Combined healthy lifestyle behaviours and incident disability in an elderly population: the Ohsaki Cohort 2006 Study
Combined healthy lifestyle behaviours and incident disability in an elderly population: the Ohsaki Cohort 2006 Study
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老年人群中健康生活方式行为与事故致残的结合：Ohsaki 队列 2006 年研究
DOI：
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发表时间：
2018
影响因子：
6.3
通讯作者：
I. Tsuji
中科院分区：
文献类型：
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作者：
Shu Zhang;Y. Tomata;R. Newson;Y. Sugawara;I. Tsuji
背景 健康生活方式行为（HLB）对老年人群意外残疾的联合影响仍不确定。这项队列研究的目的是评估组合 HLB 减少日本老年人残疾的人口归因分数 (PAF)。方法 我们在一项前瞻性队列研究中分析了 9910 名社区老年人（≥65 岁）的 10 年随访数据。 2006年通过问卷调查收集了有关生活方式行为和食物消费的信息。暴露变量被定义为健康生活方式指数（HLI），它代表HLB（“从不或以前吸烟”、“步行时间≥0.5小时/天”和“蔬菜和水果消费量≥中位数”）的总和。有关事故残疾的数据是从公共长期护理保险数据库中检索的。 HR 和 95% CI 通过 Cox 比例回归估计，PAF 及其 95% CI 通过多变量调整模型估计。结果10年残疾发生率为35.7%。观察到反剂量-反应关系（HR (95%CI)：HLI 评分每增加 1 分，HR (95% CI)：0.85（0.81 至 0.90），p 趋势 <0.001）。根据多变量调整，坚持每增加一项 HLB 可使 PAF 达到 10.5%（95% CI 9.0% 至 12.0%），从而减少残疾。如果所有受试者都遵守所有三个 HLB，则 PAF 将为 25.9%（14.2% 至 36.0%）。结论 联合 HLB 可能对降低老年人发生残疾事件的风险产生重大影响。即使多养成一种健康的生活习惯也可能带来相当大的好处。
Background The joint impact of healthy lifestyle behaviours (HLBs) on incident disability among elderly populations is still uncertain. This cohort study was conducted to estimate the population-attributable fraction (PAF) of combined HLBs for disability reduction in elderly Japanese. Methods We analysed 10-year follow-up data for 9910 community-dwelling elderly people (≥65 years) in a prospective cohort study. Information on lifestyle behaviours and food consumption was collected via a questionnaire in 2006. The exposure variable was defined as a healthy lifestyle index (HLI), which represented the summed number of HLBs (‘never or former smoker’, ‘time spent walking ≥0.5 hour/day’ and ‘vegetable and fruit consumption volume ≥median’). Data on incident disability were retrieved from the public Long term Care Insurance database. HRs and 95% CIs were estimated by Cox proportional regression and the PAFs and their 95% CIs were estimated with the multivariate-adjusted model. Results The 10-year incidence of disability was 35.7%. An inverse dose–response relationship was observed (HR (95% CI): 0.85(0.81 to 0.90) for each one-point increase of the HLI score, p-trend <0.001). Based on multivariate-adjustment, adherence to each one additional HLB gives PAF of 10.5%(95% CI 9.0% to 12.0%) for disability reduction. The PAF would have been 25.9%(14.2% to 36.0%) if all subjects had adhered to all three HLBs. Conclusion Combined HLBs may have a substantial impact on reducing the risk of incident disability among elderly people. Even having one more healthy lifestyle habit may bring considerable benefit.
影响因子：
6.3
作者：
Jacob ME;Yee LM;Diehr PH;Arnold AM;Thielke SM;Chaves PH;Gobbo LD;Hirsch C;Siscovick D;Newman AB
通讯作者：
Newman AB
影响因子：
5.8
作者：
J. Carpenter;H. Goldstein;M. Kenward
通讯作者：
J. Carpenter;H. Goldstein;M. Kenward
关于吸烟和其他可改变的危险因素对美国中老年健康不良影响的纵向研究：健康与退休研究以及最年长者资产和健康动态调查的结果。
DOI：
10.1006/pmed.2001.0991
发表时间：
2002
期刊：
Preventive medicine.
影响因子：
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作者：
Ostbye,Truls;Taylor,DonaldHugh;Jung,Sang-Hyuk
通讯作者：
Jung,Sang-Hyuk