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The proportions and odds ratios with 95% confidence intervals for <jats:styled-content style=\"fixed-case\">HRB<\/jats:styled-content>s and comorbidities in people with epilepsy (<jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content>) compared to respondents without epilepsy were calculated for each survey over the 10\u2010year period, and estimates were examined for changes over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 522,722 participants of whom 3,220 (0.6%) had epilepsy. The proportion of <jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content> who did not participate in physical activity decreased over time (2001\u00a0=\u00a017.2%, 2010\/2011\u00a0=\u00a08.5%), as did the proportion of <jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content> who smoked cigarettes (2001\u00a0=\u00a032.3%, 2010\/2011\u00a0=\u00a018.0%). <jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content> had consistently reduced alcohol consumption in comparison to the general population. Fewer than half of participants met the recommended daily guidelines for fruit and vegetable consumption. An apparent reduction in the prevalence of heart disease occurred in <jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content> (2001\u00a0=\u00a011.7%, 2010\/2011\u00a0=\u00a04.0%), but not in people without epilepsy; however, similar trends were not observed for other cardiovascular comorbidities studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Apparent improvements in smoking cessation and physical activity occurred in <jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content>. Despite these improvements, physicians should continue to counsel their patients on the importance of healthy lifestyle choices. Further exploration into the reasons for the apparent decrease in the prevalence of heart disease in <jats:styled-content style=\"fixed-case\">PWE<\/jats:styled-content> is warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/epi.13207","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T04:58:21Z","timestamp":1448513901000},"page":"1973-1981","source":"Crossref","is-referenced-by-count":26,"title":["Health\u2010related behaviors and comorbidities in people with epilepsy: Changes in the past decade"],"prefix":"10.1111","volume":"56","author":[{"given":"Jodie I.","family":"Roberts","sequence":"first","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary Calgary Alberta Canada"},{"name":"Hotchkiss Brain Institute University of Calgary Calgary Alberta Canada"},{"name":"Department of Community Health Sciences O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott B.","family":"Patten","sequence":"additional","affiliation":[{"name":"Hotchkiss Brain Institute University of Calgary Calgary Alberta Canada"},{"name":"Department of Community Health Sciences O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada"},{"name":"Department of Psychiatry Mathison Institute for Mental Health Research &amp; Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Wiebe","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary Calgary Alberta Canada"},{"name":"Hotchkiss Brain Institute University of Calgary Calgary Alberta Canada"},{"name":"Department of Community Health Sciences O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda R.","family":"Hemmelgarn","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada"},{"name":"Department of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Pringsheim","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary Calgary Alberta Canada"},{"name":"Hotchkiss Brain Institute University of Calgary Calgary Alberta Canada"},{"name":"Department of Community Health Sciences O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada"},{"name":"Department of Psychiatry Mathison Institute for Mental Health Research &amp; Education"},{"name":"Department of Pediatrics University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Jett\u00e9","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary Calgary Alberta Canada"},{"name":"Hotchkiss Brain Institute University of Calgary Calgary Alberta Canada"},{"name":"Department of Community Health Sciences O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2009.02477.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2008.05.005"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2004.02.007"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2005.01605.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31827b1ae0"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31825f0466"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2005.00344.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1997.tb01493.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2007.08.011"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1994.tb01796.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1994.tb01797.x"},{"key":"e_1_2_8_13_1","first-page":"1207","article-title":"Vital signs: current cigarette smoking among adults aged \u226518\u00a0years \u2013 United States, 2005\u20132010","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR"},{"key":"e_1_2_8_14_1","first-page":"9","article-title":"Canadian Community Health Survey \u2013 methodological overview","volume":"13","author":"Beland Y","year":"2002","journal-title":"Health Rep"},{"key":"e_1_2_8_15_1","unstructured":"Statistics Canada.Canadian Community Health Survey (CCHS) 1.1. 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