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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study
Journal of Global Health, Volume 13, Article 04125, Year 2023
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Description
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. © 2023 The Author(s)
Authors & Co-Authors
Li, Jiaying
Hong Kong, Hong Kong
The University of Hong Kong
Fong, Danial Yee Tak
Hong Kong, Hong Kong
The University of Hong Kong
Lok, Kris Yuet Wan
Hong Kong, Hong Kong
The University of Hong Kong
Wong, Janet Yuen Ha
Hong Kong, Hong Kong
Hong Kong Metropolitan University
Choi, Edmond Pui Hang
Hong Kong, Hong Kong
The University of Hong Kong
Pandian, Vinciya
United States, Baltimore
Johns Hopkins University
Duan, Wenjie
China, Shanghai
East China University of Science and Technology
Tarrant, Marie A.
Canada, Vancouver
The University of British Columbia
Lee, Jung Jae
Hong Kong, Hong Kong
The University of Hong Kong
Akingbade, Oluwadamilare
Hong Kong, Hong Kong
Chinese University of Hong Kong
Nigeria, Osogbo
Institute of Nursing Research
Alabdulwahhab, Khalid Mohammad
Unknown Affiliation
Ahmad, Mohammad Shakil
Saudi Arabia, Al-majmaah
Majmaah University
Alboraie, Mohamed
Egypt, Cairo
Al-azhar University
Al-Zahrani, Meshari A.
Saudi Arabia, Al-majmaah
Majmaah University
Bilimale, Anil
Unknown Affiliation
Boonpatcharanon, Sawitree
Thailand, Bangkok
Chulalongkorn Business School
Byiringiro, Samuel
United States, Baltimore
Johns Hopkins University
Schettini, Luisa Clausi
Unknown Affiliation
Corzo, Walter
Unknown Affiliation
De Leon, Josephine M.
Unknown Affiliation
de Leon, Anjanette S.
Unknown Affiliation
Deek, Hiba
Lebanon, Beirut
Beirut Arab University
Efficace, Fabio
Italy, Rome
Data Center and Health Outcomes Research Unit
El-Nayal, Mayssah A.
Lebanon, Beirut
Beirut Arab University
El-Raey, Fathiya
Egypt, Cairo
Al-azhar University
Ensaldo-Carrasco, Eduardo
Mexico, Guadalajara
Universidad de Guadalajara
Escotorín, Pilar
Spain, Cerdanyola Del Valles
Universitat Autònoma de Barcelona
Fadodun, Oluwadamilola Agnes
Canada, Lethbridge
University of Lethbridge
Fawole, Israel Opeyemi
Nigeria, Ogbomoso
Ladoke Akintola University of Technology
Irawan, Devi
Unknown Affiliation
Khan, Naimah Ebrahim
South Africa, Durban
University of Kwazulu-natal
Koirala, Binu
United States, Baltimore
Johns Hopkins University
Krishna, Ashish
Unknown Affiliation
Le, Tungthanh
Unknown Affiliation
Leal, Daniela Giambruno
Chile, Valparaiso
Pontificia Universidad Católica de Valparaíso
Lezana-Fernández, Miguel Ángel
Unknown Affiliation
Manirambona, Emery
Rwanda, Butare
University of Rwanda
Mantoani, Leandro Cruz
Brazil, Londrina
Universidade Estadual de Londrina
Meneses-González, Fernando
Unknown Affiliation
Mohamed, Iman Elmahdi
Libya, Benghazi
University of Benghazi
Mukeshimana, Madeleine M.
Rwanda, Butare
University of Rwanda
Nguyen, Huong Thi Thanh
Unknown Affiliation
Nguyen, Khanh Thi
Unknown Affiliation
Nguyen, Son Truong
Unknown Affiliation
Nurumal, Mohd Said
Malaysia, Kuala Lumpur
International Islamic University Malaysia
Nzabonimana, Aimable
Rwanda, Butare
University of Rwanda
Omer, Nagla Abdelrahim Mohamed Ahmed
Sudan, Khartoum
Alzaiem Alazhari University
Ogungbe, Oluwabunmi
United States, Baltimore
Johns Hopkins University
Poon, Angela Chiu Yin
Macao, Macau
Macao Polytechnic University
Reséndiz-Rodriguez, Areli
Mexico, Mexico
Universidad Nacional Autónoma de México
Puang-Ngern, Busayasachee
Thailand, Bangkok
Chulalongkorn Business School
Sagun, Ceryl G.
Unknown Affiliation
Shankar, Nikhil Gauri
United Kingdom, Wrexham
Wrexham Maelor Hospital
Sommer, Kathrin
Italy, Rome
Data Center and Health Outcomes Research Unit
Toro, Edgardo
Chile, Valparaiso
Pontificia Universidad Católica de Valparaíso
Tran, Hanh Thi Hong
Unknown Affiliation
Urgel, Elvira L.
Unknown Affiliation
Uwiringiyimana, Emmanuel
Rwanda, Butare
University of Rwanda
Vanichbuncha, Tita
Thailand, Bangkok
Chulalongkorn Business School
Youssef, Naglaa F.A.
Egypt, Giza
Cairo University
Statistics
Authors: 60
Affiliations: 29
Identifiers
Doi:
10.7189/JOGH.13.04125
ISSN:
20472978
Research Areas
Disability
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Female