中年风险因素和男性的健康生存率
Bradley J Willcox1, Qimei He, Randi Chen
1Pacific Health Research Institute, Honolulu, HI 96813, USA. bjwillcox@phrihawaii.org
JAMA
|November 16, 2006
概括
那些避免过重,吸烟和高血压等危险因素的中年男性的整体和特殊生存率更好. 在中年时养成健康习惯与更长,更健康的生活有关.
科学领域:
- 老年学与公共卫生
- 流行病学 流行病学
- 预防医学 预防医学
背景情况:
- 健康生存缺乏明确的定义,其属性不太清楚,特别是在男性中.
- 影响长期健康结果的中年因素需要进一步调查.
研究的目的:
- 调查中年生物,生活方式和社会人口统计因素与整体生存之间的关联.
- 确定与特殊生存相关的因素,其定义是生活到没有主要疾病和障碍的老年.
主要方法:
- 针对5820名45-68岁的日裔美国男性进行了前性队列研究.
- 参与者进行了长达40年的随访,以评估整体和异常存活率.
- 特殊的生存被定义为达到75,80,85或90岁,没有6种主要的慢性疾病和障碍.
主要成果:
- 42%的人活到85岁,11%的人活到85岁.
- 高握力和避免超重,高血糖,高血压,吸烟和过度饮酒与更好的生存率有关.
- 高等教育和避免过高甘油血症与异常的生存率有关;缺乏伴侣增加了死亡风险.
结论:
- 避免中年风险因素与男性长期健康生存的可能性增加有关.
- 累积风险得分有效预测到最老的生存率和特殊的生存率.
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