Mortality of Japanese Olympic athletes: 1952?2017 cohort study
Mortality of Japanese Olympic athletes: 1952?2017 cohort study
复制标题
日本奥林匹克运动员的死亡率：1952 年至 2017 年队列研究
DOI：
10.1136/bmjsem-2019-000653
复制
发表时间：
2019
影响因子：
4.8
通讯作者：
Sobue Tomotaka
中科院分区：
文献类型：
--
作者：
Takeuchi Taro;Kitamura Yuri;Sado Junya;Hattori Satoshi;Kanemura Yumiko;Naito Yoshihiko;Nakajima Kohei;Okuwaki Toru;Nakata Ken;Kawahara Takashi;Sobue Tomotaka
目的比较日本奥运会运动员与普通人群的死亡率，并根据参加奥运会总人数和运动项目强度对其死亡率进行评价。方法从6个在线数据库中检索日本奥运选手的生平、生命状况、出生日期、死亡日期和最近随访日期等信息，并进行比较。标准化死亡率（SMR）是根据自上次参加奥运会以来的观察期和年份估计的。为了进一步评估死亡率与研究人群参加奥运会总人数/运动项目强度之间的关系，通过泊松回归模型估计经性别、观察期和达到年龄组调整的发病率比（rr）。结果共纳入3381名奥运选手。人的总年数为94 076.82。153名（4.53%）奥运选手确认死亡，总体SMR为0.29 （95% CI, 0.25 ~ 0.34）。从最后一次参与开始按年份分类的中小企业死亡率没有显著差异。与只参加一次奥运会的人相比，参加过两次奥运会的人死亡率更高（RR: 1.52; 95% CI, 1.04 - 2.23），参加过三次以上奥运会的人死亡率更高（RR: 1.87; 95% CI, 1.08 - 3.25）。与低静态和低动态强度组合相比，大多数中强度或高强度组合的死亡率更高。结论：日本奥运选手比一般人群寿命更长。更频繁地参加奥运会和更高强度的体育项目与更高的死亡率有关。
Aim To evaluate mortality among Japanese Olympic athletes compared with the general population and also evaluate their mortality based on total number of Olympics participation and intensity of sports disciplines.Methods Information on biography, vital status, date of birth, date of death and latest follow-up date on Japanese Olympians was retrieved from six online databases and compared. Standardised mortality ratio (SMR) was estimated according to observation periods and years from last participation in the Olympics. To further evaluate the association between mortality and total number of Olympics participation/intensity of sports disciplines within the study population, rate ratios (RRs) adjusted by sex, observation period and attained age group were estimated by a Poisson regression model.Results A total of 3381 Olympians were included in the analysis. The total person years was 94 076.82. The deaths of 153 (4.53%) Olympians were confirmed, and the overall SMR was 0.29 (95% CI, 0.25 to 0.34). SMRs categorised by years from last participation did not differ significantly. Higher mortality was observed among those who participated in the Olympics twice (RR: 1.52; 95% CI, 1.04 to 2.23) and three times or more (RR: 1.87; 95% CI, 1.08 to 3.25) compared with those who participated just once. Compared with combination of low static and low dynamic intensity category, higher mortality was observed in most combinations of middle-intensity or high-intensity categories.Conclusion Japanese Olympians lived longer than the general population. More frequent participation in the Olympics and higher intensity of sports disciplines were associated with higher mortality.