Low-Risk Lifestyle Behaviors and All-Cause Mortality: Findings From the National Health and Nutrition Examination Survey III Mortality Study
Low-Risk Lifestyle Behaviors and All-Cause Mortality: Findings From the National Health and Nutrition Examination Survey III Mortality Study
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DOI：
10.2105/ajph.2011.300167
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发表时间：
2011-10-01
影响因子：
12.7
通讯作者：
Li, Chaoyang
中科院分区：
文献类型：
--
作者：
Ford, Earl S.;Zhao, Guixiang;Li, Chaoyang
目标。我们以美国代表性人群样本为样本，研究了 4 种从不吸烟、健康饮食、充足体力活动和适度饮酒的低风险行为与死亡率之间的关系。方法。我们使用了 1988 年至 2006 年国家健康和营养检查调查 III 死亡率研究中 16958 名 17 岁及以上参与者的数据。结果。低风险行为的数量与死亡风险呈负相关。与没有低风险行为的参与者相比，拥有全部 4 种行为的参与者的全因死亡率（调整后风险比 [AHR]=0.37；95% 置信区间 [CI]=0.28, 0.49）、恶性肿瘤死亡率（AHR =0.34；95% CI=0.20, 0.56）、主要心血管疾病死亡率（AHR =0.35；95%）降低。 CI=0.24, 0.50），以及其他原因（AHR =0.43；95% CI=0.25, 0.74）。具有全部 4 种高危行为的参与者与没有这些行为的参与者相比，代表从一定年龄开始的同等风险的死亡率提升期为：全因死亡率 11.1 年，恶性肿瘤 14.4 年，主要心血管疾病 9.9 年，其他原因 10.6 年。结论。低风险生活方式因素对死亡率产生强大而有益的影响。 （美国公共卫生杂志。2011；101：1922-1929。doi：10.2105/AJPH.2011.300167）
Objectives. We examined the relationship between 4 low-risk behaviors never smoked, healthy diet, adequate physical activity, and moderate alcohol consumption and mortality in a representative sample of people in the United States.Methods. We used data from 16958 participants aged 17 years and older in the National Health and Nutrition Examination Survey III Mortality Study from 1988 to 2006.Results. The number of low-risk behaviors was inversely related to the risk for mortality. Compared with participants who had no low-risk behaviors, those who had all 4 experienced reduced all-cause mortality (adjusted hazard ratio [AHR]=0.37; 95% confidence interval [CI]=0.28, 0.49), mortality from malignant neoplasms (AHR =0.34; 95% CI=0.20, 0.56), major cardiovascular disease (AHR =0.35; 95% CI=0.24, 0.50), and other causes (AHR =0.43; 95% CI=0.25, 0.74). The rate advancement periods, representing the equivalent risk from a certain number of years of chronological age, for participants who had all 4 high-risk behaviors compared with those who had none were 11.1 years for all-cause mortality, 14.4 years for malignant neoplasms, 9.9 years for major cardiovascular disease, and 10.6 years for other causes.Conclusions. Low-risk lifestyle factors exert a powerful and beneficial effect on mortality. (Am J Public Health. 2011;101:1922-1929. doi:10.2105/AJPH.2011.300167)