The Clustering of Lifestyle Behaviours in New Zealand and their Relationship with Optimal Wellbeing

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dc.contributor.authorPrendergast KB
dc.contributor.authorMackay LM
dc.contributor.authorSchofield GM
dc.date.accessioned2019-12-02T03:37:18Z
dc.date.available2019-12-02T03:37:18Z
dc.date.issued2016en
dc.date.updated2019-10-31T03:06:23Z
dc.description.abstract© 2016, International Society of Behavioral Medicine. Purpose: The purpose of this research was to determine (1) associations between multiple lifestyle behaviours and optimal wellbeing and (2) the extent to which five lifestyle behaviours—sleep, physical activity, sedentary behaviour, sugary drink consumption, and fruit and vegetable intake—cluster in a national sample. Method: A national sample of New Zealand adults participated in a web-based wellbeing survey. Five lifestyle behaviours—sleep, physical activity, sedentary behaviour, sugary drink consumption, and fruit and vegetable intake—were dichotomised into healthy (meets recommendations) and unhealthy (does not meet recommendations) categories. Optimal wellbeing was calculated using a multi-dimensional flourishing scale, and binary logistic regression analysis was used to calculate the relationship between multiple healthy behaviours and optimal wellbeing. Clustering was examined by comparing the observed and expected prevalence rates (O/E) of healthy and unhealthy two-, three-, four-, and five-behaviour combinations. Results: Data from 9425 participants show those engaging in four to five healthy behaviours (23 %) were 4.7 (95 % confidence interval (CI) 3.8–5.7) times more likely to achieve optimal wellbeing compared to those engaging in zero to one healthy behaviour (21 %). Clustering was observed for healthy (5 %, O/E 2.0, 95 % CI 1.8–2.2) and unhealthy (5 %, O/E 2.1, 95 % CI 1.9–2.3) five-behaviour combinations and for four- and three-behaviour combinations. At the two-behaviour level, healthy fruit and vegetable intake clustered with all behaviours, except sleep which did not cluster with any behaviour. Conclusion: Multiple lifestyle behaviours were positively associated with optimal wellbeing. The results show lifestyle behaviours cluster, providing support for multiple behaviour lifestyle-based interventions for optimising wellbeing.en
dc.identifier.citationPrendergast KB, Mackay LM, Schofield GM (2016). The Clustering of Lifestyle Behaviours in New Zealand and their Relationship with Optimal Wellbeing. International Journal of Behavioral Medicine. 23(5). 571-579.en
dc.identifier.doihttps://doi.org/10.1007/s12529-016-9552-0
dc.identifier.issn1070-5503
dc.identifier.issn1532-7558
dc.identifier.urihttp://hdl.handle.net/10092/17737
dc.languageEnglish
dc.language.isoen
dc.publisherSpringer Science and Business Media LLCen
dc.subjectLifestyle behavioursen
dc.subjectWellbeingen
dc.subjectPositive healthen
dc.subjectFlourishingen
dc.subject.anzsrcField of Research::11 - Medical and Health Sciences::1117 - Public Health and Health Services::111799 - Public Health and Health Services not elsewhere classifieden
dc.titleThe Clustering of Lifestyle Behaviours in New Zealand and their Relationship with Optimal Wellbeingen
dc.typeJournal Articleen
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