健康的生活方式和癌症存活率:一项跨国队列研究
Zilong Bian1,2, Rongqi Zhang1, Shuai Yuan3
1Department of Big Data in Health Science, School of Public Health and Center of Clinical Big Data and Analytics of The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
International journal of cancer
|January 17, 2024
概括
在癌症诊断后保持健康的生活方式显著提高了生存率. 坚持不吸烟,适度饮酒,良好的饮食,体力活动和最佳的BMI等因素可以降低癌症幸存者的死亡风险.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 生活方式因素在癌症幸存者的预后中起着至关重要的作用.
- 了解特定健康行为对长期结果的影响对于幸存者护理至关重要.
研究的目的:
- 研究健康生活方式因素对癌症幸存者全因和癌症特异性死亡率的独立和综合影响.
- 评估综合健康生活方式得分与不同人群的生存结果之间的关联.
主要方法:
- 利用了来自四个大型前队列的数据:NHANES,NHIS,英国生物库和Kailuan研究,其中包括37,095名癌症幸存者.
- 根据吸烟状况,酒精消费,饮食,体力活动和体重指数定义了健康生活方式得分 (HLS).
- 采用Cox比例危险回归来分析个人生活方式因素,HLS和死亡事件之间的关联.
主要成果:
- 从不吸烟,轻度饮酒,充足的体力活动,健康饮食和最佳的BMI都与明显降低全因死亡风险有关.
- 癌症幸存者具有有利的HLS (4-5健康因素) 显示,所有原因 (HR=0.55) 和癌症死亡率 (HR=0.57) 的风险大大降低.
结论:
- 更加坚持健康的生活方式是独立和共同相关的癌症幸存者改善的生存率.
- 这些发现强调了促进健康的生活方式选择的重要性,以提高全球癌症预后和生存率.
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