Dietary quality and lifestyle factors in relation to 10-year mortality in older Europeans - The SENECA Study
Dietary quality and lifestyle factors in relation to 10-year mortality in older Europeans - The SENECA Study
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DOI：
10.1093/aje/kwf144
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发表时间：
2002-11-15
影响因子：
5
通讯作者：
van Staveren, WA
中科院分区：
文献类型：
--
作者：
Haveman-Nies, A;de Groot, LPGM;van Staveren, WA
在Seneca的研究中，研究了三种健康生活方式行为-不吸烟、锻炼身体和高质量饮食-对老年人生存的单独和联合影响。这项欧洲纵向研究从1988-1989年的基线测量开始，一直持续到1999年4月30日。研究人群包括来自比利时、丹麦、意大利、荷兰、葡萄牙、西班牙和瑞士的631名男性和650名女性，年龄在70-75岁之间。生活方式得分是通过将生活方式因素、体力活动、饮食质量和吸烟习惯的得分相加计算出来的。单一生活方式因素和生活方式得分与死亡率相关。即使在70-75岁年龄段，吸烟、低质量饮食和缺乏体育锻炼等不健康的生活方式行为也会增加死亡风险(危险比从1.2到2.1)。两种不健康生活方式行为的所有组合都进一步增加了死亡风险。最后，拥有所有三种不健康生活方式行为的男性和女性死亡风险增加了三到四倍。这些结果强调了健康生活方式的重要性，包括多种生活方式因素，并随着年龄的增长而保持这种生活方式。
The single and combined effects of three healthy lifestyle behaviors-nonsmoking, being physically active, and having a high-quality diet-on survival were investigated among older people in the SENECA Study. This European longitudinal study started with baseline measurements in 1988-1989 and lasted until April 30, 1999. The study population consisted of 631 men and 650 women aged 70-75 years from Belgium, Denmark, Italy, The Netherlands, Portugal, Spain, and Switzerland. A lifestyle score was calculated by adding the scores of the lifestyle factors physical activity, dietary quality, and smoking habits. The single lifestyle factors and the lifestyle score were related to mortality. Even at ages 70-75 years, the unhealthy lifestyle behaviors smoking, having a low-quality diet, and being physically inactive were singly related to an increased mortality risk (hazard ratios ranged from 1.2 to 2.1). The risk of death was further increased for all combinations of two unhealthy lifestyle behaviors. Finally, men and women with all three unhealthy lifestyle behaviors had a three- to fourfold increase in mortality risk. These results underscore the importance of a healthy lifestyle, including multiple lifestyle factors, and the maintenance of it with advancing age.