Lifestyle and health
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The leading causes of morbidity and mortality in the Western world have changed remarkably in the past decades, shifting from acute, communicable diseases to chronic and non-communicable diseases. It is generally acknowledged that many of these new diseases are influenced by health-related behaviour. Hence, influencing people’s lifestyles became a focus in the promotion of health as well. However, the meaning of the concept differs amongst, for instance, epidemiologists, health education specialists and sociologists. Some (social) scientists refer to lifestyle as a consciously chosen behaviour of individuals as it relates to health, such as diet, physical exercise, and unsafe sexual practices. To others, lifestyle is seen as influenced by cultural and environmental factors as well. In this contribution the different meanings of lifestyle are discussed, as well as the consequences of these differences for the approach in health promotion. There is ample evidence that lifestyles are associated with individual health and with the health of others. However, putting too much emphasis on the individual responsibility for certain lifestyles may lead to healthism. We will advocate the need for a broader approach.