

A recent systematic review published in Healthcare reveals that health-related habit can form in as little as 59 days, though timelines vary widely, ranging from 4 to 335 days depending on the individual and behavior. Conducted by researchers analyzing 20 studies with 2,601 participants, the findings emphasize that consistent practice and strategic planning are key to forming sustainable habits.
The research debunks the widely believed myth that habits take just 21 days to form. Instead, habit formation depends on factors like the nature of the habit, individual motivation, and context. For instance, simple habits like flossing were quicker to automate, while more complex behaviors like healthy eating took longer.
Key Findings:
- Median Formation Time: Healthy eating habits typically required 59–66 days to reach automaticity, though some participants needed more time.
- Habit Strength: Flossing showed the most improvement, followed by diet and physical activity, while no significant effects were found for reducing sedentary behaviors.
- Intervention Effectiveness: Programs lasting two to five months proved more effective than short-term approaches.
What Aids Habit Formation:
Repetition in stable contexts, such as practicing habits at the same time daily (e.g., morning routines), accelerates automaticity. Other factors include detailed planning, self-selected habits, and enjoyment of the activity. For instance, setting out exercise gear the night before can reinforce consistency.
Researchers also identified a plateau effect, where initial repetitions yield significant habit strength improvements, which stabilize over time.
Implications:
This study highlights the importance of realistic timelines and tailored interventions for building habits. Health practitioners and individuals should focus on sustaining efforts and creating enjoyable routines to ensure long-term success.
Future research will focus on long-term studies with objective measures to deepen our understanding of habit formation and improve intervention strategies.
More Information: Singh, B., Murphy, A., Maher, C., Smith, A.E. (2025) Time to form a habit: a systematic review and meta-analysis of health behaviour habit formation and its determinants. Healthcare. doi:10.3390/healthcare12232488. https://www.mdpi.com/2227-9032/12/23/2488
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