Chronic Disease and Lifestyle Transitions Results From the Longitudinal Aging Study Amsterdam

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 respon-dents who smoked decreased over time, whereas proportions of respondents who were sedentary increased. Respondents with incident cardiovascular dis-ease 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