwin MR. Sleep and inflammation. Nat Rev Immunol. 2019. doi:10.1038/s41577-019-0150-2
Li Y, et al. Healthy lifestyle and life expectancy. Circulation. 2018. doi:10.1161/CIRCULATIONAHA.117.032047
Loef M, Walach H. The combined effects of healthy lifestyle behaviors. Prev Med. 2012. doi:10.1016/j.ypmed.2012.06.017
Stringhini S, et al. Socioeconomic status and health. Lancet. 2017. doi:10.1016/S0140-6736(16)32380-7
Kivimäki M, Strandberg T, Pentti J, Nyberg ST, Frank P, Jokela M, et al. Body-mass index and risk of obesity-related diseases in adults: an individual-participant data meta-analysis. Lancet Public Health. 2022;7(11):e942–e953. doi:10.1016/S2468-2667(22)00197-1
Li Y, Pan A, Wang DD, Liu X, Dhana K, Franco OH, et al. Impact of healthy lifestyle factors on life expectancies in the US population. Circulation. 2018;138(4):345–355. doi:10.1161/CIRCULATIONAHA.117.032047
Irwin MR. Sleep and inflammation: partners in sickness and in health. Nat Rev Immunol. 2019;19(11):702–715. doi:10.1038/s41577-019-0150-2
Itani O, Jike M, Watanabe N, Kaneita Y. Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression. Sleep Med. 2017;32:246–256. doi:10.1016/j.sleep.2016.10.006
Tapsell LC, Neale EP, Satija A, Hu FB. Foods, nutrients, and dietary patterns: interconnections and implications for dietary guidelines. Adv Nutr. 2016;7(3):445–454. doi:10.3945/an.115.011718
Schwingshackl L, Hoffmann G. Diet quality as assessed by the Healthy Eating Index, Alternate Healthy Eating Index, Dietary Approaches to Stop Hypertension score, and health outcomes: a systematic review and meta-analysis. BMJ. 2017;357:j1957. doi:10.1136/bmj.j1957
Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, et al. 21st-century hazards of smoking and benefits of cessation in the United States. N Engl J Med. 2013;368(4):341–350. doi:10.1056/NEJMsa1211127
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010;7(7):e1000316. doi:10.1371/journal.pmed.1000316
Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med. 2006;29(4):377–387. doi:10.1007/s10865-006-9056-5
Beard JR, Officer A, de Carvalho IA, Sadana R, Pot AM, Michel JP, et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145–2154. doi:10.1016/S0140-6736(15)00516-4

