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description Publicationkeyboard_double_arrow_right Article , Conference object , Other literature type , Journal 2016 Spain, Spain, Spain, NetherlandsPublisher:Springer Science and Business Media LLC Publicly fundedAuthors: Hendriek C. Boshuizen; Hendriek C. Boshuizen; Johan P. Mackenbach; Wilma J. Nusselder; +8 AuthorsHendriek C. Boshuizen; Hendriek C. Boshuizen; Johan P. Mackenbach; Wilma J. Nusselder; Henriette A. Smit; Margarete C. Kulik; Esteve Fernández; Joceline Pomerleau; Tim Lobstein; Kathleen Bennett; Paolo Baili; Stefan K. Lhachimi;Influencing the life-style risk-factors alcohol, body mass index (BMI), and smoking is an European Union (EU) wide objective of public health policy. The population-level health effects of these risk-factors depend on population specific characteristics and are difficult to quantify without dynamic population health models.For eleven countries-approx. 80 % of the EU-27 population-we used evidence from the publicly available DYNAMO-HIA data-set. For each country the age- and sex-specific risk-factor prevalence and the incidence, prevalence, and excess mortality of nine chronic diseases are utilized; including the corresponding relative risks linking risk-factor exposure causally to disease incidence and all-cause mortality. Applying the DYNAMO-HIA tool, we dynamically project the country-wise potential health gains and losses using feasible, i.e. observed elsewhere, risk-factor prevalence rates as benchmarks. The effects of the "worst practice", "best practice", and the currently observed risk-factor prevalence on population health are quantified and expected changes in life expectancy, morbidity-free life years, disease cases, and cumulative mortality are reported.Applying the best practice smoking prevalence yields the largest gains in life expectancy with 0.4 years for males and 0.3 year for females (approx. 332,950 and 274,200 deaths postponed, respectively) while the worst practice smoking prevalence also leads to the largest losses with 0.7 years for males and 0.9 year for females (approx. 609,400 and 710,550 lives lost, respectively). Comparing morbidity-free life years, the best practice smoking prevalence shows the highest gains for males with 0.4 years (342,800 less disease cases), whereas for females the best practice BMI prevalence yields the largest gains with 0.7 years (1,075,200 less disease cases).Smoking is still the risk-factor with the largest potential health gains. BMI, however, has comparatively large effects on morbidity. Future research should aim to improve knowledge of how policies can influence and shape individual and aggregated life-style-related risk-factor behavior.
http://repub.eur.nl/... arrow_drop_down http://repub.eur.nl/pub/96627/...Article . 2016Data sources: DANS (Data Archiving and Networked Services)COREArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORELSHTM Research OnlineArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORE (RIOXX-UK Aggregator)Recolector de Ciencia Abierta, RECOLECTAArticleData sources: Recolector de Ciencia Abierta, RECOLECTABMC Public HealthArticle . 2016Utrecht University, University Medical Center UtrechtArticle . 2016Data sources: Utrecht University, University Medical Center UtrechtFachrepositorium LebenswissenschaftenArticle . 2016License: CC BYData sources: Fachrepositorium LebenswissenschaftenWageningen Staff PublicationsArticle . 2016License: CC BYData sources: Wageningen Staff PublicationsDiposit Digital de la Universitat de BarcelonaArticle . 2016License: CC BYData sources: Diposit Digital de la Universitat de BarcelonaRecolector de Ciencia Abierta, RECOLECTAArticle . 2016Data sources: Recolector de Ciencia Abierta, RECOLECTAadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://beta.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12889-016-3299-z&type=result"></script>'); --> </script>For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 23 citations 23 popularity Top 10% influence Top 10% impulse Top 10% 
Powered by BIP!visibility 74visibility views 74 download downloads 48 Powered by
more_vert http://repub.eur.nl/... arrow_drop_down http://repub.eur.nl/pub/96627/...Article . 2016Data sources: DANS (Data Archiving and Networked Services)COREArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORELSHTM Research OnlineArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORE (RIOXX-UK Aggregator)Recolector de Ciencia Abierta, RECOLECTAArticleData sources: Recolector de Ciencia Abierta, RECOLECTABMC Public HealthArticle . 2016Utrecht University, University Medical Center UtrechtArticle . 2016Data sources: Utrecht University, University Medical Center UtrechtFachrepositorium LebenswissenschaftenArticle . 2016License: CC BYData sources: Fachrepositorium LebenswissenschaftenWageningen Staff PublicationsArticle . 2016License: CC BYData sources: Wageningen Staff PublicationsDiposit Digital de la Universitat de BarcelonaArticle . 2016License: CC BYData sources: Diposit Digital de la Universitat de BarcelonaRecolector de Ciencia Abierta, RECOLECTAArticle . 2016Data sources: Recolector de Ciencia Abierta, RECOLECTAadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://beta.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12889-016-3299-z&type=result"></script>'); --> </script>For further information contact us at helpdesk@openaire.eu
description Publicationkeyboard_double_arrow_right Article , Conference object , Other literature type , Journal 2016 Spain, Spain, Spain, NetherlandsPublisher:Springer Science and Business Media LLC Publicly fundedAuthors: Hendriek C. Boshuizen; Hendriek C. Boshuizen; Johan P. Mackenbach; Wilma J. Nusselder; +8 AuthorsHendriek C. Boshuizen; Hendriek C. Boshuizen; Johan P. Mackenbach; Wilma J. Nusselder; Henriette A. Smit; Margarete C. Kulik; Esteve Fernández; Joceline Pomerleau; Tim Lobstein; Kathleen Bennett; Paolo Baili; Stefan K. Lhachimi;Influencing the life-style risk-factors alcohol, body mass index (BMI), and smoking is an European Union (EU) wide objective of public health policy. The population-level health effects of these risk-factors depend on population specific characteristics and are difficult to quantify without dynamic population health models.For eleven countries-approx. 80 % of the EU-27 population-we used evidence from the publicly available DYNAMO-HIA data-set. For each country the age- and sex-specific risk-factor prevalence and the incidence, prevalence, and excess mortality of nine chronic diseases are utilized; including the corresponding relative risks linking risk-factor exposure causally to disease incidence and all-cause mortality. Applying the DYNAMO-HIA tool, we dynamically project the country-wise potential health gains and losses using feasible, i.e. observed elsewhere, risk-factor prevalence rates as benchmarks. The effects of the "worst practice", "best practice", and the currently observed risk-factor prevalence on population health are quantified and expected changes in life expectancy, morbidity-free life years, disease cases, and cumulative mortality are reported.Applying the best practice smoking prevalence yields the largest gains in life expectancy with 0.4 years for males and 0.3 year for females (approx. 332,950 and 274,200 deaths postponed, respectively) while the worst practice smoking prevalence also leads to the largest losses with 0.7 years for males and 0.9 year for females (approx. 609,400 and 710,550 lives lost, respectively). Comparing morbidity-free life years, the best practice smoking prevalence shows the highest gains for males with 0.4 years (342,800 less disease cases), whereas for females the best practice BMI prevalence yields the largest gains with 0.7 years (1,075,200 less disease cases).Smoking is still the risk-factor with the largest potential health gains. BMI, however, has comparatively large effects on morbidity. Future research should aim to improve knowledge of how policies can influence and shape individual and aggregated life-style-related risk-factor behavior.
http://repub.eur.nl/... arrow_drop_down http://repub.eur.nl/pub/96627/...Article . 2016Data sources: DANS (Data Archiving and Networked Services)COREArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORELSHTM Research OnlineArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORE (RIOXX-UK Aggregator)Recolector de Ciencia Abierta, RECOLECTAArticleData sources: Recolector de Ciencia Abierta, RECOLECTABMC Public HealthArticle . 2016Utrecht University, University Medical Center UtrechtArticle . 2016Data sources: Utrecht University, University Medical Center UtrechtFachrepositorium LebenswissenschaftenArticle . 2016License: CC BYData sources: Fachrepositorium LebenswissenschaftenWageningen Staff PublicationsArticle . 2016License: CC BYData sources: Wageningen Staff PublicationsDiposit Digital de la Universitat de BarcelonaArticle . 2016License: CC BYData sources: Diposit Digital de la Universitat de BarcelonaRecolector de Ciencia Abierta, RECOLECTAArticle . 2016Data sources: Recolector de Ciencia Abierta, RECOLECTAadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://beta.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12889-016-3299-z&type=result"></script>'); --> </script>For further information contact us at helpdesk@openaire.euAccess RoutesGreen gold 23 citations 23 popularity Top 10% influence Top 10% impulse Top 10% Powered by BIP!visibility 74visibility views 74 download downloads 48 Powered bymore_vert http://repub.eur.nl/... arrow_drop_down http://repub.eur.nl/pub/96627/...Article . 2016Data sources: DANS (Data Archiving and Networked Services)COREArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORELSHTM Research OnlineArticle . 2016License: CC BY NC NDFull-Text: https://researchonline.lshtm.ac.uk/id/eprint/2729026/1/art%253A10.1186%252Fs12889-016-3299-z.pdfData sources: CORE (RIOXX-UK Aggregator)Recolector de Ciencia Abierta, RECOLECTAArticleData sources: Recolector de Ciencia Abierta, RECOLECTABMC Public HealthArticle . 2016Utrecht University, University Medical Center UtrechtArticle . 2016Data sources: Utrecht University, University Medical Center UtrechtFachrepositorium LebenswissenschaftenArticle . 2016License: CC BYData sources: Fachrepositorium LebenswissenschaftenWageningen Staff PublicationsArticle . 2016License: CC BYData sources: Wageningen Staff PublicationsDiposit Digital de la Universitat de BarcelonaArticle . 2016License: CC BYData sources: Diposit Digital de la Universitat de BarcelonaRecolector de Ciencia Abierta, RECOLECTAArticle . 2016Data sources: Recolector de Ciencia Abierta, RECOLECTAadd ClaimPlease grant OpenAIRE to access and update your ORCID works.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.This Research product is the result of merged Research products in OpenAIRE.
You have already added works in your ORCID record related to the merged Research product.All Research productsarrow_drop_down <script type="text/javascript"> <!-- document.write('<div id="oa_widget"></div>'); document.write('<script type="text/javascript" src="https://beta.openaire.eu/index.php?option=com_openaire&view=widget&format=raw&projectId=10.1186/s12889-016-3299-z&type=result"></script>'); --> </script>For further information contact us at helpdesk@openaire.eu