How Healthy Lifestyle Factors at Midlife Relate to Healthy Aging
Open accessAbstract
With increasing life expectancies worldwide, it is an important public health issue to identify factors that influence the quality of aging. We aimed to investigate the individual and combined roles of lifestyle factors at midlife for healthy aging (HA). We analyzed data from 2203 participants of the French ”Supplémentation en Vitamines et Minéraux Antioxydants” (SU.VI.MAX) cohort aged 45–60 years at baseline (1994–1995), and assessed the combined impact of lifestyle factors (weight, smoking status, physical activity, alcohol consumption, and diet) on HA (absence of chronic diseases and function-limiting pain, good physical and cognitive functioning, functional independence, no depressive symptoms, and good social and self-perceived health) with a five-component healthy lifestyle index (HLI). Relative risks (RR) and 95% confidence intervals (CIs) were estimated using a robust-error-variance Poisson regression. Approximately 39% of our sample aged healthily. After adjustment for potential confounders, a one-point increase in HLI was related to an 11% higher probability of HA (95% CI = 6%, 16%; p < 0.001). The proportions of HA attributable to specific factors based on the “population attributable risk” concept were 7.6%, 6.0%, 7.8%, and 16.5% for body mass index (BMI), physical activity, diet quality, and smoking status, respectively. This study highlights the importance of healthy lifestyle habits at midlife for the promotion of good overall health during aging.
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In the French SU.VI.MAX cohort, a one-point increase in a five-component healthy lifestyle index was related to an 11% higher probability of healthy aging in adults aged 45-60 years.
“In an analysis of data of 2203 participants, of the French ”Supplémentation en Vitamines et Minéraux Antioxydants” cohort, aged 45–60 years, a one-point increase in a five-component healthy lifestyle index (weight, smoking status, physical activity, alcohol consumption and diet) was related to a 11% higher probability of healthy aging”
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References 29 · Cited by 80
- Authors
- Atallah, N., Adjibade, M., Lelong, H., Hercberg, S., Galan, P., Assmann, K. E., & Kesse-Guyot, E.
- Affiliations
- Conservatoire National des Arts et Métiers (FR)
- Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, U1153 National Institute of Health and Medical Research (INSERM), U1125 National Institute for Agricultural Research (INRA), National Conservatory of Arts and Crafts (CNAM), Paris 13 University, Sorbonne Paris Cité COMUE, F-93017 Bobigny, France
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2018-06-30
- Volume
- 10
- Issue
- 7
- Pages
- 854
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC6073192
- OpenAlex
- W2810453147
- Cited by
- 80
- References
- 29
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 6 · 2023: 16 · 2022: 12 · 2021: 11 · 2020: 7 · 2019: 7 · 2018: 1
- FWCI
- 6.20
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- healthy aging, healthy lifestyle index, body mass index, physical activity, diet quality, smoking status, alcohol consumption, chronic disease, functional independence, cognitive function, depressive symptoms, population attributable risk, SU.VI.MAX cohort
- MeSH terms
- Diet, Healthy, Healthy Aging, Age Factors, Alcohol Drinking, Antioxidants, Body Weight, Female, France, Health Status, Humans, Life Expectancy, Male, Mental Health, Middle Aged, Minerals, Risk Factors, Smoking, Exercise, Body Mass Index, Chi-Square Distribution, Linear Models, Odds Ratio, Randomized Controlled Trials as Topic, Smoking Cessation, Dietary Supplements, Risk Reduction Behavior, Sedentary Behavior, Protective Factors
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