Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study
Background: Central and bridge nodes can drive significant overall improvements within their respective networks. We aimed to identify them in 16 prevalent chronic diseases during the coronavirus disease 2019 (COVID-19) pandemic to guide effective intervention strategies and appropriate resource all...
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International Society of Global Health (ISoGH)
2024
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RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine RT Nursing Li, Jiaying Fong, Daniel Yee Tak Lok, Kris Yuet Wan Wong, Janet Yuen Ha Ho, Mandy Man Choi, Edmond Pui Hang Pandian, Vinciya Davidson, Patricia M Duan, Wenjie Tarrant, Marie Lee, Jung Jae Lin, Chia-Chin Akingbade, Oluwadamilare Alabdulwahhab, Khalid M Ahmad, Mohammad Shakil Alboraie, Mohamed Alzahrani, Meshari A Bilimale, Anil S Boonpatcharanon, Sawitree Byiringiro, Samuel Che Hasan, Muhammad Kamil Schettini, Luisa Clausi Corzo, Walter De Leon, Josephine M De Leon, Anjanette S Deek, Hiba Efficace, Fabio Nayal, Mayssah A El El-Raey, Fathiya Ensaldo-Carrasco, Eduardo Escotorin, Pilar Fadodun, Oluwadamilola Agnes Fawole, Israel Opeyemi Goh, Yong-Shian Shawn Irawan, Devi Khan, Naimah Ebrahim Koirala, Binu Krishna, Ashish Kwok, Cannas Le, Tung Thanh Leal, Daniela Giambruno Lezana-Fernández, Miguel Ángel Manirambona, Emery Mantoani, Leandro Cruz Meneses-González, Fernando Mohamed, Iman Elmahdi Mukeshimana, Madeleine Nguyen, Chinh Thi Minh Nguyen, Huong Thi Thanh Nguyen, Khanh Thi Nguyen, Son Truong Nurumal, Mohd Said Nzabonimana, Aimable Omer, Nagla Abdelrahim Mohamed Ahmed Ogungbe, Oluwabunmi Poon, Angela Chiu Yin Reséndiz-Rodriguez, Areli Puang-Ngern, Busayasachee Sagun, Ceryl G Shaik, Riyaz Ahmed Shankar, Nikhil Gauri Sommer, Kathrin Toro, Edgardo Tran, Hanh Thi Hong Urgel, Elvira L Uwiringiyimana, Emmanuel Vanichbuncha, Tita Youssef, Naglaa Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
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Background: Central and bridge nodes can drive significant overall improvements within their respective networks. We aimed to identify them in 16 prevalent chronic diseases during the coronavirus disease 2019 (COVID-19) pandemic to guide effective intervention strategies and appropriate resource allocation for most significant holistic lifestyle and health improvements.
Methods: We surveyed 16 512 adults from July 2020 to August 2021 in 30 territories. Participants self-reported their medical histories and the perceived impact of COVID-19 on 18 lifestyle factors and 13 health outcomes. For each disease subgroup, we generated lifestyle, health outcome, and bridge networks. Variables with the highest centrality indices in each were identified central or bridge. We validated these networks using nonparametric and case-dropping subset bootstrapping and confirmed central and bridge variables' significantly higher indices through a centrality difference test.
Findings: Among the 48 networks, 44 were validated (all correlation-stability coefficients >0.25). Six central lifestyle factors were identified: less consumption of snacks (for the chronic disease: anxiety), less sugary drinks (cancer, gastric ulcer, hypertension, insomnia, and pre-diabetes), less smoking tobacco (chronic obstructive pulmonary disease), frequency of exercise (depression and fatty liver disease), duration of exercise (irritable bowel syndrome), and overall amount of exercise (autoimmune disease, diabetes, eczema, heart attack, and high cholesterol). Two central health outcomes emerged: less emotional distress (chronic obstructive pulmonary disease, eczema, fatty liver disease, gastric ulcer, heart attack, high cholesterol, hypertension, insomnia, and pre-diabetes) and quality of life (anxiety, autoimmune disease, cancer, depression, diabetes, and irritable bowel syndrome). Four bridge lifestyles were identified: consumption of fruits and vegetables (diabetes, high cholesterol, hypertension, and insomnia), less duration of sitting (eczema, fatty liver disease, and heart attack), frequency of exercise (autoimmune disease, depression, and heart attack), and overall amount of exercise (anxiety, gastric ulcer, and insomnia). The centrality difference test showed the central and bridge variables had significantly higher centrality indices than others in their networks (P < 0.05).
Conclusion: To effectively manage chronic diseases during the COVID-19 pandemic, enhanced interventions and optimised resource allocation toward central lifestyle factors, health outcomes, and bridge lifestyles are paramount. The key variables shared across chronic diseases emphasise the importance of coordinated intervention strategies. |
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Li, Jiaying Fong, Daniel Yee Tak Lok, Kris Yuet Wan Wong, Janet Yuen Ha Ho, Mandy Man Choi, Edmond Pui Hang Pandian, Vinciya Davidson, Patricia M Duan, Wenjie Tarrant, Marie Lee, Jung Jae Lin, Chia-Chin Akingbade, Oluwadamilare Alabdulwahhab, Khalid M Ahmad, Mohammad Shakil Alboraie, Mohamed Alzahrani, Meshari A Bilimale, Anil S Boonpatcharanon, Sawitree Byiringiro, Samuel Che Hasan, Muhammad Kamil Schettini, Luisa Clausi Corzo, Walter De Leon, Josephine M De Leon, Anjanette S Deek, Hiba Efficace, Fabio Nayal, Mayssah A El El-Raey, Fathiya Ensaldo-Carrasco, Eduardo Escotorin, Pilar Fadodun, Oluwadamilola Agnes Fawole, Israel Opeyemi Goh, Yong-Shian Shawn Irawan, Devi Khan, Naimah Ebrahim Koirala, Binu Krishna, Ashish Kwok, Cannas Le, Tung Thanh Leal, Daniela Giambruno Lezana-Fernández, Miguel Ángel Manirambona, Emery Mantoani, Leandro Cruz Meneses-González, Fernando Mohamed, Iman Elmahdi Mukeshimana, Madeleine Nguyen, Chinh Thi Minh Nguyen, Huong Thi Thanh Nguyen, Khanh Thi Nguyen, Son Truong Nurumal, Mohd Said Nzabonimana, Aimable Omer, Nagla Abdelrahim Mohamed Ahmed Ogungbe, Oluwabunmi Poon, Angela Chiu Yin Reséndiz-Rodriguez, Areli Puang-Ngern, Busayasachee Sagun, Ceryl G Shaik, Riyaz Ahmed Shankar, Nikhil Gauri Sommer, Kathrin Toro, Edgardo Tran, Hanh Thi Hong Urgel, Elvira L Uwiringiyimana, Emmanuel Vanichbuncha, Tita Youssef, Naglaa |
author_facet |
Li, Jiaying Fong, Daniel Yee Tak Lok, Kris Yuet Wan Wong, Janet Yuen Ha Ho, Mandy Man Choi, Edmond Pui Hang Pandian, Vinciya Davidson, Patricia M Duan, Wenjie Tarrant, Marie Lee, Jung Jae Lin, Chia-Chin Akingbade, Oluwadamilare Alabdulwahhab, Khalid M Ahmad, Mohammad Shakil Alboraie, Mohamed Alzahrani, Meshari A Bilimale, Anil S Boonpatcharanon, Sawitree Byiringiro, Samuel Che Hasan, Muhammad Kamil Schettini, Luisa Clausi Corzo, Walter De Leon, Josephine M De Leon, Anjanette S Deek, Hiba Efficace, Fabio Nayal, Mayssah A El El-Raey, Fathiya Ensaldo-Carrasco, Eduardo Escotorin, Pilar Fadodun, Oluwadamilola Agnes Fawole, Israel Opeyemi Goh, Yong-Shian Shawn Irawan, Devi Khan, Naimah Ebrahim Koirala, Binu Krishna, Ashish Kwok, Cannas Le, Tung Thanh Leal, Daniela Giambruno Lezana-Fernández, Miguel Ángel Manirambona, Emery Mantoani, Leandro Cruz Meneses-González, Fernando Mohamed, Iman Elmahdi Mukeshimana, Madeleine Nguyen, Chinh Thi Minh Nguyen, Huong Thi Thanh Nguyen, Khanh Thi Nguyen, Son Truong Nurumal, Mohd Said Nzabonimana, Aimable Omer, Nagla Abdelrahim Mohamed Ahmed Ogungbe, Oluwabunmi Poon, Angela Chiu Yin Reséndiz-Rodriguez, Areli Puang-Ngern, Busayasachee Sagun, Ceryl G Shaik, Riyaz Ahmed Shankar, Nikhil Gauri Sommer, Kathrin Toro, Edgardo Tran, Hanh Thi Hong Urgel, Elvira L Uwiringiyimana, Emmanuel Vanichbuncha, Tita Youssef, Naglaa |
author_sort |
Li, Jiaying |
title |
Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
title_short |
Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
title_full |
Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
title_fullStr |
Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
title_full_unstemmed |
Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
title_sort |
key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study |
publisher |
International Society of Global Health (ISoGH) |
publishDate |
2024 |
url |
http://irep.iium.edu.my/111818/1/111818_Key%20lifestyles%20and%20health%20outcomes.pdf http://irep.iium.edu.my/111818/ https://jogh.org/2024/jogh-14-04068 |
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my.iium.irep.1118182024-04-19T09:01:25Z http://irep.iium.edu.my/111818/ Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study Li, Jiaying Fong, Daniel Yee Tak Lok, Kris Yuet Wan Wong, Janet Yuen Ha Ho, Mandy Man Choi, Edmond Pui Hang Pandian, Vinciya Davidson, Patricia M Duan, Wenjie Tarrant, Marie Lee, Jung Jae Lin, Chia-Chin Akingbade, Oluwadamilare Alabdulwahhab, Khalid M Ahmad, Mohammad Shakil Alboraie, Mohamed Alzahrani, Meshari A Bilimale, Anil S Boonpatcharanon, Sawitree Byiringiro, Samuel Che Hasan, Muhammad Kamil Schettini, Luisa Clausi Corzo, Walter De Leon, Josephine M De Leon, Anjanette S Deek, Hiba Efficace, Fabio Nayal, Mayssah A El El-Raey, Fathiya Ensaldo-Carrasco, Eduardo Escotorin, Pilar Fadodun, Oluwadamilola Agnes Fawole, Israel Opeyemi Goh, Yong-Shian Shawn Irawan, Devi Khan, Naimah Ebrahim Koirala, Binu Krishna, Ashish Kwok, Cannas Le, Tung Thanh Leal, Daniela Giambruno Lezana-Fernández, Miguel Ángel Manirambona, Emery Mantoani, Leandro Cruz Meneses-González, Fernando Mohamed, Iman Elmahdi Mukeshimana, Madeleine Nguyen, Chinh Thi Minh Nguyen, Huong Thi Thanh Nguyen, Khanh Thi Nguyen, Son Truong Nurumal, Mohd Said Nzabonimana, Aimable Omer, Nagla Abdelrahim Mohamed Ahmed Ogungbe, Oluwabunmi Poon, Angela Chiu Yin Reséndiz-Rodriguez, Areli Puang-Ngern, Busayasachee Sagun, Ceryl G Shaik, Riyaz Ahmed Shankar, Nikhil Gauri Sommer, Kathrin Toro, Edgardo Tran, Hanh Thi Hong Urgel, Elvira L Uwiringiyimana, Emmanuel Vanichbuncha, Tita Youssef, Naglaa RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine RT Nursing Background: Central and bridge nodes can drive significant overall improvements within their respective networks. We aimed to identify them in 16 prevalent chronic diseases during the coronavirus disease 2019 (COVID-19) pandemic to guide effective intervention strategies and appropriate resource allocation for most significant holistic lifestyle and health improvements. Methods: We surveyed 16 512 adults from July 2020 to August 2021 in 30 territories. Participants self-reported their medical histories and the perceived impact of COVID-19 on 18 lifestyle factors and 13 health outcomes. For each disease subgroup, we generated lifestyle, health outcome, and bridge networks. Variables with the highest centrality indices in each were identified central or bridge. We validated these networks using nonparametric and case-dropping subset bootstrapping and confirmed central and bridge variables' significantly higher indices through a centrality difference test. Findings: Among the 48 networks, 44 were validated (all correlation-stability coefficients >0.25). Six central lifestyle factors were identified: less consumption of snacks (for the chronic disease: anxiety), less sugary drinks (cancer, gastric ulcer, hypertension, insomnia, and pre-diabetes), less smoking tobacco (chronic obstructive pulmonary disease), frequency of exercise (depression and fatty liver disease), duration of exercise (irritable bowel syndrome), and overall amount of exercise (autoimmune disease, diabetes, eczema, heart attack, and high cholesterol). Two central health outcomes emerged: less emotional distress (chronic obstructive pulmonary disease, eczema, fatty liver disease, gastric ulcer, heart attack, high cholesterol, hypertension, insomnia, and pre-diabetes) and quality of life (anxiety, autoimmune disease, cancer, depression, diabetes, and irritable bowel syndrome). Four bridge lifestyles were identified: consumption of fruits and vegetables (diabetes, high cholesterol, hypertension, and insomnia), less duration of sitting (eczema, fatty liver disease, and heart attack), frequency of exercise (autoimmune disease, depression, and heart attack), and overall amount of exercise (anxiety, gastric ulcer, and insomnia). The centrality difference test showed the central and bridge variables had significantly higher centrality indices than others in their networks (P < 0.05). Conclusion: To effectively manage chronic diseases during the COVID-19 pandemic, enhanced interventions and optimised resource allocation toward central lifestyle factors, health outcomes, and bridge lifestyles are paramount. The key variables shared across chronic diseases emphasise the importance of coordinated intervention strategies. International Society of Global Health (ISoGH) 2024-04-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/111818/1/111818_Key%20lifestyles%20and%20health%20outcomes.pdf Li, Jiaying and Fong, Daniel Yee Tak and Lok, Kris Yuet Wan and Wong, Janet Yuen Ha and Ho, Mandy Man and Choi, Edmond Pui Hang and Pandian, Vinciya and Davidson, Patricia M and Duan, Wenjie and Tarrant, Marie and Lee, Jung Jae and Lin, Chia-Chin and Akingbade, Oluwadamilare and Alabdulwahhab, Khalid M and Ahmad, Mohammad Shakil and Alboraie, Mohamed and Alzahrani, Meshari A and Bilimale, Anil S and Boonpatcharanon, Sawitree and Byiringiro, Samuel and Che Hasan, Muhammad Kamil and Schettini, Luisa Clausi and Corzo, Walter and De Leon, Josephine M and De Leon, Anjanette S and Deek, Hiba and Efficace, Fabio and Nayal, Mayssah A El and El-Raey, Fathiya and Ensaldo-Carrasco, Eduardo and Escotorin, Pilar and Fadodun, Oluwadamilola Agnes and Fawole, Israel Opeyemi and Goh, Yong-Shian Shawn and Irawan, Devi and Khan, Naimah Ebrahim and Koirala, Binu and Krishna, Ashish and Kwok, Cannas and Le, Tung Thanh and Leal, Daniela Giambruno and Lezana-Fernández, Miguel Ángel and Manirambona, Emery and Mantoani, Leandro Cruz and Meneses-González, Fernando and Mohamed, Iman Elmahdi and Mukeshimana, Madeleine and Nguyen, Chinh Thi Minh and Nguyen, Huong Thi Thanh and Nguyen, Khanh Thi and Nguyen, Son Truong and Nurumal, Mohd Said and Nzabonimana, Aimable and Omer, Nagla Abdelrahim Mohamed Ahmed and Ogungbe, Oluwabunmi and Poon, Angela Chiu Yin and Reséndiz-Rodriguez, Areli and Puang-Ngern, Busayasachee and Sagun, Ceryl G and Shaik, Riyaz Ahmed and Shankar, Nikhil Gauri and Sommer, Kathrin and Toro, Edgardo and Tran, Hanh Thi Hong and Urgel, Elvira L and Uwiringiyimana, Emmanuel and Vanichbuncha, Tita and Youssef, Naglaa (2024) Key lifestyles and health outcomes across 16 prevalent chronic diseases: a network analysis of an international observational study. Journal of Global Health, 14. pp. 1-15. ISSN 2047-2978 E-ISSN 2047-2986 https://jogh.org/2024/jogh-14-04068 10.7189/jogh.14.04068 |