年代型和死亡率 - - 在芬兰成年人中进行了一项为期37年的随访研究
Christer Hublin1,2, Jaakko Kaprio2,3
1Working Ability and Working Careers, Finnish Institute of Occupational Health, Helsinki, Finland.
Chronobiology international
|June 16, 2023
概括
晚间时型显示所有原因死亡率略有增加,但在调整吸烟和酒精等生活方式因素时,这种与死亡率的联系消失了. 年代型似乎对寿命没有很大的独立影响.
科学领域:
- 时间生物学 时间生物学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 之前的研究,包括英国生物银行,表明晚间时代型和死亡率增加之间存在联系.
- 需要更长的随访期来确认这些发现,并了解潜在的混因素.
研究的目的:
- 用更长的随访期复制和扩展以前关于时间型和死亡率的发现.
- 调查时间型对所有原因和特定原因死亡率的独立贡献.
主要方法:
- 使用了芬兰双胞胎队列,1981年,有23854名参与者被评估为年代型.
- 生命状况和死亡原因数据通过全国范围的登记册被追踪到2018年底.
- 计算出死亡风险比率,调整为教育,酒精消费,吸烟,BMI和睡眠时间.
主要成果:
- 晚上类型个体 (HR=1.09) 的全因死亡率增加了9%,主要是吸烟和饮酒减弱.
- 在轻度饮酒的非吸烟者中没有发现增加的死亡率.
- 没有任何特定原因死亡率的显著增加与晚间时间型相关.
结论:
- 时间型对死亡率的独立贡献似乎很小.
- 吸烟和饮酒等生活方式因素显著影响了时间型和死亡率之间的关系.
- 进一步的研究应该专注于从生活方式行为中解脱时间型对健康结果的影响.
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