Engaging in healthy eating and active living is an effective strategy for preventing noncommunicable diseases in older populations. The purposes were to compare the prevalence rates across countries and explore health factors associated with healthy eating and active living. The data were retrieved from a cross-sectional study conducted by the International Social Survey Program (2011 Health and Healthcare), with structured questionnaire surveys in 32 countries. The results showed that 38.42% reported active living and 39.11% reported healthy eating among 11,250 total respondents. Older adults with a longstanding illness or obesity who felt that they were not overcoming problems and had lost confidence were less likely to engage in healthy behavior. Perceived general health had a positive association with the odds of engaging in healthy eating and active living. The international comparisons provide a reference for local governments to decrease health disparities. Inspiring self-awareness about health might encourage older adults to pursue healthy lifestyles.
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