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The impact of a healthy lifestyle on Disability-Adjusted Life Years: a prospective cohort study

Overview of attention for article published in BMC Medicine, February 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (84th percentile)
  • Average Attention Score compared to outputs of the same age and source

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Citations

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Title
The impact of a healthy lifestyle on Disability-Adjusted Life Years: a prospective cohort study
Published in
BMC Medicine, February 2015
DOI 10.1186/s12916-015-0287-6
Pubmed ID
Authors

Anne M May, Ellen A Struijk, Heidi P Fransen, N Charlotte Onland-Moret, G Ardine de Wit, Jolanda MA Boer, Yvonne T van der Schouw, Jeljer Hoekstra, H Bas Bueno-de-Mesquita, Petra HM Peeters, Joline WJ Beulens

Abstract

The association between single health behaviours and incidence of and premature mortality from major chronic diseases, including myocardial infarction, stroke, diabetes mellitus, and cancer, has been demonstrated thoroughly. However, the association of several healthy behaviours with Disability-Adjusted Life Years (DALYs), which is a measure for total health combining Years Lost due to Disability and the Years of Life Lost due to premature mortality, has not been studied yet. A prospective cohort study was conducted among 33,066 healthy men and women aged 20 to 70 years recruited into the EPIC-NL study during 1993 to 1997. Participants' smoking status, BMI, physical activity, and adherence to a Mediterranean-style diet (excluding alcohol) were investigated separately and combined into a simple health behaviour score ranging from 0 to 4. Participants were followed until the end of 2007 for occurrence of and mortality from the most important chronic diseases. The association between lifestyle (separate lifestyle factors and a simple health behaviour score) and DALYs were adjusted for relevant confounders. After a median follow-up of 12.4 years, 6,647 disease incidences and 1,482 deaths were documented. Non-smoking, low BMI (BMI <25), being physically active, and adherence to a Mediterranean diet were all associated with a significantly lower disease burden. Persons adhering to all four healthy lifestyle characteristics lived a minimum of 2 years longer in good health (DALYs: -2.13; 95% CI: -2.65 to -1.62) than persons with none. Due to our non-extinct cohort, the total number of DALYs, and consequently the estimates, is underestimated. Therefore, true lifetime health benefits of a healthy lifestyle will be even larger. Non-smoking, a low BMI, being physically active, and adherence to a Mediterranean diet were associated with a lower disease burden. Each additional healthy lifestyle factor contributed to a longer life in good health.

X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 168 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Portugal 1 <1%
Unknown 167 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 27 16%
Researcher 23 14%
Student > Bachelor 23 14%
Student > Ph. D. Student 16 10%
Student > Doctoral Student 9 5%
Other 21 13%
Unknown 49 29%
Readers by discipline Count As %
Medicine and Dentistry 41 24%
Nursing and Health Professions 16 10%
Psychology 13 8%
Social Sciences 9 5%
Agricultural and Biological Sciences 6 4%
Other 29 17%
Unknown 54 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 August 2022.
All research outputs
#3,085,172
of 22,793,427 outputs
Outputs from BMC Medicine
#1,781
of 3,421 outputs
Outputs of similar age
#40,272
of 255,577 outputs
Outputs of similar age from BMC Medicine
#46
of 70 outputs
Altmetric has tracked 22,793,427 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,421 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 43.5. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 255,577 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 84% of its contemporaries.
We're also able to compare this research output to 70 others from the same source and published within six weeks on either side of this one. This one is in the 34th percentile – i.e., 34% of its contemporaries scored the same or lower than it.