HealthDay News — Few US adults engage in all 5 health-related behaviors recommended for chronic disease prevention, according to a study published online in the US Centers for Disease Control and Prevention’s Preventing Chronic Disease.

Yong Liu, MD, from the CDC in Atlanta, and colleagues estimated clustering of 5 health-related behaviors for chronic disease prevention in each state. Data from the 2013 Behavioral Risk Factor Surveillance System for 395,343 respondents (aged 21 years or older) were used to assess clustering of never smoking, getting regular physical activity, consuming no alcohol or only moderate amounts, maintaining a normal body mass index (BMI), and obtaining daily sufficient sleep.

The researchers found that 81.6% of US adults were current nonsmokers; 63.9% obtained 7 hours or more sleep/day; 63.1% reported moderate or no alcohol consumption; 50.4% met recommendations for physical activity; and 32.5% had a normal BMI. Overall, 1.4%, 8.4%, 24.3%, 35.4%, 24.3%, and 6.3% of respondents engaged in none, 1, 2, 3, 4, and 5 of these behaviors, respectively. The prevalence of engaging in 4 or 5 behaviors was highest in the Pacific and Rocky Mountain states, while prevalence was lowest in the southern states and along the Ohio River.

“Collaborative efforts in health care systems, communities, work sites, and schools can promote all 5 behaviors and produce population-wide changes, especially among the socioeconomically disadvantaged,” the authors write.

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  1. Yong L, Croft JB, Wheaton AG, et al. Clustering of Five Health-Related Behaviors for Chronic Disease Prevention Among Adults, United States, 2013. Prev Chronic Dis. 2016;13:160054. doi: 10.5888/pcd13.160054