Optimism, dietary habits, body mass index and smoking among young Finnish adults
Abstract
The association between optimism and health habits was evaluated among 31-year-old men and women (n=8690) born in Northern Finland in 1966. Both women and men above the upper quartile for optimism more often ate fresh vegetables and salads (women 76%/men 57%), berries (23%/9%), fruit (67%/42%), low-fat cheese (25%/16%) and salad dressing (15%/17%) than those below the lower quartile (56%/31%, 14%/5%, 52%/26%, 18%/10% and 10%/5%, respectively) with women in higher proportion than in men in each case. Pessimism was associated with infrequent consumption of foods rich in fiber and salad dressing and the proportions of high consumers of alcohol. Proportion of subjects with BMI of 30.0 kg/m2 and above and that of current smokers were higher among the pessimists than among the optimists. Thus lack of optimism is associated with a cluster of unhealthy dietary and other habits. This may at least partly explain the positive association of optimism with health found in previous studies.
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Online diabetes self-management interventions have small but statistically significant effects on HbA1c, diet, and lipids, but do not consistently improve depression symptoms.
“In a meta-analysis, Pal and colleagues[30] found that online diabetes self-management interventions have a small, but statistically significant, effects on HbA1c, diet, and lipids, but do not consistently improve depression symptoms.”
From An online positive affect skills intervention reduces depression in adults with type 2 diabetes (2014) · cites this paper as [30]
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BackgroundResultOptimism, pessimism and bias in self‐reported body weight among older adults
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Boehm, J. K., Qureshi, F., Chen, Y., Soo, J., Umukoro, P. E., Hernández, R., Lloyd‐Jones, D. M., & Kubzansky, L. D. (2020) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000855 · Cited by 26 · see citing works
“, when adding sociodemographic factors to an age-adjusted model, a 1-SD change in optimism went from 6% to 3% greater likelihood of having healthy blood pressure levels), but are consistent with findings from past research on CVH (15) and research specific to the individual components of CVH (41).”
ResultVäyrynen, J. P., Mutt, S. J., Herzig, K., Väyrynen, S. A., Kantola, T., Karhu, T., Karttunen, T. J., Klintrup, K., Mäkelä, J. T., Mäkinen, M. J., et al. (2016) · Scientific Reports · doi:10.1038/srep36519 · Cited by 25 · see citing works
Correlates of nutritional behavior in individuals with multiple sclerosis
Plow, M. A., Finlayson, M. L., & Cho, C. (2012) · Disability and health journal · doi:10.1016/j.dhjo.2012.05.007 · Cited by 25 · see citing works
Joutsenniemi, K., Härkänen, T., Pankakoski, M., LANGINVAINIO, H., Mattila, A., Saarelma, O., Lönnqvist, J. K., & Mustonen, P. (2013) · BMJ Open · doi:10.1136/bmjopen-2012-002397 · Cited by 25 · see citing works
“No marked differences were found in the consumption of junk food.(12) Psychological stress and socioeconomic status (SES) are”
BackgroundOsibogun, O. I., Ogunmoroti, O., Spatz, E. S., Burke, G. L., & Michos, E. D. (2018) · Clinical Cardiology · doi:10.1002/clc.22995 · Cited by 23 · see citing works
Effect of Positive Well-Being on Incidence of Symptomatic Coronary Artery Disease
Yanek, L. R., Kral, B. G., Moy, T. F., Vaidya, D. M., Lazo, M., Becker, L. C., & Becker, D. M. (2013) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2013.05.055 · Cited by 23 · see citing works
Randomized controlled trial of a well-being intervention in cardiac patients
Nikrahan, G. R., Eshaghi, L., Massey, C. N., Hemmat, A., Amonoo, H. L., Healy, B. C., & Huffman, J. C. (2019) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2019.06.005 · Cited by 22 · see citing works
Ding, T., Mullan, B. A., & Xavier, K. (2014) · British Food Journal · doi:10.1108/bfj-07-2012-0177 · Cited by 22 · see citing works
An examination of dyadic changes in optimism and physical health over time.
Chopik, W. J., Kim, E. S., & Smith, J. (2017) · Health Psychology · doi:10.1037/hea0000549 · Cited by 22 · see citing works
Ait-hadad, W., Bénard, M., Shankland, R., Kesse-Guyot, E., Robert, M., Touvier, M., Hercberg, S., Buscail, C., & Péneau, S. (2020) · Nutrition Journal · doi:10.1186/s12937-020-0522-7 · Cited by 28 · see citing works
The Role of Dispositional Optimism in Physical and Mental Well-Being
Ottenheim, N. R., van der Mast, R. C., Zitman, F. G., & Giltay, E. J. (2012) · Social indicators research series · doi:10.1007/978-94-007-4963-4_9 · Cited by 21 · see citing works
“A Finnish cross-sectional study showed that higher optimism scores were positively associated with higher consumption of fresh vegetables or salads, berries, fruit, low-fat cheese, and salad dressing (Kelloniemi et al., 2005).”
BackgroundInfluentialReprint of: Positive Psychological Well-Being and Cardiovascular Disease
Kubzansky, L. D., Huffman, J. C., Boehm, J. K., Hernández, R., Kim, E. S., Koga, H. K., Feig, E. H., Lloyd‐Jones, D. M., Seligman, M. E. P., & Labarthe, D. R. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.10.023 · Cited by 19 · see citing works
“Findings are more equivocal for a healthy BMI, with protective associations suggested by crosssectional studies but inconsistent results from prospective studies (39,40).”
BackgroundResultEvans, J. R., Torres-Pérez, J. V., Petrazzini, M. E. M., Riley, R. J., & Brennan, C. H. (2021) · Scientific Reports · doi:10.1038/s41598-020-79615-1 · Cited by 20 · see citing works
Hankonen, N. E., Vollmann, M., Renner, B., & Absetz, P. (2010) · Journal of Behavioral Medicine · doi:10.1007/s10865-010-9271-y · Cited by 18 · see citing works
“…that optimism is related to health behavior and health behavior outcomes, such as successful completion of interventions (e.g., Milam et al. 2004; Strack et al. 1987), healthy dietary habits (e.g., Kelloniemi et al. 2005; Schroder and Schwarzer 2005), and weight loss (Shepperd et al. 1996).”
BackgroundAnger expression styles and blood pressure: evidence for different pathways
Igna, C. V., Julkunen, J., & Vanhanen, H. T. (2009) · Journal of Hypertension · doi:10.1097/hjh.0b013e32832f4f8f · Cited by 18 · see citing works
Ogunmoroti, O., Utuama, O. A., Salami, J., Elizondo, J. V., Spatz, E. S., Rouseff, M., Parris, D., Das, S., Guzmán, H., Agatston, A. S., et al. (2017) · Journal of Public Health · doi:10.1093/pubmed/fdx140 · Cited by 18 · see citing works
Pänkäläinen, M., Fogelholm, M., Valve, R., Kampman, O., Kauppi, M. J., Lappalainen, E., & Hintikka, J. (2018) · Nutrition Journal · doi:10.1186/s12937-018-0400-8 · Cited by 18 · see citing works
Dietary patterns and mental health after myocardial infarction
Ottenheim, N. R., Kromhout, D., Sijtsma, F. P. C., Geleijnse, J. M., & Giltay, E. J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0186368 · Cited by 18 · see citing works
“Regarding the association between dietary patterns and optimism, our results were concordant with those of an earlier study among a younger, population-based sample [21, 22], postmenopausal women [24], women with fibromyalgia [25], and older men [23].”
BackgroundMethodResultRamsay, J. E., Yang, F., Pang, J. S., Lai, C. M., Ho, R., & Mak, K. (2013) · Journal of Health Psychology · doi:10.1177/1359105313504441 · Cited by 19 · see citing works
“In a sample of healthy adults, optimism was positively related to healthier dietary habits and negatively related to smoking (Kelloniemi et al., 2005).”
Backgroundvan de Rest, O., de Goede, J., Sytsma, F., Griep, L. M. O., Geleijnse, J. M., Kromhout, D., & Giltay, E. J. (2009) · British Journal Of Nutrition · doi:10.1017/s0007114509993308 · Cited by 17 · see citing works
“Dispositional optimism is defined in terms of generalised positive expectancies for one’s future((14)) and has been associated with more healthy dietary and other lifestyle habits((15,16)) and also with less cardiovascular mortality((17)).”
BackgroundCan Optimism Decrease the Risk of Illness and Disease Among the Elderly?
Peterson, C., Park, N., & Kim, E. S. (2012) · Aging Health · doi:10.2217/ahe.11.81 · Cited by 16 · see citing works
Robert, M., Buscail, C., Allès, B., Shankland, R., Tavolacci, M., Déchelotte, P., Courtois, F., Ait-hadad, W., Andreeva, V., Touvier, M., et al. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23347 · Cited by 13 · see citing works
“Optimistic individuals have been shown to be more likely to display healthier behaviors (31,57) such as smoking less (3,9), being more physically active (3,11), and having a healthier diet (9,10).”
InfluentialChen, T. (2011) · Expert Systems with Applications · doi:10.1016/j.eswa.2011.04.045 · Cited by 15 · see citing works
Development of a Positive Psychology Intervention for Patients with Acute Cardiovascular Disease
Huffman, J. C., Mastromauro, C. A., Boehm, J. K., Seabrook, R. C., Fricchione, G. L., Denninger, J. W., & Lyubomirsky, S. (2011) · Heart International · doi:10.4081/hi.2011.e13a · Cited by 14 · see citing works
An exploratory mixed methods analysis of adherence predictors following acute coronary syndrome
Huffman, J. C., Moore, S. V., DuBois, C. M., Mastromauro, C. A., Suarez, L. S. K., & Park, E. R. (2014) · Psychology Health & Medicine · doi:10.1080/13548506.2014.989531 · Cited by 13 · see citing works
Carrillo, A., Feig, E. H., Harnedy, L. E., Huffman, J. C., Park, E. R., Thorndike, A. N., Kim, S., & Millstein, R. A. (2022) · Health Psychology Open · doi:10.1177/20551029211055264 · Cited by 12 · see citing works
“Optimism, in particular, has received special attention with regard to this topic, and it has been found that this construct is associated with the consumption of healthier food (Aithadad et al., 2020; Boehm et al., 2018; Hingle et al., 2014; Kelloniemi et al., 2005).”
BackgroundRadavelli‐Bagatini, S., Sim, M., Blekkenhorst, L. C., Bondonno, N. P., Bondonno, C. P., Woodman, R. J., Dickson, J. M., Magliano, D. J., Shaw, J. E., Daly, R. M., et al. (2022) · European Journal of Nutrition · doi:10.1007/s00394-022-02848-5 · Cited by 12 · see citing works
Karhu, J., Hintsanen, M., Ek, E., Koskela, J., & Veijola, J. (2022) · Personality and Individual Differences · doi:10.1016/j.paid.2022.111710 · Cited by 11 · see citing works
Self-citationAnsari, H., Khammarnia, M., Okati‐Aliabad, H., Fakhrrahimi, S., Mahdavifar, N., Mohammadian, M., Yousefzadeh, A., Mohammadbeigi, A., Mohammadi, Y., & Tirgarfakheri, K. (2019) · Health Scope · doi:10.5812/jhealthscope.89282 · Cited by 11 · see citing works
“Generally, positive performance is related to health behaviors (2, 5).”
BackgroundResultInfluentialZhao, F., Suhonen, R., Katajisto, J., & Leino‐Kilpi, H. (2019) · Nursing Open · doi:10.1002/nop2.379 · Cited by 11 · see citing works
“Optimism has been shown to possibly associate with health be‐ haviour in young adults (Kelloniemi et al., 2005) and older adults (Steptoe, Wright, Kunz‐Ebrecht, & Iliffe, 2006; Barnett & Anderson 2019).”
BackgroundThe Role of Optimism Regarding Nutrition and Health Behavior
Soliah, L. (2010) · American Journal of Lifestyle Medicine · doi:10.1177/1559827610378341 · Cited by 11 · see citing works
“Perhaps optimism is associated with a sense of mastery over one’s eating behaviors and the ability of a person to be responsive to health and weight-related interventions.(11) Conditions That Predict Successful Changes in Dietary Habits”
BackgroundResultInfluentialDietary intake and characteristics in persons with multiple sclerosis
Venasse, M., Gauthier, A., Giroux, I., & Pilutti, L. A. (2021) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2021.103237 · Cited by 10 · see citing works
Association of pessimism with cardiovascular events and all-cause mortality
Krittanawong, C., Maitra, N. S., Khawaja, M., Wang, Z., Fogg, S. E., Rozenkrantz, L., Virani, S. S., Levin, M., Storch, E. A., Tobler, P. N., et al. (2022) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2022.11.018 · Cited by 10 · see citing works
Herráiz-Adillo, Á., Ahlqvist, V. H., Daka, B., Wångdahl, J. M., Wennberg, P., Carlsson, J., Higueras‐Fresnillo, S., Lenander, C., Östgren, C. J., Berglind, D., et al. (2024) · Quality of Life Research · doi:10.1007/s11136-023-03580-1 · Cited by 11 · see citing works
Serlachius, A. S., Pulkki-Råbäck, L., Juonala, M., Sabin, M. A., Lehtimäki, T. J., Raitakari, O. T., & Elovainio, M. J. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.07.006 · Cited by 10 · see citing works
“Optimism has shown to positively associate with a healthy diet and a low body mass index (BMI) in a population-based study of young adults [6], and with healthy behaviours including increased physical activity and eating a healthier diet in elderly men [7].”
BackgroundOura, P., AUVINEN, J. P., Paananen, M., Junno, J., Niinimäki, J. L., Karppinen, J. I., & Nurkkala, M. (2019) · Osteoporosis International · doi:10.1007/s00198-019-04843-9 · Cited by 10 · see citing works
Hankonen, N. E. (2011) · Työväentutkimus Vuosikirja · Cited by 10 · see citing works
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“A second notable finding was the relationship between NH residents’ attitude and engagement in their own care [18–21].”
BackgroundPersonality, well-being and job resources : from negative paradigm towards positive psychology
Mäkikangas, A. (2007) · Jyväskylä University Digital Archive (University of Jyväskylä) · Cited by 9 · see citing works
Recursos psicosociales positivos y salud cardiovascular
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Associations between optimism, tobacco smoking and substanceabuse among Iranian high school students
Marin, S., Heshmatian, E., Nadrian, H., Fakhari, A., & Mohammadpourasl, A. (2019) · Health Promotion Perspectives · doi:10.15171/hpp.2019.38 · Cited by 8 · see citing works
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“sults indicating that the proportion of current smokers was higher among pessimists than among optimists [29].”
BackgroundKokthi, E., Miftari, I., Hasani, A., Tili, I., & Basha, A. (2025) · Discover Sustainability · doi:10.1007/s43621-025-02466-1 · Cited by 6 · see citing works
“Despite the negative consequences, adolescents continue to consume fast food, suggesting that positive attitudes may reflect automatic, emotion-driven decisions rather than deliberate choices [39, 62, 65, 69].”
O’Keefe, E. L., Lavie, C. J., & Kachur, S. M. (2020) · Heart and Mind · doi:10.4103/hm.hm_32_20 · Cited by 5 · see citing works
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Schiavon, C. C., Marchetti, E., Ayala, F. O., Loewe, G., Bauer, J., Busnello, F. M., & Reppold, C. T. (2020) · PLoS ONE · doi:10.1371/journal.pone.0236693 · Cited by 4 · see citing works
“One of the mediating factors of this association was healthy eating habits [23].”
BackgroundYokokawa, Y., Sone, T., Matsuyama, S., Lu, Y., Sugawara, Y., Fukao, A., & Tsuji, I. (2022) · Journal of Epidemiology · doi:10.2188/jea.je20210493 · Cited by 4 · see citing works
“36,37 On the other hand, shorter desired longevity could be associated with negative a ff ectivity, which is known to increase the risk of mortality.”
Szabó, K., & Piko, B. F. (2018) · Orvosi Hetilap · doi:10.1556/650.2018.31194 · Cited by 4 · see citing works
“Az optimizmus/pesszimizmus is szerepet játszik az egészséges táplálkozás fenntartásában: az egészségesebb ételeket fogyasztók inkább optimisták voltak [19].”
- Authors
- Kelloniemi, H., Ek, E., & Laitinen, J.
- Affiliations
- University of Oulu (FI)
- Corresponding author
- Kelloniemi, Heini
- Venue
- Appetite
- Publisher
- Elsevier BV
- Published
- 2005-10
- Volume
- 45
- Issue
- 2
- Pages
- 169-176
- ISSN
- 0195-6663 (ISSN-L)
- OpenAlex
- W1996726989
- Cited by
- 129
- References
- 36
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 6 · 2020: 9 · 2019: 14 · 2018: 9 · 2017: 13 · 2016: 4 · 2015: 11 · 2014: 9 · 2013: 7 · 2012: 9
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Appetite (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- optimism, pessimism, dietary habits, body mass index, smoking, alcohol consumption, fruit and vegetable intake, salad dressing, dietary fiber intake, young adults, health behavior, sex differences
- MeSH terms
- Adult, Attitude, Diet, Female, Finland, Health Surveys, Humans, Life Style, Male, Sex Factors, Smoking, Vegetables, Cohort Studies, Health Behavior, Body Mass Index
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