Nutritional status, lifestyle habits and cancer mortality: a population-based prospective cohort study
Xiaoyan Wu1, Wenjie Wang2,3, Dandan Zhang3
1Department of Epidemiology and Biostatistics, School of Public Health, Guilin Medical University, 1 Zhiyuan Road, Guilin, 541000, People's Republic of China. wxywxy_79@126.com.
Purpose:
We aimed to investigate the relationship between overall nutritional status and cancer mortality.
Methods:
A total of 12 262 US adults from six consecutive surveys of the National Health and Nutrition Examination Survey (NHANES 2003-2014) were analyzed. The overall health nutritional biomarkers index (HNBI) score, capturing characteristics of 17 biomarkers was developed to assess the overall nutritional status. The lower the HNBI score, the healthier nutritional status would be. Hazard ratio (HR) and 95% confidence intervals (95% CIs) were calculated by Cox proportional hazards regression models to evaluate the association between the HNBI score and cancer mortality.
Results:
The lower overall HNBI score was associated with decreased risk of cancer mortality, compared with participants in the 4th quartile of overall HNBI score, the HR (95% CIs) for participants in the 1st quartiles was 0.54 (0.33-0.89) (P-trend = 0.019). Healthier lifestyle habits and not obesity interacted with HNBI score, compared with participants with higher HNBI score and smoking currently/not exercising regularly/obesity, participants with lower HNBI score and not smoking currently/exercising regularly/not obesity were associated with lower risk of cancer mortality, the HR (95% CIs) were 0.43 (0.26-0.73), 0.57 (0.33-0.97), and 0.62 (0.47-0.97), respectively. These significant associations remained among participants who were followed-up more than 2 years.
Conclusion:
Our findings suggested that healthier overall nutritional status was associated with lower risk of cancer mortality among US adults. Not smoking, exercise regularly and not obesity interacted with overall nutritional status. Adherence to better overall nutritional status, lifestyle habits and optimal weight would prevent premature death from cancer.
More Related Videos
Related Concept Videos
Cancer Prevention
Some...
Lifestyle Factors and Health
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Cancer Survival Analysis
Longitudinal Research
Psychoneuroimmunology: Diabetes and Cancer
Statistical Methods for Analyzing Epidemiological Data


