Impact of mild traumatic brain injury on health behaviors

Abstract Health-related behavioral changes may occur following traumatic brain injury. We focused on understanding the impact of mild traumatic brain injury (TBI) on health-related behaviors and identifying factors associated with such changes. We utilized health check-up records from the Korean Nat...

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Main Authors: Yookyung Lee, Yoonjeong Choi, Jooeun Jeon, Ja-Ho Leigh, Don-Kyu Kim, Byung-Mo Oh
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83920-4
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author Yookyung Lee
Yoonjeong Choi
Jooeun Jeon
Ja-Ho Leigh
Don-Kyu Kim
Byung-Mo Oh
author_facet Yookyung Lee
Yoonjeong Choi
Jooeun Jeon
Ja-Ho Leigh
Don-Kyu Kim
Byung-Mo Oh
author_sort Yookyung Lee
collection DOAJ
description Abstract Health-related behavioral changes may occur following traumatic brain injury. We focused on understanding the impact of mild traumatic brain injury (TBI) on health-related behaviors and identifying factors associated with such changes. We utilized health check-up records from the Korean National Health Insurance Service database spanning January 1, 2009, to December 31, 2017. The sample included 49,212 patients diagnosed with mild TBI and 1:1 matched controls who participated in national health check-ups in 2009–2010, 2011–2012, and 2016–2017. Multivariable logistic regression analysis was utilized to examine the association between mild TBI and short- and long-term health-related behavioral changes. Mild TBI was significantly associated with an increased risk of insufficient physical activity at the short- [odds ratio (OR), 1.04; 95% confidence interval (CI), 1.01 − 1.07] and long-term (OR, 1.06; 95% CI, 1.03 − 1.09) follow-ups. Age ≥ 65 years and female sex were significant effect modifiers for insufficient physical activity (OR, 1.11; 95% CI, 1.02 − 1.21) and smoking (OR, 1.31; 95% CI, 1.14 − 1.51), respectively. Mild TBI may lead to detrimental health-related behavioral changes, varying by age and sex. Thus, age- and sex-specific interventions may be needed to address these changes.
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spelling doaj-art-fba44aa499d84f77b0ef911820ccfe472025-08-20T03:05:17ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-024-83920-4Impact of mild traumatic brain injury on health behaviorsYookyung Lee0Yoonjeong Choi1Jooeun Jeon2Ja-Ho Leigh3Don-Kyu Kim4Byung-Mo Oh5Department of Physical and Rehabilitation Medicine, Chung-ang University Gwang-Myeong HospitalDepartment of Rehabilitation Medicine, Seoul National University HospitalDepartment of Biomedical Sciences, Yonsei University College of MedicineDepartment of Rehabilitation Medicine, Seoul National University HospitalDepartment of Physical and Rehabilitation Medicine, Chung-ang University Gwang-Myeong HospitalDepartment of Rehabilitation Medicine, Seoul National University HospitalAbstract Health-related behavioral changes may occur following traumatic brain injury. We focused on understanding the impact of mild traumatic brain injury (TBI) on health-related behaviors and identifying factors associated with such changes. We utilized health check-up records from the Korean National Health Insurance Service database spanning January 1, 2009, to December 31, 2017. The sample included 49,212 patients diagnosed with mild TBI and 1:1 matched controls who participated in national health check-ups in 2009–2010, 2011–2012, and 2016–2017. Multivariable logistic regression analysis was utilized to examine the association between mild TBI and short- and long-term health-related behavioral changes. Mild TBI was significantly associated with an increased risk of insufficient physical activity at the short- [odds ratio (OR), 1.04; 95% confidence interval (CI), 1.01 − 1.07] and long-term (OR, 1.06; 95% CI, 1.03 − 1.09) follow-ups. Age ≥ 65 years and female sex were significant effect modifiers for insufficient physical activity (OR, 1.11; 95% CI, 1.02 − 1.21) and smoking (OR, 1.31; 95% CI, 1.14 − 1.51), respectively. Mild TBI may lead to detrimental health-related behavioral changes, varying by age and sex. Thus, age- and sex-specific interventions may be needed to address these changes.https://doi.org/10.1038/s41598-024-83920-4Mild traumatic brain InjuryHealth BehaviorPhysical activityAlcohol drinkingSmoking
spellingShingle Yookyung Lee
Yoonjeong Choi
Jooeun Jeon
Ja-Ho Leigh
Don-Kyu Kim
Byung-Mo Oh
Impact of mild traumatic brain injury on health behaviors
Scientific Reports
Mild traumatic brain Injury
Health Behavior
Physical activity
Alcohol drinking
Smoking
title Impact of mild traumatic brain injury on health behaviors
title_full Impact of mild traumatic brain injury on health behaviors
title_fullStr Impact of mild traumatic brain injury on health behaviors
title_full_unstemmed Impact of mild traumatic brain injury on health behaviors
title_short Impact of mild traumatic brain injury on health behaviors
title_sort impact of mild traumatic brain injury on health behaviors
topic Mild traumatic brain Injury
Health Behavior
Physical activity
Alcohol drinking
Smoking
url https://doi.org/10.1038/s41598-024-83920-4
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