Chronic disease prevention through multiple health behaviors and their determinant

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We hypothesized existence of a common factor that determines clustering of multiple lifestyle behaviors. Approximately 3,500 male and female healthy workers were analyzed. The number of ideal dietary behaviors (fish, low sodium, fruits and vegetables, low sugar-sweetened beverages, and fiber-rich whole grains) was positively associated with physical activity and inversely with smoking, body mass index, and diabetes incidence during follow-up. Furthermore, it was inversely associated with perceived psychological stress in both sexes and sleeping duration (hours) in men. Interventions to modify lifestyle behaviors may be more effective with the addition of stress and time management than just targeting the specific lifestyles.