Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study

Abstract Impact of combined lifestyles on risk of mortality needs to be explored quantitatively. We aimed to evaluate the associations of combined lifestyle factors with total and cause-specific mortality in Chinese men. We used data from the Shanghai Men’s Health Study (2002–2013), an on-going popu...

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Autores principales: Qing-Li Zhang, Long-Gang Zhao, Wei Zhang, Hong-Lan Li, Jing Gao, Li-Hua Han, Wei Zheng, Xiao-Ou Shu, Yong-Bing Xiang
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/9406a31da1a64a81b7e459e9ffd1430d
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spelling oai:doaj.org-article:9406a31da1a64a81b7e459e9ffd1430d2021-12-02T11:53:13ZCombined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study10.1038/s41598-017-05079-52045-2322https://doaj.org/article/9406a31da1a64a81b7e459e9ffd1430d2017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-05079-5https://doaj.org/toc/2045-2322Abstract Impact of combined lifestyles on risk of mortality needs to be explored quantitatively. We aimed to evaluate the associations of combined lifestyle factors with total and cause-specific mortality in Chinese men. We used data from the Shanghai Men’s Health Study (2002–2013), an on-going population-based prospective cohort study of men (aged 40 to 74 years). Four traditional unfavorable lifestyle factors were included: smoking, heavy alcohol use, unhealthy diet and physical inactivity. Cox proportional hazards models were used to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs). Among about 61,480 men in the cohort, a total of 4,952 men died, of which 1,637 men died from cardiovascular diseases (CVD), 2,122 from cancer during a median of 9.29 years’ follow-up. The HRs of men with four risk practices comparing to those with zero were 2.92 (95%CI: 2.53, 3.38) for all-cause mortality, 3.15 (95%CI: 2.44, 4.05) for CVD mortality, and 3.18 (95%CI: 2.55, 3.97) for cancer mortality. The population attributable risks (PARs) were 0.41, 0.40 and 0.38 for total, CVD and cancer mortality, accordingly. As combined unhealthy lifestyle behaviors had substantial impact on total and cause-specific mortality, promotion of healthy lifestyle should be a public health priority.Qing-Li ZhangLong-Gang ZhaoWei ZhangHong-Lan LiJing GaoLi-Hua HanWei ZhengXiao-Ou ShuYong-Bing XiangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Qing-Li Zhang
Long-Gang Zhao
Wei Zhang
Hong-Lan Li
Jing Gao
Li-Hua Han
Wei Zheng
Xiao-Ou Shu
Yong-Bing Xiang
Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study
description Abstract Impact of combined lifestyles on risk of mortality needs to be explored quantitatively. We aimed to evaluate the associations of combined lifestyle factors with total and cause-specific mortality in Chinese men. We used data from the Shanghai Men’s Health Study (2002–2013), an on-going population-based prospective cohort study of men (aged 40 to 74 years). Four traditional unfavorable lifestyle factors were included: smoking, heavy alcohol use, unhealthy diet and physical inactivity. Cox proportional hazards models were used to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs). Among about 61,480 men in the cohort, a total of 4,952 men died, of which 1,637 men died from cardiovascular diseases (CVD), 2,122 from cancer during a median of 9.29 years’ follow-up. The HRs of men with four risk practices comparing to those with zero were 2.92 (95%CI: 2.53, 3.38) for all-cause mortality, 3.15 (95%CI: 2.44, 4.05) for CVD mortality, and 3.18 (95%CI: 2.55, 3.97) for cancer mortality. The population attributable risks (PARs) were 0.41, 0.40 and 0.38 for total, CVD and cancer mortality, accordingly. As combined unhealthy lifestyle behaviors had substantial impact on total and cause-specific mortality, promotion of healthy lifestyle should be a public health priority.
format article
author Qing-Li Zhang
Long-Gang Zhao
Wei Zhang
Hong-Lan Li
Jing Gao
Li-Hua Han
Wei Zheng
Xiao-Ou Shu
Yong-Bing Xiang
author_facet Qing-Li Zhang
Long-Gang Zhao
Wei Zhang
Hong-Lan Li
Jing Gao
Li-Hua Han
Wei Zheng
Xiao-Ou Shu
Yong-Bing Xiang
author_sort Qing-Li Zhang
title Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study
title_short Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study
title_full Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study
title_fullStr Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study
title_full_unstemmed Combined Impact of Known Lifestyle Factors on Total and Cause-Specific Mortality among Chinese Men: A Prospective Cohort Study
title_sort combined impact of known lifestyle factors on total and cause-specific mortality among chinese men: a prospective cohort study
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/9406a31da1a64a81b7e459e9ffd1430d
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