Lifestyle behaviours and quality-adjusted life years in middle and older age

Phyo K Myint, Richard D Smith, Robert N Luben, Paul G Surtees, Nicholas W J Wainwright, Nicholas J Wareham, Kay-Tee Khaw

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

OBJECTIVE: to examine the relationship between combined lifestyle behaviours and quality-adjusted life years (QALYs) in a general population.

METHODS: a population-based study was conducted in 13,358 men and women who participated in the European Prospective Investigation into Cancer (EPIC)-Norfolk (baseline 1993-97). A score of 1 was given to each of non-smoking, physically not inactive, moderate alcohol consumption (1-14 units) and consumption of at least five portions of fruit and vegetables (vitamin C level ≥50 µmol/l). Short-Form Six-Dimension (SF-6D) health utility index scores were derived from the SF-36. QALYs were estimated up to follow-up (July 2007).

RESULTS: a total of 13,358 men and women were eligible to be included in the study (aged 40-79 years at baseline). A total of 12,921 people were alive at follow-up (117, 784 person-years). Mean follow-up period was ∼11.5 years. 437 (4.4% of men and 2.4% of women) died. The death rate was 6.5 times higher in people with health behaviour score 0 compared with those who scored 4 (8.4 versus 1.3%). People with higher scores had significantly higher QALYs.

CONCLUSION: our findings support the view that modifiable lifestyle factors are an important component in health improvement.

Original languageEnglish
Pages (from-to)589-955
Number of pages7
JournalAge and Ageing
Volume40
Issue number5
Early online date26 May 2011
DOIs
Publication statusPublished - Sep 2011

Fingerprint

Quality-Adjusted Life Years
Life Style
Health Behavior
Health
Alcohol Drinking
Vegetables
Population
Ascorbic Acid
Fruit
Mortality
Neoplasms

Keywords

  • adult
  • age factors
  • aged
  • aging
  • alcohol drinking
  • chi-square distribution
  • diet
  • England
  • female
  • fruit
  • health surveys
  • humans
  • life expectancy
  • life style
  • male
  • middle aged
  • models, statistical
  • prospective studies
  • quality-adjusted life years
  • risk reduction behavior
  • smoking
  • surveys and questionnaires
  • vegetables

Cite this

Myint, P. K., Smith, R. D., Luben, R. N., Surtees, P. G., Wainwright, N. W. J., Wareham, N. J., & Khaw, K-T. (2011). Lifestyle behaviours and quality-adjusted life years in middle and older age. Age and Ageing, 40(5), 589-955. https://doi.org/10.1093/ageing/afr058

Lifestyle behaviours and quality-adjusted life years in middle and older age. / Myint, Phyo K; Smith, Richard D; Luben, Robert N; Surtees, Paul G; Wainwright, Nicholas W J; Wareham, Nicholas J; Khaw, Kay-Tee.

In: Age and Ageing, Vol. 40, No. 5, 09.2011, p. 589-955.

Research output: Contribution to journalArticle

Myint, PK, Smith, RD, Luben, RN, Surtees, PG, Wainwright, NWJ, Wareham, NJ & Khaw, K-T 2011, 'Lifestyle behaviours and quality-adjusted life years in middle and older age' Age and Ageing, vol. 40, no. 5, pp. 589-955. https://doi.org/10.1093/ageing/afr058
Myint PK, Smith RD, Luben RN, Surtees PG, Wainwright NWJ, Wareham NJ et al. Lifestyle behaviours and quality-adjusted life years in middle and older age. Age and Ageing. 2011 Sep;40(5):589-955. https://doi.org/10.1093/ageing/afr058
Myint, Phyo K ; Smith, Richard D ; Luben, Robert N ; Surtees, Paul G ; Wainwright, Nicholas W J ; Wareham, Nicholas J ; Khaw, Kay-Tee. / Lifestyle behaviours and quality-adjusted life years in middle and older age. In: Age and Ageing. 2011 ; Vol. 40, No. 5. pp. 589-955.
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