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

Autoři: Ami Fukunaga aff001;  Yosuke Inoue aff001;  Nadeeka Chandraratne aff002;  Miwa Yamaguchi aff001;  Keisuke Kuwahara aff001;  Susantha Indrawansa aff005;  Nalika Gunawardena aff006;  Tetsuya Mizoue aff001;  Diyanath Samarasinghe aff007
Působiště autorů: Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan aff001;  Management, Development & Planning Unit, Ministry of Health, Colombo, Sri Lanka aff002;  International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan aff003;  Graduate School of Public Health, Teikyo University, Tokyo, Japan aff004;  The Foundation for Health Promotion, Dehiwala, Sri Lanka aff005;  Office for Sri Lanka, World Health Organization Country, Colombo, Sri Lanka aff006;  Department of Psychological Medicine, University of Colombo, Colombo, Sri Lanka aff007
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226773



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.


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.


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 <0.001).


The present study provides essential evidence on an inverse association between adherence to healthy lifestyles and hypertension.

Klíčová slova:

Alcohol consumption – Blood pressure – Body mass index – Diabetes mellitus – Hypertension – Physical activity – Rice – Schools


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Článek vyšel v časopise


2020 Číslo 1