Modifiable lifestyle behaviors and functional health in the European Prospective Investigation into Cancer (EPIC)-Norfolk population study
Preventive Medicine 2007 ; 44: 109-16.
Bingham SA, Harvey I, Khaw KT, Luben RN, Myint PK, Smith RD, Surtees PG, Wainwright NW, Wareham NJ, and Welch AA
DOI : 10.1016/j.ypmed.2006.09.007
PubMed ID : 17069879
PMCID :
URL : https://www.sciencedirect.com/science/article/pii/S009174350600377X?via%3Dihub
Abstract
Objective
To examine the association between modifiable lifestyle behaviors and functional health.
Method
Population-based cross-sectional study in 16,678 men and women aged 40–79 years at baseline in 1993–1997 participating in the European
Prospective Investigation into Cancer (EPIC)-Norfolk cohort.
Results
Smoking and physical inactivity were associated with poorer physical functional health, equivalent to being 7 years and 10–13 years older, respectively, and poorer mental functional
health compared to non-smoking or being physically active. After adjusting for age, body mass index, social class, education, prevalent illness, and other lifestyles; men and women who currently smoke were more likely to report poor physical functional
health compared to non-smokers {Odds Ratio (OR) = 1.85 (95% confidence interval (CI): 1.49, 2.30) and 1.56 (1.30, 1.87)} and poor mental functional health {1.38 (1.12, 1.70); 1.77 (1.51, 2.07)}, respectively. The OR for good physical function in those
who were physically active compared to inactive was 1.67 (1.41, 1.97) in men and 1.63 (1.39, 1.91) in women. Moderate alcohol consumption was positively associated with good physical and mental functional health.
Conclusion
Modifiable behavioral
factors are associated with substantial differences in the observed age-related decline in physical functional health and the prevalence of those in good and poor functional health in the community.
Study : EPIC-Norfolk: The European Prospective Investigation into Cancer Norfolk Cohort