多发病,疾病集群和全因和因特定死亡风险:基于人口的前性队列研究
Thomas J Littlejohns1,2, Wenyu Liu3,4, Catherine M Calvin5
1Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7LF, UK. thomas.littlejohns@ndph.ox.ac.uk.
Scientific reports
|November 21, 2025
概括
随着多种疾病的增加,死亡风险显著增加,尤其是心血管和呼吸系统疾病. 男人和女人的特定疾病集群显示出与增加全因死亡率的明显关联.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 多病症,定义为存在两个或两个以上的长期健康状况,是一个日益严重的公共卫生问题.
- 了解多病症对死亡率的影响对于制定有效的医疗保健策略至关重要.
研究的目的:
- 调查多病症与全因和因特定死亡风险之间的关联.
- 确定与不同性别和年龄组的死亡风险增加相关的特定疾病群.
主要方法:
- 分析了502,370名年龄在40至70岁的英国生物库参与者的队列.
- 综合性被定义为在43个疾病列表中具有≥2个疾病.
- 考克斯比例风险回归模型被用于评估死亡风险,调整为共变量.
主要成果:
- 在中位数13年的随访期间,观察到病症数量和全因死亡风险之间的剂量反应关系.
- 在多病症集群和心血管和呼吸道疾病死亡之间发现了强烈的关联.
- 特定的群体,如男性的心脏代谢状况和年轻女性的心理健康/癌症/疼痛,显示死亡风险最高.
结论:
- 多种疾病,特别是特定疾病集群,显著增加死亡风险.
- 根据已识别的多重疾病模式定制医疗保健干预措施,可以有助于降低死亡风险.
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