| Title: |
Key lifestyles and health outcomes across 16 prevalent chronic diseases: A network analysis of an international observational study |
| Authors: |
Li, JY; Fong, DYT; Lok, KYW; Wong, JYH; Ho, MM; Choi, EPH; Pandian, V; Davidson, PM; Duan, WJ; Tarrant, M; Lee, JJ; Lin, CC; 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, YSS; Irawan, D; Khan, NE; Koirala, B; Krishna, A; Kwok, C; Le, TT; Leal, DG; Lezana-Fernández, MA; 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-Rodríguez, A; Puang-Ngern, B; Sagun, CG; Shaik, RA; Shankar, NG; Sommer, K; Toro, E; Tran, HTH; Urgel, EL; Uwiringiyimana, E; Vanichbuncha, T; Youssef, N |
| Publisher Information: |
International Society of Global Health |
| Publication Year: |
2024 |
| Collection: |
University of Hong Kong: HKU Scholars Hub |
| Description: |
Background Central and bridge nodes can drive significant overall improvements within their respective networks. We aimed to identify them in 16 prevalent chronic diseases during the coronavirus disease 2019 (COVID-19) pandemic to guide effective intervention strategies and appropriate resource allocation for most significant holistic lifestyle and health improvements. Methods We surveyed 16512 adults from July 2020 to August 2021 in 30 territories. Participants self-reported their medical histories and the perceived impact of COVID-19 on 18 lifestyle factors and 13 health outcomes. For each disease subgroup, we generated lifestyle, health outcome, and bridge networks. Variables with the highest centrality indices in each were identified central or bridge. We validated these networks using nonparametric and case-dropping subset bootstrapping and confirmed central and bridge variables’ significantly higher indices through a centrality difference test. Findings Among the 48 networks, 44 were validated (all correlation-stability coefficients?>0.25). Six central lifestyle factors were identified: less consumption of snacks (for the chronic disease: anxiety), less sugary drinks (cancer, gastric ulcer, hypertension, insomnia, and pre-diabetes), less smoking tobacco (chronic obstructive pulmonary disease), frequency of exercise (depression and fatty liver disease), duration of exercise (irritable bowel syndrome), and overall amount of exercise (autoimmune disease, diabetes, eczema, heart attack, and high cholesterol). Two central health outcomes emerged: less emotional distress (chronic obstructive pulmonary disease, eczema, fatty liver disease, gastric ulcer, heart attack, high cholesterol, hypertension, insomnia, and pre-diabetes) and quality of life (anxiety, autoimmune disease, cancer, depression, diabetes, and irritable bowel syndrome). Four bridge lifestyles were identified: consumption of fruits and vegetables (diabetes, high cholesterol, hypertension, and insomnia), less duration of sitting (eczema, fatty ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
Journal of Global Health; Journal of Global Health, 2024, v. 14; WOS:001208974600001; https://hub.hku.hk/handle/10722/347378; 14 |
| DOI: |
10.7189/jogh.14.04068 |
| Availability: |
https://hub.hku.hk/handle/10722/347378; https://doi.org/10.7189/jogh.14.04068 |
| Rights: |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. |
| Accession Number: |
edsbas.23FD8110 |
| Database: |
BASE |