Lin Yen-Huai, Ku Po-Wen, Chou Pesus
1 Kin-Men Hospital, Ministry of Health and Welfare, Taiwan, ROC.
2 Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan, ROC.
Asia Pac J Public Health. 2017 May;29(4):259-267. doi: 10.1177/1010539517699058. Epub 2017 Mar 27.
The associations of modifiable lifestyle-related factors with cardiovascular and all-cause mortality were examined in a population-based sample of older Taiwanese people. A total of 4176 individuals aged 50 years and older, with 11 years of follow-up, were analyzed. Current and former smokers had a higher risk of all-cause mortality compared with never smokers ([HR = 1.33; 95% CI = 1.12, 1.58], [HR = 1.39; 95% CI = 1.16, 1.68]). Low intake of vegetables and fruits was associated with a significantly higher risk of 1.43 (95% CI = 1.13, 1.81) for cardiovascular mortality and 1.22 (95% CI = 1.09, 1.38) for all-cause mortality. The low physical activity group at baseline who became part of the low, moderate, and high physical activity groups during follow-up had the following risks of cardiovascular mortality: ([HR = 2.89; 95% CI = 1.91, 4.36], [HR = 2.17; 95% CI = 1.29, 3.63], [HR = 1.59; 95% CI = 0.90, 2.82]). Similarly, the moderate physical activity group at baseline who became part of the low, moderate, and high physical activity groups during follow-up had the following risks of cardiovascular mortality: ([HR = 3.52; 95% CI = 2.14, 5.80], [HR = 2.25; 95% CI = 1.34, 3.80], [HR = 1.44; 95% CI = 0.78, 2.66]). The same tendencies were found in all-cause mortality. Smoking, diet, and physical activity were significantly modifiable lifestyle-related factors for mortality.Besides, individuals who decreased their physical activity had a significantly higher risk, whereas those who increased their physical activity had a significantly lower risk.
在一个以台湾老年人群为基础的样本中,研究了与心血管疾病及全因死亡率相关的可改变生活方式因素。共分析了4176名年龄在50岁及以上且随访11年的个体。与从不吸烟者相比,当前吸烟者和既往吸烟者的全因死亡风险更高([风险比(HR)=1.33;95%置信区间(CI)=1.12,1.58],[HR = 1.39;95% CI = 1.16,1.68])。蔬菜和水果摄入量低与心血管疾病死亡率显著较高风险相关,风险比为1.43(95% CI = 1.13,1.81),与全因死亡率相关,风险比为1.22(95% CI = 1.09,1.38)。基线时身体活动水平低且在随访期间进入低、中、高身体活动水平组的人群,其心血管疾病死亡风险如下:([HR = 2.89;95% CI = 1.91,4.36],[HR = 2.17;95% CI = 1.29,3.63],[HR = 1.59;95% CI = 0.90,2.82])。同样,基线时身体活动水平中等且在随访期间进入低、中、高身体活动水平组的人群,其心血管疾病死亡风险如下:([HR = 3.52;95% CI = 2.14,5.80],[HR = 2.25;95% CI = 1.34,3.80],[HR = 1.44;95% CI = 0.78,2.66])。全因死亡率也呈现相同趋势。吸烟、饮食和身体活动是与死亡率显著相关的可改变生活方式因素。此外,身体活动减少的个体风险显著更高,而身体活动增加的个体风险显著更低。