Modifiable characteristics of a healthy lifestyle and chronic health conditions in older adults with or without serious psychological distress, 2007 Behavioral Risk Factor Surveillance System

The associations between serious psychological distress (SPD), chronic health conditions, healthy behaviors, healthy weight, and use of preventive services were examined among adults 65 years old and older using the 2007 Behavioral Risk Factor Surveillance System (BRFSS). Participants (N = 35,845) completed a scale of nonspecific psychological distress for the past 30 days. Chronic health conditions were investigated in addition to having a healthy weight (body mass index 18.5-24.9 kg/m(2)), not smoking, consuming a parts per thousand currency sign 1 alcoholic beverage per day, consuming at least five fruits or vegetables daily, participating in moderateto-vigorous physical activity during the average week, receiving an annual influenza immunization, and ever receiving a pneumococcal immunization. People with SPD were more likely than those without SPD to report chronic health conditions and less likely to be nonsmokers. No differences were found for the remaining healthy behaviors, healthy body weight, and use of preventive services. Older adults with SPD have a similar pattern of engagement in health behaviors, healthy weight, and use of preventive services compared to those without SPD despite reporting worse health status and presence of multiple chronic health conditions.