Skip to content
PaperFren

Healthy lifestyle and multimorbidity risk

Open paper intelligence

Healthier lifestyle scores tracked lower CVD and diabetes risk and lower multimorbidity transitions.

Source

Lifestyle factors and risk of multimorbidity of cancer and cardiometabolic diseases: a multinational cohort study

Freisling H, Viallon V, Lennon H, et al. · BMC medicine · 2020

doi.org/10.1186/s12916-019-1474-7Read the full paper ↗268 citationscc by

Study at a glance

Design
Cohort — EPIC multinational prospective cohort; healthy lifestyle index
N
N=291778 · 64% women; median follow-up 11.0 years
Population
EPIC adults free of cancer, CVD, and T2D at baseline across European centres
Outcome
Incident cancer, CVD, T2D, and subsequent multimorbidity by lifestyle index

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

A multinational prospective cohort related a healthy lifestyle index and component behaviours to cancer, CVD, type 2 diabetes, and subsequent multimorbidity.

What they found

Over median 11.0 years, 3244 people developed multimorbidity. Higher HLI was inversely associated with CVD (HR 0.77 per 3 units) and T2D (HR 0.67), less so with cancer (HR 0.89).

The limits

What it doesn't show

Observational lifestyle scores remain open to residual confounding; this is not a randomised lifestyle trial.

Key terms

Multimorbidity
≥2 of cancer, CVD, or T2D.
HLI
Composite healthy lifestyle index.
Hazard ratio
Relative event risk.
Cardiometabolic disease
CVD and type 2 diabetes.
Incidence rate
Events per person-time.
Prospective cohort
Follow-up of disease-free participants.

Flashcards

1 / 10

Research intelligence for this paper

See its role on concept claims, tensions it is part of, placement history, and related discoveries.

Open paper intelligence

Quiz yourself

1 / 6

Events:

Common questions

Multimorbidity N?

3244.

Follow-up?

11.0 years median.

CVD HR per 3 HLI?

0.77.

T2D HR?

0.67.

More on Health behaviour