Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study.
Journal: Journal of global health
Volume: 13
Issue:
Year of Publication: 2023
Affiliated Institutions:
School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong SAR, China.
School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Vice-Chancellor and Principal, University of Wollongong, Wollongong, Australia.
Department of Social Work, East China University of Science and Technology, Shanghai, China.
School of Nursing, The University of British Columbia, Kelowna British Columbia, Canada.
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
College of Medicine, Maimaah University, Al Majmaah, Saudi Arabia.
Department of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.
Department of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Department of Urology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.
School of Public Health, JSS Medical College, JSS AHER, Mysuru, India.
Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand.
Kulliyyah of Nursing, International Islamic University, Kuantan, Malaysia.
Italian Association against Leukemia, Lymphoma and Myeloma (AIL), Rome, Italy.
Diálogos Guatemala, Guatemala, Guatemala.
School of Nursing, Centro Escolar University, Manila, Philippines.
Nursing Department, Faculty of Health Science, Beirut Arab University, Lebanon.
Italian Group for Adult Hematologic Diseases (GIMEMA), Data Center and Health Outcomes Research Unit, Rome, Italy.
Department of Psychology, Beirut Arab University, Lebanon.
Department of hepatogastroenterology and infectious diseases, Damietta faculty of medicine, Al-Azher University, Egypt.
Ergonomics Research Center (ECR), University of Guadalajara, Jalisco, Mexico.
Laboratory of Applied Prosocial Research, Department of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Spain.
Faculty of Health Sciences, University of Lethbridge, Alberta, Canada.
Faculty of Nursing, Ladoke Akintola University of Technology, Ogbomosho, Nigeria.
Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
School of Nursing, Wijaya Husada Health Institute, Bogor, Indonesia.
Department of Optometry, University of Kwazulu-Natal, Durban, South Africa.
Ecove, Ghaziabad, India.
School of Nursing, Paramedicine and Health Care Science, Charles Sturt University, New South Wales, Australia.
Nam Dinh University of Nursing, Nam Dinh, Vietnam.
Pontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile.
Research Department, National Commission for Medical Arbitration, Mexico, Mexico.
College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil.
Pharmacology and Toxicology Department, Faculty of Pharmacy, Benghazi University, Libya.
School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Center for Language Enhancement, College of Arts and Social Sciences, University of Rwanda, Huye, Rwanda.
Faculty of Medicine, Alzaiem Alazhari University, Khartoum North, Sudan.
Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao.
National Autonomous University of Mexico, Mexico.
Mental Health and Learning division, Wrexham Maelor Hospital, Wrexham, United Kingdom.
Medical-surgical Nursing Department, Faculty of Nursing, Cairo University, Egypt.
Abstract summary
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.
Authors & Co-authors:
Li Jiaying J
Fong Daniel Yee Tak DYT
Lok Kris Yuet Wan KYW
Wong Janet Yuen Ha JYH
Ho Mandy Man MM
Choi Edmond Pui Hang EPH
Pandian Vinciya V
Davidson Patricia M PM
Duan Wenjie W
Tarrant Marie M
Lee Jung Jae JJ
Lin Chia-Chin CC
Akingbade Oluwadamilare O
Alabdulwahhab Khalid M KM
Ahmad Mohammad Shakil MS
Alboraie Mohamed M
Alzahrani Meshari A MA
Bilimale Anil S AS
Boonpatcharanon Sawitree S
Byiringiro Samuel S
Hasan Muhammad Kamil Che MKC
Schettini Luisa Clausi LC
Corzo Walter W
De Leon Josephine M JM
De Leon Anjanette S AS
Deek Hiba H
Efficace Fabio F
El Nayal Mayssah A MA
El-Raey Fathiya F
Ensaldo-Carrasco Eduardo E
Escotorin Pilar P
Fadodun Oluwadamilola Agnes OA
Fawole Israel Opeyemi IO
Goh Yong-Shian Shawn YS
Irawan Devi D
Khan Naimah Ebrahim NE
Koirala Binu B
Krishna Ashish A
Kwok Cannas C
Le Tung Thanh TT
Leal Daniela Giambruno DG
Lezana-Fernández Miguel Ángel MÁ
Manirambona Emery E
Mantoani Leandro Cruz LC
Meneses-González Fernando F
Mohamed Iman Elmahdi IE
Mukeshimana Madeleine M
Nguyen Chinh Thi Minh CTM
Nguyen Huong Thi Thanh HTT
Nguyen Khanh Thi KT
Nguyen Son Truong ST
Nurumal Mohd Said MS
Nzabonimana Aimable A
Omer Nagla Abdelrahim Mohamed Ahmed NAMA
Ogungbe Oluwabunmi O
Poon Angela Chiu Yin ACY
Reséndiz-Rodriguez Areli A
Puang-Ngern Busayasachee B
Sagun Ceryl G CG
Shaik Riyaz Ahmed RA
Shankar Nikhil Gauri NG
Sommer Kathrin K
Toro Edgardo E
Tran Hanh Thi Hong HTH
Urgel Elvira L EL
Uwiringiyimana Emmanuel E
Vanichbuncha Tita T
Youssef Naglaa N
Study Outcome
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