Abstract
Lifestyle behaviours are important risk factors for non-communicable diseases. This study had identified lifestyle risk factor patterns and their development trends in Hong Kong. Over the past decades, the Hong Kong government has taken a multi-pronged approach to promoting healthy lifestyles. According to the Hong Kong Behavioural Risk Factor Surveys conducted between 2004 and 2016, most Hong Kong adults were living with multiple lifestyle risk factors. Although the average alcohol intake among males persistently and significantly decreased and the prevalence of smoking among both males and females also decreased, the average alcohol intake among females persistently and significantly increased and the prevalence of drinking among both males and females was rapidly growing in more recent years. Although changes in the average time spent doing physical activities were non-significant, the prevalence of doing sufficient physical activity among both males and females persistently expanded. The constant population shift toward a lifestyle of eating insufficient fruit and vegetables and drinking alcohol among both males and females was observed. Despite more recent investigations indicated decreased alcohol consumption, other lifestyle factors have remained to be health concerns. Strategic intervention policy changes targeting a balance of multiple lifestyle factors among different lifestyle groups instead of a single particular risk factor are urgently needed to reverse the unhealthy population lifestyle trends.
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References
Biswas, A., Oh, P. I., Faulkner, G. E., Bajaj, R. R., Silver, M. A., Mitchell, M. S., & Alter, D. A. (2015). Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta-analysis. Annals of Internal Medicine, 162(2), 123–132. https://doi.org/10.7326/m14-1651
Bresin, K. (2019). A meta-analytic review of laboratory studies testing the alcohol stress response dampening hypothesis. Psychology of Addictive Behaviors, 33(7), 581–594. https://doi.org/10.1037/adb0000516
Cancer Research UK. (2021, March 25). What’s in a cigarette? Retrieved June 14, 2022, from https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/smoking-and-cancer/whats-in-a-cigarette-0
Centre for Health Protection. (2020). Report of Health Behaviour Survey 2018/19. Department of Health. https://www.chp.gov.hk/files/pdf/report_of_health_behaviour_survey_2018_en.pdf
Centre for Health Protection. (2021). Behavioural risk factor survey (BRFS). Department of Health. https://www.chp.gov.hk/en/resources/29/327.html
De Nunzio, C., Andriole, G. L., Thompson, I. M., Jr., & Freedland, S. J. (2015). Smoking and prostate cancer: A systematic review. European Urology Focus, 1(1), 28–38. https://doi.org/10.1016/j.euf.2014.10.002
Department of Health. (2021a). Carbohydrates. Retrieved June 10, 2022, from https://www.change4health.gov.hk/en/healthy_diet/facts/calories_nutrients/carbohydrates/index.html
Department of Health. (2021b). Estimated alcohol consumption per capita in Hong Kong. Retrieved June 9, 2022, from https://www.change4health.gov.hk/en/alcohol_aware/figures/alcohol_consumption/index.html#:~:text=Between%202004%20and%202020%2C%20the,between%202.46%20and%202.87%20litres
Department of Health. (2022a). Alcohol and health. https://www.change4health.gov.hk/en/alcohol_aware/index.html
Department of Health. (2022b). Healthy diet. https://www.change4health.gov.hk/en/healthy_diet/index.html
Department of Health. (2022c). Physical activity. https://www.change4health.gov.hk/en/physical_activity/index.html
Di Liegro, C. M., Schiera, G., Proia, P., & Di Liegro, I. (2019). Physical activity and brain health. Genes, 10(9), Article 720. https://doi.org/10.3390/genes10090720
Feigin, V. L., Roth, G. A., Naghavi, M., Parmar, P., Krishnamurthi, R., Chugh, S., Mensah, G. A., Norrving, B., Shiue, I., Ng, M., Estep, K., Cercy, K., Murray, C. J. L., & Forouzanfar, M. H. (2016). Global burden of stroke and risk factors in 188 countries, during 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet Neurology, 15(9), 913–924. https://doi.org/10.1016/S1474-4422(16)30073-4
Forouzanfar, M. H., Afshin, A., Alexander, L. T., Anderson, H. R., Bhutta, Z. A., Biryukov, S., Brauer, M., Cercy, K., Charlson, F. J., Cohen, A. J., Dandona, L., Carrero, J. J., Estep, K., Ferrari, A. J., Frostad, J. J., Fullman, N., Gething, P. W., Godwin, W. W., Griswold, M., … Zuhlke, L. J. (2016). Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), 1659–1724. https://doi.org/10.1016/S0140-6736(16)31679-8
Gakidou, E., Afshin, A., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abdulle, A. M., Abera, S. F., Aboyans, V., Abu-Raddad, L. J., Abu-Rmeileh, N. M., Abyu, G. Y., Adedeji, I. A., Adetokunboh, O., Afarideh, M., Agrawal, A., Agrawal, S., Kiadaliri, A. A., … Murray, C. J. L. (2017). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 390(10100), 1345–1422. https://doi.org/10.1016/S0140-6736(17)32366-8
Ibarrola-Jurado, N., Salas-Salvado, J., Martinez-Gonzalez, M. A., & Bullo, M. (2012). Dietary phylloquinone intake and risk of type 2 diabetes in elderly subjects at high risk of cardiovascular disease. The American Journal of Clinical Nutrition, 96(5), 1113–1118. https://doi.org/10.3945/ajcn.111.033498
Kong, L. (2014). A systematic review of cohort studies on the association of smoking with all-cause and lung cancer mortality in China (Postgraduate thesis, University of Hong Kong). The HKU Scholars Hub. http://hdl.handle.net/10722/206969
Ku, P. W., Steptoe, A., Liao, Y., Hsueh, M.-C., & Chen, L.-J. (2018). A cut-off of daily sedentary time and all-cause mortality in adults: A meta-regression analysis involving more than 1 million participants. BMC Medicine, 16, Article 74. https://doi.org/10.1186/s12916-018-1062-2
Lim, S. S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani, H., Amann, M., Anderson, H. R., Andrews, K. G., Aryee, M., Atkinson, C., Bacchus, L., Bahalim, A., Balakrishnan, K., Balmes, J., Barker-Collo, S., Baxter, A., Bell, M., Blore, J., … Kok, C. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2224–2260. https://doi.org/10.1016/S0140-6736(12)61766-8
Lock, K., Pomerleau, J., Causer, L., Altmann, D. R., & McKee, M. (2005). The global burden of disease attributable to low consumption of fruit and vegetables: Implications for the global strategy on diet. Bulletin of the World Health Organization, 83(2), 100–108. https://apps.who.int/iris/handle/10665/269344
Luciano, M. T., Acuff, S. F., Olin, C. C., Lewin, R. K., Strickland, J. C., McDevitt-Murphy, M. E., & Murphy, J. G. (2022). Posttraumatic stress disorder, drinking to cope, and harmful alcohol use: A multivariate meta-analysis of the self-medication hypothesis. Journal of Psychopathology and Clinical Science, 131(5), 447–456. https://doi.org/10.1037/abn0000764
Masaoka, H., Matsuo, K., Ito, H., Wakai, K., Nagata, C., Nakayama, T., Sadakane, A., Tanaka, K., Tamakoshi, A., Sugawara, Y., Mizoue, T., Sawada, N., Inoue, M., Tsugane, S., & Sasazuki, S. (2016). Cigarette smoking and bladder cancer risk: An evaluation based on a systematic review of epidemiologic evidence in the Japanese population. Japanese Journal of Clinical Oncology, 46(3), 273–283. https://doi.org/10.1093/jjco/hyv188
Matsuda, M., & Shimomura, I. (2013). Increased oxidative stress in obesity: Implications for metabolic syndrome, diabetes, hypertension, dyslipidemia, atherosclerosis, and cancer. Obesity Research & Clinical Practice, 7(5), e330–e341. https://doi.org/10.1016/j.orcp.2013.05.004
Matsuo, K., Ito, H., Wakai, K., Nagata, C., Mizoue, T., Tanaka, K., Tsuji, I., Tamakoshi, A., Sasazuki, S., Inoue, M., & Tsugane, S. (2011). Cigarette smoking and pancreas cancer risk: An evaluation based on a systematic review of epidemiologic evidence in the Japanese population. Japanese Journal of Clinical Oncology, 41(11), 1292–1302. https://doi.org/10.1093/jjco/hyr141
National Health and Medical Research Council. (2011). A modelling system to inform the revision of the Australian guide to healthy eating. Department of Health and Ageing, Australian Government. https://www.eatforhealth.gov.au/sites/default/files/files/public_consultation/n55a_dietary_guidelines_food_modelling_111216.pdf
Oze, I., Matsuo, K., Ito, H., Wakai, K., Nagata, C., Mizoue, T., Tanaka, K., Tsuji, I., Tamakoshi, S., Sasazuki, S., Innoue, M., & Tsugane, S. (2011). Cigarette smoking and esophageal cancer risk: An evaluation based on a systematic review of epidemiologic evidence among the Japanese population. Japanese Journal of Clinical Oncology, 42(1), 63–73. https://doi.org/10.1093/jjco/hyr170
Pan, A., Wang, Y., Talaei, M., Hu, F. B., & Wu, T. (2015). Relation of active, passive, and quitting smoking with incident type 2 diabetes: A systematic review and meta-analysis. The Lancet Diabetes & Endocrinology, 3(12), 958–967. https://doi.org/10.1016/S2213-8587(15)00316-2
Percival, S. S. (2011). Nutrition and immunity: Balancing diet and immune function. Nutrition Today, 46(1), 12–17. https://doi.org/10.1097/NT.0b013e3182076fc8
Rehm, J., Gmel, G. E., Sr., Gmel, G., Hasan, O. S., Imtiaz, S., Popova, S., Probst, C., Roerecke, M., Room, R., Samokhvalov, A. V., Shield, K. D., & Shuper, P. A. (2017). The relationship between different dimensions of alcohol use and the burden of disease—An update. Addiction, 112(6), 968–1001. https://doi.org/10.1111/add.13757
Schmid, D., & Leitzmann, M. F. (2014). Television viewing and time spent sedentary in relation to cancer risk: A meta-analysis. JNCI: Journal of the National Cancer Institute, 106(7), Article dju098. https://doi.org/10.1093/jnci/dju098
Tobacco and Alcohol Control Office. (2022a). Electronic cigarette (e-cigarette). Department of Health. Retrieved June 14, 2022, from https://www.taco.gov.hk/t/english/infostation/infostation_ec.html
Tobacco and Alcohol Control Office. (2022b). Pattern of smoking in Hong Kong. Department of Health. Retrieved June 9, 2022, from https://www.taco.gov.hk/t/english/infostation/infostation_sta_01.html#a3
U.S. Department of Agriculture and U.S. Department of Health and Human Services. (2020). Dietary guidelines for Americans 2020–2025. https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf
World Health Organization. (2020, November 26). Physical activity. Retrieved May 6, 2021, from https://www.who.int/news-room/fact-sheets/detail/physical-activity
Yip, C. S. C., Chan, W., & Fielding, R. (2019a). The associations of fruit and vegetable intakes with burden of diseases: A systematic review of meta-analyses. Journal of the Academy of Nutrition and Dietetics, 119(3), 464–481. https://doi.org/10.1016/j.jand.2018.11.007
Yip, C. S. C., Yip, Y. C., & Chan, W. (2019b). Time-trend analysis of fruit and vegetable intake in Hong Kong, 2004–2016. Public Health, 177, 102–111. https://doi.org/10.1016/j.puhe.2019.08.012
Yip, C. S. C., & Fielding, R. (2017). Health and greenhouse gas emission implications of reducing meat intakes in Hong Kong. International Journal of Nutrition and Food Engineering, 11(2), 72–81. https://doi.org/10.5281/zenodo.1339754
Yip, C. S. C., Lam, W., & Fielding, R. (2018). A summary of meat intakes and health burdens. European Journal of Clinical Nutrition, 72, 18–29. https://doi.org/10.1038/ejcn.2017.117
Zhou, Y., Zhao, H., & Peng, C. (2015). Association of sedentary behavior with the risk of breast cancer in women: Update meta-analysis of observational studies. Annals of Epidemiology, 25(9), 687–697. https://doi.org/10.1016/j.annepidem.2015.05.007
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Thanks go to Department of Health of the Hong Kong SAR Government for providing the Behavioural Risk Factor Survey data.
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Chan, W.F.M., Yip, C.S.C. (2023). Lifestyle Risk Factor Patterns and Development Trends in Hong Kong. In: Fong, B.Y.F., Wong, W.C.W. (eds) Gaps and Actions in Health Improvement from Hong Kong and Beyond. Springer, Singapore. https://doi.org/10.1007/978-981-99-4491-0_11
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