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Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study

Author

Listed:
  • Ami Fukunaga
  • Yosuke Inoue
  • Nadeeka Chandraratne
  • Miwa Yamaguchi
  • Keisuke Kuwahara
  • Susantha Indrawansa
  • Nalika Gunawardena
  • Tetsuya Mizoue
  • Diyanath Samarasinghe

Abstract

Objectives: To investigate the association between a healthy lifestyle index (HLI) (i.e., a composite score comprising multiple lifestyle factors) and hypertension among community adults living in Sri Lanka. Methods: The present study used baseline information of a cluster randomized controlled trial among 456 adults aged 27–65 years in a semi-urban community in Colombo, Sri Lanka. The HLI was constructed by summing a number of low-risk lifestyle factors: low body mass index, sufficient physical activity, non-smoking, low alcohol consumption, and sufficient fruit and vegetable consumption. Hypertension was defined as systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or the use of antihypertensive medication. A logistic regression model was used to investigate the association between the HLI (low: 0–2; middle: 3; high: 4–5) and hypertension. Results: A total of 178 (39%) participants were hypertensive. Compared with the low HLI group, multivariate-adjusted odds ratios (95% confidence intervals) of hypertension were 0.72 (0.44–1.19) and 0.28 (0.15–0.54) for the middle and high HLI groups, respectively (p-trend

Suggested Citation

  • Ami Fukunaga & Yosuke Inoue & Nadeeka Chandraratne & Miwa Yamaguchi & Keisuke Kuwahara & Susantha Indrawansa & Nalika Gunawardena & Tetsuya Mizoue & Diyanath Samarasinghe, 2020. "Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-9, January.
    • Handle: RePEc:plo:pone00:0226773
    DOI: 10.1371/journal.pone.0226773
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