Health practices, risk factors, and chronic disease in Tecumseh

Seven health practices previously found to be associated with a self-report index of good health and with lower mortality in the Alameda County studies were related to several measures of health in a cohort of 880 men and 973 women, ages 35–69, who were participants in the Tecumseh Community Health Study. The health measures were prevalence of three diagnoses—coronary heart disease (CHD), hypertension, and chronic bronchitis—and levels of five risk factors—systolic and diastolic blood pressures, serum total cholesterol, blood glucose, and FEV 1. Four of the practices—desirable relative weight, physical activity, never having smoked, and moderate or no alcohol drinking—were associated significantly with one or more of the health measures. Eating breakfast, limited between-meal eating, and sleeping 7 or 8 hr were not related to the health measures. Combining all seven health practices into an index produced a measure that was more strongly associated negatively with CHD prevalence than was any one of the component practices. However, the index was no more strongly associated with any of the other health measures than were the relevant separate practices. Desirable weight was more highly associated (negatively) with hypertension and blood pressure than the index was, as was never having smoked with chronic bronchitis (negatively) and FEV 1 (positively).