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Prevalence of a hea...
Prevalence of a healthy lifestyle among individuals with cardiovascular disease in high-, middle- and low-income countries: The Prospective Urban Rural Epidemiology (PURE) study
- Article/chapterEnglish2013
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American Medical Association (AMA),2013
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LIBRIS-ID:oai:gup.ub.gu.se/180397
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https://gup.ub.gu.se/publication/180397URI
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https://doi.org/10.1001/jama.2013.3519DOI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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IMPORTANCE: Little is known about adoption of healthy lifestyle behaviors among individuals with a coronary heart disease (CHD) or stroke event in communities across a range of countries worldwide. OBJECTIVE: To examine the prevalence of avoidance or cessation of smoking, eating a healthy diet, and undertaking regular physical activities by individuals with a CHD or stroke event. DESIGN, SETTING, AND PARTICIPANTS: Prospective Urban Rural Epidemiology (PURE) was a large, prospective cohort study that used an epidemiological survey of 153,996 adults, aged 35 to 70 years, from 628 urban and rural communities in 3 high-income countries (HIC), 7 upper-middle-income countries (UMIC), 3 lower-middle-income countries (LMIC), and 4 low-income countries (LIC), who were enrolled between January 2003 and December 2009. MAIN OUTCOME MEASURES: Smoking status (current, former, never), level of exercise (low, <600 metabolic equivalent task [MET]-min/wk; moderate, 600-3000 MET-min/wk; high, >3000 MET-min/wk), and diet (classified by the Food Frequency Questionnaire and defined using the Alternative Healthy Eating Index). RESULTS: Among 7519 individuals with self-reported CHD (past event: median, 5.0 [interquartile range {IQR}, 2.0-10.0] years ago) or stroke (past event: median, 4.0 [IQR, 2.0-8.0] years ago), 18.5% (95% CI, 17.6%-19.4%) continued to smoke; only 35.1% (95% CI, 29.6%-41.0%) undertook high levels of work- or leisure-related physical activity, and 39.0% (95% CI, 30.0%-48.7%) had healthy diets; 14.3% (95% CI, 11.7%-17.3%) did not undertake any of the 3 healthy lifestyle behaviors and 4.3% (95% CI, 3.1%-5.8%) had all 3. Overall, 52.5% (95% CI, 50.7%-54.3%) quit smoking (by income country classification: 74.9% [95% CI, 71.1%-78.6%] in HIC; 56.5% [95% CI, 53.4%-58.6%] in UMIC; 42.6% [95% CI, 39.6%-45.6%] in LMIC; and 38.1% [95% CI, 33.1%-43.2%] in LIC). Levels of physical activity increased with increasing country income but this trend was not statistically significant. The lowest prevalence of eating healthy diets was in LIC (25.8%; 95% CI, 13.0%-44.8%) compared with LMIC (43.2%; 95% CI, 30.0%-57.4%), UMIC (45.1%, 95% CI, 30.9%-60.1%), and HIC (43.4%, 95% CI, 21.0%-68.7%). CONCLUSION AND RELEVANCE: Among a sample of patients with a CHD or stroke event from countries with varying income levels, the prevalence of healthy lifestyle behaviors was low, with even lower levels in poorer countries.
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Lear, S.
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Islam, S.
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Mony, P.
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Dehghan, M.
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Li, W.
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Rosengren, Annika,1951Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xrosan
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Lopez-Jaramillo, P.
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Diaz, R.
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Oliveira, G.
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Miskan, M.
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Rangarajan, S.
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Iqbal, R.
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Ilow, R.
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Puone, T.
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Bahonar, A.
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Gulec, S.
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Darwish, E. A.
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Lanas, F.
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Vijaykumar, K.
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Rahman, O.
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Chifamba, J.
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Hou, Y.
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Li, N.
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Yusuf, S.
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Göteborgs universitetInstitutionen för medicin, avdelningen för molekylär och klinisk medicin
(creator_code:org_t)
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In:Journal of the American Medical Association: American Medical Association (AMA)309:15, s. 1613-210098-74841538-3598
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Teo, K.
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Lear, S.
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Islam, S.
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Mony, P.
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Dehghan, M.
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Li, W.
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Rosengren, Annik ...
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Lopez-Jaramillo, ...
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Diaz, R.
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Oliveira, G.
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Miskan, M.
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Rangarajan, S.
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Iqbal, R.
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Ilow, R.
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Puone, T.
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Bahonar, A.
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Gulec, S.
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Darwish, E. A.
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Lanas, F.
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Vijaykumar, K.
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Rahman, O.
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Chifamba, J.
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Hou, Y.
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Li, N.
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Yusuf, S.
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- MEDICAL AND HEALTH SCIENCES
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University of Gothenburg