Background The stability of Lifestyle behaviour has been studied over
a 4-year period in a sample of 1400 men in The Netherlands. The influe
nce of both socioeconomic status and age was studied in relation to li
festyle behaviour change. Methods Lifestyle behaviour was analysed by
means of index scores, each covering one of four domains: smoking, alc
ohol consumption, physical activity and dietary habits. Changes in lif
estyle behaviour were analysed at individual and group level, using di
fferent statistical methods. Results Smoking behaviour remained highly
constant, whereas alcohol consumption had only moderate stability. Ph
ysical activity and dietary habits had greater variability over this t
ime period. Age and socioeconomic status are related to the prevalence
of lifestyle behaviour, whereas only age is related to the stability
of lifestyle behaviour. Socioeconomic status did not relate to changes
in lifestyle behaviour. Conclusions The four lifestyle behaviours dif
fered in the degree of variation over a 4-year period. Only a small gr
oup (11%) changed two or more lifestyle behaviours. This implies that
lifestyle behaviour is not a unified concept and should not be treated
in that way in public health campaigns.