Healthy lifestyle behaviours and all-cause and cardiovascular mortality among 0.9 million Chinese adults

• DOI: 10.1186/s12966-021-01234-4
• Publication Date: 2021-12-18T10:02:19Z
• Authors: Xingyi Zhang; Jiapeng Lu; Chaoqun Wu; Jianlan Cui; Yue Wu; Anyi Hu; Jing Li; Xi Li
• Keywords: Clinical nutrition

Abstract Background Healthy lifestyle behaviours are effective means to reduce the burden of diseases. This study was aimed fill knowledge gaps on distribution, associated factors, and potential health benefits mortality four healthy in China. Methods During 2015–2019, participants aged 35–75 years from 31 provinces were recruited by China PEACE Million Persons Project. Four investigated our study, including non-smoking, none or moderate alcohol use, sufficient leisure time physical activity (LTPA), diet. Results Among 903,499 participants, 74.1% non-smokers, 96.0% had 23.6% LTPA, 11.1% diet, only 2.8% all behaviours. The adherence varied across seven regions; highest median county-level North (3.3%) while lowest Southwest (0.8%) ( p < 0.05). Participants who female, elder, non-farmers, urban residents, with higher income education, hypertensive diabetic, a cardiovascular disease (CVD) history more likely adhere 0.001). County-level per capital Gross Domestic Product (GDP) positively LTPA 0.05 for both rural areas) diet 0.01 areas), negatively use (p areas). Average annual temperature 0.001 Those adhering lower risks all-cause (HR 0.64 [95% CI: 0.52, 0.79]) 0.53 [0.37, 0.76]) after follow-up 2.4 years. Conclusions Adherence far ideal. Targeted promotion strategies urgently needed.