Lifestyle factors and psychological well-being: 10-year follow-up study in Lithuanian urban population

Laura Sapranaviciute-Zabazlajeva; Lolita Sileikiene; Dalia Luksiene; Abdonas Tamosiunas; Ricardas Radisauskas; Irena Milvidaite; Martin Bobak

doi:10.1186/s12889-022-13413-4

Lifestyle factors and psychological well-being: 10-year follow-up study in Lithuanian urban population

BMC Public Health. 2022 May 19;22(1):1011. doi: 10.1186/s12889-022-13413-4.

Authors

Laura Sapranaviciute-Zabazlajeva¹, Lolita Sileikiene², Dalia Luksiene³, Abdonas Tamosiunas³, Ricardas Radisauskas³, Irena Milvidaite³, Martin Bobak⁴

Affiliations

¹ Health Psychology Department, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
² Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukileliu av. 15, LT-50162, Kaunas, Lithuania. lolita.sileikiene@lsmu.lt.
³ Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukileliu av. 15, LT-50162, Kaunas, Lithuania.
⁴ Institute of Epidemiology and Health care, University College London, London, UK.

Abstract

Background: Several lifestyle behaviours, including physical activity, smoking, alcohol consumption, nutrition habits, and social activity have been associated with psychological well-being (PWB). However, their effect on PWB prospectively has been less studied. The aim of the present study was to evaluate the influence of lifestyle factors on higher future PWB during the 10-year follow-up of middle-aged and elderly urban population.

Methods: In the baseline survey (2006 to 2008), 7115 men and women 45-72 years of age were examined within the framework of the international study Health, Alcohol and Psychosocial Factors in the Eastern Europe (HAPIEE). In the follow-up survey (in 2016), which was performed among all 6210 participants who survived till that year, 4266 individuals participated responding to postal questionnaires. PWB was assessed by a CASP-12 questionnaire. The lifestyle behaviours, including smoking and nutrition habits, alcohol consumption, social and physical activity, were evaluated by the questionnaire. Multivariable logistic regression models were applied for statistical data analysis.

Results: After accounting for several potential confounders, healthy levels of lifestyle behaviours were associated with higher PWB after 10-year follow-up. Never-smokers in men and former smokers in women had higher PWB by 43 and 67% odds respectively in comparison with smokers. Physical activity in women and high social activity both in men in women was positively related to higher PWB. More frequent fresh vegetable and fruit consumption was associated with higher odds of higher PWB (odds ratio 1.57 in men and 1.36 in women, p < 0.05) compared to less frequent consumption of such food groups. Dose-response relationship between increasing number of healthy lifestyle factors and higher PWB was determined both in men and women.

Conclusions: Lifestyle factors such as never smoking and former smoking, high social activity, and more frequent fresh vegetable and fruit consumption increased the odds of higher PWB over 10 years of follow-up in men and women groups. The increase of the protective health behaviour score was directly associated with the odds of higher PWB.

Keywords: Follow-up; Lifestyle behaviour; Psychological well-being.

Publication types

Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

MeSH terms

Aged
Alcohol Drinking / epidemiology
Female
Follow-Up Studies
Humans
Life Style*
Lithuania / epidemiology
Male
Middle Aged
Urban Population
Vegetables*

Grants and funding

R01 AG023522/AG/NIA NIH HHS/United States