Healthy lifestyle behaviors and all-cause mortality among adults in the United States

Objective: To examine the links between three fundamental healthy lifestyle behaviors (not smoking, healthy diet, and adequate physical activity) and all-cause mortality in a national sample of adults in the United States. Method: We used data from 8375 U.S. participants aged >= 20 years of the National Health and Nutrition Examination Survey 1999-2002 who were followed through 2006. Results: During a mean follow-up of 5.7 years, 745 deaths occurred. Compared with their counterparts, the risk for all-cause mortality was reduced by 56% (95% confidence interval [CI]: 35%-70%) among adults who were nonsmokers, 47% (95% CI: 36%. 57%) among adults who were physically active, and 26% (95% CI: 4%. 42%) among adults who consumed a healthy diet. Compared with participants who had no healthy behaviors. the risk decreased progressively as the number of healthy behaviors increased. Adjusted hazard ratios and 95% confidence interval were 0.60 (0.38, 0.95). 0.45 (0.30, 0.67), and 0.18 (0.11, 0.29) for 1, 2, and 3 healthy behaviors, respectively. Conclusion: Adults who do not smoke, consume a healthy diet, and engage in sufficient physical activity can substantially reduce their risk for early death. Published by Elsevier Inc.