Objective To assess the effect of health management on chronic disease-related lifestyles of elderly people

including smoking

alcohol drinking

and physical exercise

so as to provide a theoretical basis for improving health management for the elderly.Methods Using multi-stage random sampling

the health records or health forms of 13 801 elderly people aged 65 or above from 24 districts or counties of Chongqing were collected.Data was double entered using EpiData 3.1and then statistically analyzed by SPSS 19.0.The status of smoking

alcohol drinking

and physical exercise before and after the implementation of health management was compared.Results From 2011 to 2013

the proportion of elderly people who followed a balanced diet increased significantly（89.2%

90.4% and 91.5%

respectively;χ2=42.11

P<0.01）;the proportion of those who ate a meat-based diet decreased significantly（4.9%

4.3% and 3.8%

respectively;χ2=20.26

P<0.01）;the proportion of those who had a plant-based diet decreased significantly（5.9%

5.3%and 4.7%

respectively;χ2=19.88

P<0.01）;the proportion of those who had a high-salt diet decreased significantly（8.0%

6.9% and 5.9%

respectively;χ2=47.27

P<0.01）;the proportion of those who ate a high-fat diet also decreased significantly（4.5%

3.6% and 2.4%

respectively;χ2=90.85

P<0.01）.Besides

the proportion of elderly people getting adequate physical exercise increased significantly from 2011 to 2013（15.6%

18.5%and 19.9%

respectively;χ2=90.50

P<0.01）.In terms of smoking

the proportion of current smokers decreased significantly（20.1%

18.3% and 18.1%

respectively;χ2=21.26

P<0.01）;and this rate was significantly higher in males than in females for each year（χ2=2 604.35

2 526.42

2 507.03

respectively;P<0.01）.As for alcohol drinking

the proportion of drinkers also decreased significantly（20.1%

18.1% and 16.9%

respectively;χ2=48.01

P<0.01）;and this rate was also significantly higher in males than in females（χ2=2 096.82

1 969.58

1 714.52

respectively;P<0.01）and varied significantly across different age groups for each year（χ2=16.35

28.58

33.70

respectively;P<0.01）.ConclusionHealth management is apparently effective in improving these chronic disease-related lifestyles

but continuous work is required to achieve optimal outcomes.