title: Lifestyle index and self-rated health status.
abstract: OBJECTIVE
  The aim of the study was to analyze the influence of selected lifestyle factors on self-rated health status in working age population.
  
  
  METHODS
  The study population derived from the national Polish representative WOBASZ study. The sample consisted of 1222 randomly selected residents of two Polish districts, aged 20-64 years (52.3% women and 47.7% men). We analyzed four health-related behaviors as lifestyle factors that made up the lifestyle index: non-smoking, adequate fruit and vegetable intake, healthy weight, and sufficient physical activity. Logistic regression was used to estimate odds ratios and 95% confidence intervals to investigate the impact of lifestyle on self-rated health.
  
  
  RESULTS
  The findings revealed that 4.2, 17.6, 37 and 35.2% of women and 6.4, 19.9, 36.5 and 34.1% of men had the lifestyle index score of 0, 1, 2, 3 points, respectively. Only 6.1% of women and 3.1% of men met all the four criteria of a healthy lifestyle (score 4). Self-rated health was regarded as poor/fair, good or very good by 39.1, 54.3, 6.6% of women and 31.6, 60.7, 7.7% of men, respectively. Poor/fair self-rated health was strongly associated with obesity both in the male and female population. Among men with the lifestyle index score of 0 points, the risk of poor/fair self-rated health was 3.5 times as high (OR = 3.52; 95% CI: 1.36-9.12) as in men with the index score of 4. For women with the scores of 3, 2, 1, and 0, the risk of poor/fair self-rated health was nearly three (OR = 2.89; 95% CI: 1.5-5.56), four (OR = 3.61; 95% CI: 1.88-6.93), six (OR = 5.93; 95% CI: 2.88-12.21) and seven times (OR = 6.67; 95% CI: 1.97-22.51) as high as for those with the lifestyle index score of 4.
  
  
  CONCLUSIONS
  There is a need for implementing more effective health promotion interventions in the society, with special regard to weight reduction programs.
authors.affiliation: Department of Social and Preventive Medicine, Medical University of Lódź, Plac Hallera 1, 90-647 Łódź, Poland. mpodkowiak@yahoo.com
authors.forename: Magdalena
authors.initials: M
authors.lastname: Kwaśniewska
authors.forename: Dorota
authors.initials: D
authors.lastname: Kaleta
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Dziankowska-Zaborszczyk
authors.forename: Wojciech
authors.initials: W
authors.lastname: Drygas
authors.forename: Teresa
authors.initials: T
authors.lastname: Makowiec-Dabrowska
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D004032:Diet; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007899:Leisure Activities; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012649:Self Concept; D012907:Smoking