Healthy lifestyle behaviors and all-cause mortality among adults in the United States

Healthy lifestyle behaviors and all-cause mortality among adults in the United States
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DOI:
10.1016/j.ypmed.2012.04.016
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发表时间:
2012-07-01
影响因子:
5.1
通讯作者:
Capewell, Simon
Capewell, Simon
中科院分区:
医学2区
文献类型:
--
作者:
Ford, Earl S.;Bergmann, Manuela M.;Capewell, Simon

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目的:在美国全国成人样本中检验三种基本的健康生活方式行为(不吸烟、健康饮食和充足的体育锻炼)与全因死亡率之间的联系。方法:我们使用了8375名美国参与者的数据,这些数据来自1999-2002年间的美国国家健康和营养检查调查,他们在2006年间被跟踪。结果:在平均5.7年的随访期内,有745人死亡。与他们的同行相比,在不吸烟的成年人中,全原因死亡的风险降低了56%(95%可信区间:35%-70%),降低了47%(95%可信区间:36%)。57%),26%(95%可信区间:4%)。42%)在饮食健康的成年人中。与没有健康行为的参与者相比。随着健康行为次数的增加,风险逐渐降低。调整后的危险比和95%可信区间为0.60(0.38,0.95)。1、2、3种健康行为分别为0.45(0.30,0.67)和0.18(0.11,0.29)。结论:不吸烟、健康饮食和进行足够的体育锻炼的成年人可以显著降低他们过早死亡的风险。由爱思唯尔公司出版。
Objective: To examine the links between three fundamental healthy lifestyle behaviors (not smoking, healthy diet, and adequate physical activity) and all-cause mortality in a national sample of adults in the United States.Method: We used data from 8375 U.S. participants aged >= 20 years of the National Health and Nutrition Examination Survey 1999-2002 who were followed through 2006.Results: During a mean follow-up of 5.7 years, 745 deaths occurred. Compared with their counterparts, the risk for all-cause mortality was reduced by 56% (95% confidence interval [CI]: 35%-70%) among adults who were nonsmokers, 47% (95% CI: 36%. 57%) among adults who were physically active, and 26% (95% CI: 4%. 42%) among adults who consumed a healthy diet. Compared with participants who had no healthy behaviors. the risk decreased progressively as the number of healthy behaviors increased. Adjusted hazard ratios and 95% confidence interval were 0.60 (0.38, 0.95). 0.45 (0.30, 0.67), and 0.18 (0.11, 0.29) for 1, 2, and 3 healthy behaviors, respectively.Conclusion: Adults who do not smoke, consume a healthy diet, and engage in sufficient physical activity can substantially reduce their risk for early death. Published by Elsevier Inc.