A MULTIVARIATE-ANALYSIS OF HEALTH-RELATED PRACTICES - A 9-YEAR MORTALITY FOLLOW-UP OF THE ALAMEDA-COUNTY STUDY
A MULTIVARIATE-ANALYSIS OF HEALTH-RELATED PRACTICES - A 9-YEAR MORTALITY FOLLOW-UP OF THE ALAMEDA-COUNTY STUDY
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DOI：
10.1093/oxfordjournals.aje.a113466
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发表时间：
1982-01-01
影响因子：
5
通讯作者：
BRAND, RJ
中科院分区：
文献类型：
--
作者：
WINGARD, DL;BERKMAN, LF;BRAND, RJ
已经报道了几种常见的健康相关做法与各种健康结果之间的关联。这些做法与各种原因造成的死亡率之间的独立关联尚未得到评估。采用1965年对生活在加州[美国]阿拉米达县的6928名成年人进行随机抽样的人口实验室研究的数据，对7种可能与健康相关的做法（单独地和以汇总指数的形式）进行了多重logistic分析，并对所有原因导致的死亡率进行了9年死亡率随访。许多协变量，如身体健康状况和社会经济地位进行了同时分析。检查以下与健康有关的做法：从不吸烟;定期体育活动;低酒精消费;平均体重状况;每晚睡眠7-8小时;不跳过早餐;两餐之间不吃零食。分析表明，其中5种做法与各种原因造成的死亡率降低有关。无论是吃早餐还是不吃零食，都与较低的死亡率没有显著的独立关联。经协变量调整后，与有许多低风险行为的受访者相比，报告较少低风险行为的受访者的相对危险度为2.3（P < 0.001）。死亡率风险的可能组合与健康有关的做法进行了讨论。
Associations between several common health-related practices and a variety of healthy outcomes have been reported. The independent associations between each of these practices and mortality from all causes have not been assessed. A multiple logistic analysis is reported of 7 potentially health-related practices (individually and in a summary index) and mortality from all causes is conducted, using data from the Human Population Laboratory Study of a random sample of 6928 adults living in Alameda County, California [USA], in 1965 and a subsequent 9-yr mortality follow-up. Many covariables such as physical health status and socioeconomic status are simultaneously analyzed. The following health-related practices are examined: never smoking; regular physical activity; low alcohol consumption; average weight status; sleeping 7-8 h a night; not skipping breakfast; and not snacking between meals. The analysis reveals that 5 of the practices are associated with lower mortality from all causes. Neither eating breakfast nor not snacking have significant independent associations with lower mortality. After covariable adjustment, respondents who reported few low-risk practices have a relative risk of 2.3 (P < 0.001) when compared with those who had many low-risk practices. Mortality risks for possible combinations of health-related practices are discussed.