関連する実験動画
変更可能なライフスタイル要因と心不全の生涯リスクとの関連
Luc Djoussé1, Jane A Driver, J Michael Gaziano
1Division of Aging, Brigham and Women's Hospital and Harvard Medical School, 1620 Tremont St, Third Floor, Boston, MA 02120, USA. ldjousse@rics.bwh.harvard.edu
JAMA
|July 23, 2009
まとめ
正常な体重を維持し,タバコを吸わないこと,運動をするなど,健康的な生活習慣を身につけることは,男性における心不全の生涯リスクを大幅に低下させることができます. 複数の要因を遵守することで,最大の保護が得られます.
科学分野:
- 心臓病学 心臓病学
- 予防医学は,予防的な医療です.
- 公衆衛生は公衆衛生である.
背景:
- 心不全は生涯にわたる重大なリスクであり,40歳までに約5人に1人に影響する.
- 変更可能なライフスタイルの要因が,心不全の長期的なリスクに与える影響について,理解は限られている.
研究 の 目的:
- 変更可能なライフスタイル要因と心不全を発症する生涯リスクとの関連を調査する.
- この研究は,明らかに健康な男性の大きなコホートに焦点を当てました.
主な方法:
- 医者の健康研究I (1982-2008) のデータを用いて前向きなコホート研究が行われました.
- この研究では,20900人の男性を対象に,体重,喫煙,運動習慣,アルコール摂取,朝食のシリアル,果物,野菜の摂取など6つの変更可能なライフスタイル要因を評価した.
- 主なアウトカム指標は,心不全の生涯リスクでした.
主要な成果:
- 平均22.4年の追跡期間中,1200人の男性が心不全を発症しました.
- 40歳で心不全の全生涯リスクは13.8%で,80歳までに心不全のない人の場合は10.6%に減少しました.
- 個別的にも集団的にも,健康的なライフスタイル要因の遵守は,心不全の生涯リスクの低下と関連していました. 4つ以上の健康要因に固執した男性は,最も低いリスク (10.1%) を有していました.
結論:
- この健康な男性のコホートでは,健康的なライフスタイルを採用することは,生涯にわたる心不全のリスクの低下と関連しています.
- 健康的な習慣を促進することは,生涯にわたって心不全を予防する重要な戦略かもしれません.
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