Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study.

Li, J; Fong, DYT; Lok, KYW; Wong, JYH; Ho, MM; Choi, EPH; Pandian, V; Davidson, PM; Duan, W; Tarrant, M; Lee, JJ; Lin, C-C; Akingbade, O; Alabdulwahhab, KM; Ahmad, MS; Alboraie, M; Alzahrani, MA; Bilimale, AS; Boonpatcharanon, S; Byiringiro, S; Hasan, MKC; Schettini, LC; Corzo, W; De Leon, JM; De Leon, AS; Deek, H; Efficace, F; El Nayal, MA; El-Raey, F; Ensaldo-Carrasco, E; Escotorin, P; Fadodun, OA; Fawole, IO; Goh, Y-SS; Irawan, D; Khan, NE; Koirala, B; Krishna, A; Kwok, C; Le, TT; Leal, DG; Lezana-Fernández, MÁ; Manirambona, E; Mantoani, LC; Meneses-González, F; Mohamed, IE; Mukeshimana, M; Nguyen, CTM; Nguyen, HTT; Nguyen, KT; Nguyen, ST; Nurumal, MS; Nzabonimana, A; Omer, NAMA; Ogungbe, O; Poon, ACY; Reséndiz-Rodriguez, A; Puang-Ngern, B; Sagun, CG; Shaik, RA; Shankar, NG; Sommer, K; Toro, E; Tran, HTH; Urgel, EL; Uwiringiyimana, E; Vanichbuncha, T; Youssef, N

Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study.

Li, J Fong, DYT Lok, KYW Wong, JYH Ho, MM Choi, EPH Pandian, V Davidson, PM Duan, W Tarrant, M Lee, JJ Lin, C-C Akingbade, O Alabdulwahhab, KM Ahmad, MS Alboraie, M Alzahrani, MA Bilimale, AS Boonpatcharanon, S Byiringiro, S Hasan, MKC Schettini, LC Corzo, W De Leon, JM De Leon, AS Deek, H Efficace, F El Nayal, MA El-Raey, F Ensaldo-Carrasco, E Escotorin, P Fadodun, OA Fawole, IO Goh, Y-SS Irawan, D Khan, NE Koirala, B Krishna, A Kwok, C Le, TT Leal, DG Lezana-Fernández, MÁ Manirambona, E Mantoani, LC Meneses-González, F Mohamed, IE Mukeshimana, M Nguyen, CTM Nguyen, HTT Nguyen, KT Nguyen, ST Nurumal, MS Nzabonimana, A Omer, NAMA Ogungbe, O Poon, ACY Reséndiz-Rodriguez, A Puang-Ngern, B Sagun, CG Shaik, RA Shankar, NG Sommer, K Toro, E Tran, HTH Urgel, EL Uwiringiyimana, E Vanichbuncha, T Youssef, N

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Publisher:: INT SOC GLOBAL HEALTH
Publication Type:: Journal Article
Citation:: J Glob Health, 2023, 13, pp. 04125
Issue Date:: 2023-10-20

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Field	Value	Language
dc.contributor.author	Li, J
dc.contributor.author	Fong, DYT
dc.contributor.author	Lok, KYW
dc.contributor.author	Wong, JYH
dc.contributor.author	Ho, MM
dc.contributor.author	Choi, EPH
dc.contributor.author	Pandian, V
dc.contributor.author	Davidson, PM
dc.contributor.author	Duan, W
dc.contributor.author	Tarrant, M
dc.contributor.author	Lee, JJ
dc.contributor.author	Lin, C-C
dc.contributor.author	Akingbade, O
dc.contributor.author	Alabdulwahhab, KM
dc.contributor.author	Ahmad, MS
dc.contributor.author	Alboraie, M
dc.contributor.author	Alzahrani, MA
dc.contributor.author	Bilimale, AS
dc.contributor.author	Boonpatcharanon, S
dc.contributor.author	Byiringiro, S
dc.contributor.author	Hasan, MKC
dc.contributor.author	Schettini, LC
dc.contributor.author	Corzo, W
dc.contributor.author	De Leon, JM
dc.contributor.author	De Leon, AS
dc.contributor.author	Deek, H
dc.contributor.author	Efficace, F
dc.contributor.author	El Nayal, MA
dc.contributor.author	El-Raey, F
dc.contributor.author	Ensaldo-Carrasco, E
dc.contributor.author	Escotorin, P
dc.contributor.author	Fadodun, OA
dc.contributor.author	Fawole, IO
dc.contributor.author	Goh, Y-SS
dc.contributor.author	Irawan, D
dc.contributor.author	Khan, NE
dc.contributor.author	Koirala, B
dc.contributor.author	Krishna, A
dc.contributor.author	Kwok, C
dc.contributor.author	Le, TT
dc.contributor.author	Leal, DG
dc.contributor.author	Lezana-Fernández, MÁ
dc.contributor.author	Manirambona, E
dc.contributor.author	Mantoani, LC
dc.contributor.author	Meneses-González, F
dc.contributor.author	Mohamed, IE
dc.contributor.author	Mukeshimana, M
dc.contributor.author	Nguyen, CTM
dc.contributor.author	Nguyen, HTT
dc.contributor.author	Nguyen, KT
dc.contributor.author	Nguyen, ST
dc.contributor.author	Nurumal, MS
dc.contributor.author	Nzabonimana, A
dc.contributor.author	Omer, NAMA
dc.contributor.author	Ogungbe, O
dc.contributor.author	Poon, ACY
dc.contributor.author	Reséndiz-Rodriguez, A
dc.contributor.author	Puang-Ngern, B
dc.contributor.author	Sagun, CG
dc.contributor.author	Shaik, RA
dc.contributor.author	Shankar, NG
dc.contributor.author	Sommer, K
dc.contributor.author	Toro, E
dc.contributor.author	Tran, HTH
dc.contributor.author	Urgel, EL
dc.contributor.author	Uwiringiyimana, E
dc.contributor.author	Vanichbuncha, T
dc.contributor.author	Youssef, N
dc.date.accessioned	2024-02-19T22:50:46Z
dc.date.available	2024-02-19T22:50:46Z
dc.date.issued	2023-10-20
dc.identifier.citation	J Glob Health, 2023, 13, pp. 04125
dc.identifier.issn	2047-2978
dc.identifier.issn	2047-2986
dc.identifier.uri	http://hdl.handle.net/10453/175751
dc.description.abstract	BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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.
dc.format	Electronic
dc.language	eng
dc.publisher	INT SOC GLOBAL HEALTH
dc.relation.ispartof	J Glob Health
dc.relation.isbasedon	10.7189/jogh.13.04125
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	4206 Public health
dc.subject.mesh	Male
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Quality of Life
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Life Style
dc.subject.mesh	Exercise
dc.subject.mesh	Outcome Assessment, Health Care
dc.subject.mesh	Humans
dc.subject.mesh	Exercise
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Life Style
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Outcome Assessment, Health Care
dc.subject.mesh	Male
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Quality of Life
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Life Style
dc.subject.mesh	Exercise
dc.subject.mesh	Outcome Assessment, Health Care
dc.title	Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study.
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	Scotland
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2024-02-19T22:50:44Z
pubs.publication-status	Published online
pubs.volume	13

Abstract:

BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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.

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http://hdl.handle.net/10453/175751