A prospective study on the association between lifestyles and mortality risk in adults in Henan Province
10.3760/cma.j.cn112338-20240416-00198
- VernacularTitle:河南省成年居民生活方式与死亡结局关联的前瞻性研究
- Author:
Lei FAN
1
;
Minjie QI
;
Tianfang XING
;
Gang HOU
;
Hanxue ZHANG
;
Sen LIANG
;
Li HAN
;
Wenxie DING
;
Kai KANG
;
Zhiwei HAN
Author Information
1. 河南省疾病预防控制中心慢病所，郑州 450016
- Keywords:
Healthy lifestyle;
Mortality risk;
Prospective study
- From:
Chinese Journal of Epidemiology
2024;45(8):1052-1058
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the association between healthy lifestyle and mortality among Henan Province 35-74 years old individuals.Methods:Data from the programme of screening and intervention subjects with high-risk cardiovascular disease 99 133 adults were analyzed in a provincial cohort study of 16 counties. Four healthy lifestyle behaviors were assessed based on a questionnaire survey. Information on mortality endpoints was retrieved from the national death surveillance system. Cox proportional hazards regression models were used to estimate the associations between healthy lifestyles, mortality risk and population attributable fraction (PAF).Results:Out of the adult participants in Henan, 50.6% adhered to a healthy lifestyle, and only 0.1% adhered to 4 healthy lifestyle behaviours. During a mean of 4.5 years, 2 685 all-cause death and 1 283 cardiovascular deaths were documented. The decreased risk of mortality among individuals with non-smoking, moderate drinking, adequate exercise and healthy diet were 0.85 (95% CI: 0.77-0.94), 0.75 (95% CI: 0.63-0.89), 0.73 (95% CI: 0.67-0.79) and 0.86 (95% CI: 0.77-0.96), while the adjusted PAF for all-cause deaths were 5.2% (95% CI: 2.5%-7.9%), 24.0% (95% CI: 10.7%-36.4%), 19.4% (95% CI: 13.8%-24.8%) and 12.3% (95% CI: 3.4%-20.9%), respectively. A combined healthy lifestyle can bring more health benefits. Adherence to 4 healthy lifestyle behaviours could avoid 49.1% of all-cause death. Conclusion:Adherence to a healthy lifestyle can reduce the risk of death, and participants with a healthy lifestyle had a lower mortality risk.
