Clinical Investigation| Volume 364, ISSUE 3, P309-315, September 2022

The role of healthy lifestyles in preventing chronic disease among adults

  • Xiao-Qiong Tan
    Corresponding author at: Xiao-Qiong Tan, MM, Centers for Disease Control and Prevention, No.2, Xuejie, Haibin Street, Baodi District, Tianjin, China 301800
    Baodi District Centers for Disease Control and Prevention, Tianjin 301800, China
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      Although chronic diseases have become a public health dilemma in China, evidence regarding their relationship to a healthy lifestyle in the Chinese population remains limited.


      Based on data obtained from a survey conducted by China's Centers for Disease Control and Prevention (CDC), odds ratios (OR) corresponding to 95% confidential intervals (CIs) related to healthy lifestyle factors were calculated using ordinal logistic regression.


      Most participants in our study presented 1 to 3 healthy lifestyle factors, and only 0.35% of men presented all 6 factors evaluated. Eighty-three percent of participants had at least one chronic disease. A decrease in chronic disease morbidity was followed by an increase in healthy lifestyle factors number. For the three chronic diseases (hypertension, diabetes, and/or dyslipidemia), a lack of physical activity represented 1.231 times (95% CI, 1.013–1.497) higher risk than being physically active. A body mass index (BMI) outside the range of 18.5–24.9 kg/m2 was associated with a higher risk of 1.361 times (95% CI, 1.139–1.625) compared to a BMI within 18.5–24.9 kg/m2. Comparing participants with healthy lifestyle factor ≤1, the OR for participants with 2, 3 and 4–6 healthy lifestyle factors were 0.675, and 0.425 (0.634 and 0.341 for men), respectively.


      Chronic diseases have become one of the leading health burdens in China, while healthy lifestyles have not kept pace. The inverse association between an increasing number of healthy lifestyle factors and chronic disease risk indicates an urgent public need to popularize a healthy lifestyle pattern.

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