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Journal of Aging and Health, Vol. 19, No. 3, 416-438 (2007)
DOI: 10.1177/0898264307300189
© 2007 SAGE Publications

Chronic Disease and Lifestyle Transitions

Results From the Longitudinal Aging Study Amsterdam

Coen H. van Gool, MA

Universiteit Maastricht Care and Public Health Research Institute

Gertrudis I. J. M. Kempen, PhD

Universiteit Maastricht Care and Public Health Research Institute

Brenda W. J. H. Penninx, PhD

VU University Medical Center

Dorly J. H. Deeg, PhD

VU University Medical Center

Jacques Th. M. van Eijk, PhD

Universiteit Maastricht Care and Public Health Research Institute

Objective: This article addresses the association between course of chronic disease and lifestyle. Method: We examined differences in unhealthy lifestyles—smoking, excessive alcohol use, being sedentary—and transitions herein after 6 years in prevalent and incident chronic disease categories— lung and cardiovascular disease, diabetes, and osteoarthritis and/or rheumatic arthritis—among 2,184 respondents aged 55 years and older from the Netherlands. We also examined if transitions in lifestyle co-occurred with changes in disease-related symptomatology. Results: Proportions of respondents who smoked decreased over time, whereas proportions of respondents who were sedentary increased. Respondents with incident cardiovascular disease demonstrated more lifestyle transitions than respondents from other disease categories. Respondents demonstrating healthy lifestyle transitions did not differ from those persisting in unhealthy lifestyles in change in disease-related symptoms. Discussion: Health promotion may benefit from these findings in a way that patient groups at risk for not initiating healthy lifestyles might be identified sooner.

Key Words: chronic disease • lifestyle • disease-related symptomatology • longitudinal studies


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