Good self-rated health and mental wellbeing were significantly associated with lower odds of ischemic heart disease, while specific lifestyle habits including physical activity, sufficient sleep, and healthy nutrition were positively associated with better self-rated health and mental wellbeing.
Key Findings
Results
Good self-rated health and mental wellbeing status were associated with lower odds of ischemic heart disease after adjusting for main covariates.
OR = 0.692, 95% CI: 0.22-0.93, p = 0.013
Covariates adjusted for included sex, age, education, marital status, metabolic syndrome, and its components
Binary logistic regression analysis was used to investigate associations
Study was conducted during 2023-2024 in Kaunas city, Lithuania, with 3,426 individuals screened
Results
Regular physical activity was positively associated with better self-rated health and mental wellbeing.
OR = 1.661, 95% CI: 1.35-2.04, p < 0.001
This association was identified using binary logistic regression analysis
The study sample was a random sample of Kaunas inhabitants aged 25-69 years, stratified by sex and age
Results
Sufficient sleep was positively associated with better self-rated health and mental wellbeing.
OR = 1.115, 95% CI: 1.03-1.21, p = 0.006
Sleep was identified as a modifiable lifestyle determinant affecting cardiovascular risk and self-rated health
Association was determined via binary logistic regression analysis
Results
Healthy nutrition habits rich in fruits, vegetables, and fish were positively associated with better self-rated health and mental wellbeing.
OR = 1.463, 95% CI: 1.24-1.73, p < 0.001
An exploratory factor analysis with orthogonal varimax rotation was conducted to examine the factor structure of food intake data
This dietary pattern was derived from the factor analysis of food intake data
Results
More frequent consumption of meat products and potatoes reduced the odds of good self-rated health and mental wellbeing.
OR = 0.831, 95% CI: 0.70-0.99, p = 0.04
This dietary pattern was identified through exploratory factor analysis with orthogonal varimax rotation of food intake data
The finding contrasts with the positive association seen for the fruits, vegetables, and fish dietary pattern
Methods
The study was an epidemiological health survey following the methodology of the WHO MONICA study conducted in Kaunas city, Lithuania.
Survey was performed during 2023-2024 as part of the study 'Chronic diseases and their risk factors in the adult population'
A random sample of Kaunas inhabitants aged 25-69 years was stratified by sex and age and randomly selected from the Lithuanian population register
3,426 individuals were screened
Binary logistic regression and exploratory factor analysis with orthogonal varimax rotation were the primary analytical methods
Aukstakalniene G, Luksiene D, Tamosiunas A, Sileikiene L, Lesauskaite V. (2026). Self-rated health, mental wellbeing, nutrition habits, and their association with morbidity of ischemic heart disease.. Frontiers in public health. https://doi.org/10.3389/fpubh.2025.1722066