A simple healthy lifestyle index as a proxy of wellness: a proof of concept

Daniela Lucini, Silvano Zanuso, Steven Blair, Massimo Pagani

Research output: Contribution to journalArticlepeer-review


The evidence supporting the importance of a healthy lifestyle (active life, healthy diet, not smoking, and low stress) as a part of programs for primary and secondary prevention of cardiometabolic diseases is strong, compelling, and continuously growing. In this study, we test whether a simple web-based healthy lifestyle index, using self-reports, is related to indices of cardiovascular health and metabolic syndrome and could be employed in large wellness programs intended to promote healthy lifestyle. We studied 411 workers in an Italian multinational factory who were enrolled in a voluntary program consisting of a health checkup and an online questionnaire on lifestyle. These domains were combined into a single simple index. Participants were subdivided into three healthy lifestyle index (HI) groups (red, yellow, and green) ranging from poor to good HI quality (HI from red to green: 41.8 ± 14.6; 75.7 ± 8.5; 93.8 ± 2.2; p 

Original languageEnglish
Pages (from-to)81-89
Number of pages9
JournalActa Diabetologica
Issue number1
Publication statusPublished - 2015


  • Cardiovascular health
  • Clinical prevention
  • Diet
  • Exercise
  • Stress

ASJC Scopus subject areas

  • Endocrinology
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Medicine(all)


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