Effects of a combined lifestyle score on 10-year mortality in Korean men and women: a prospective cohort study
Open Access
- 20 August 2012
- journal article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 12 (1), 673
- https://doi.org/10.1186/1471-2458-12-673
Abstract
Background Most studies that have evaluated the association between combined lifestyle factors and mortality outcomes have been conducted in populations of Caucasian origin. The objective of this study was to examine the association between combined lifestyle scores and the risk of mortality in Korean men and women. Methods The study population included 59,941 Koreans, 30–84 years of age, who had visited the Severance Health Promotion Center between 1994 and 2003. Cox regression models were fitted to establish the association between combined lifestyle factors (current smoker, heavy daily alcohol use, overweight or obese weight, physical inactivity, and unhealthy diet) and mortality outcomes. Results During 10.3 years of follow-up, there were 2,398 cases of death from any cause. Individual and combined lifestyle factors were found to be associated with the risk of mortality. Compared to those having none or only one risk factor, in men with a combination of four lifestyle factors, the relative risk for cancer mortality was 2.04-fold, for non-cancer mortality 1.92-fold, and for all-cause mortality 2.00-fold. In women, the relative risk was 2.00-fold for cancer mortality, 2.17-fold for non-cancer mortality, and 2.09-fold for all-cause mortality. The population attributable risks for all-cause mortality for the four risk factors combined was 44.5% for men and 26.5% for women. Conclusion This study suggests that having a high (unhealthy) lifestyle score, in contrast to a low (healthy) score, can substantially increase the risk of death by any cause, cancer, and non-cancer in Korean men and women.This publication has 31 references indexed in Scilit:
- Alcohol Consumption and Mortality among Middle-aged and Elderly Japanese Men and WomenAnnals of Epidemiology, 2005
- Physical Activity, APOE Genotype, and Dementia Risk: Findings from the Cardiovascular Health Cognition StudyAmerican Journal of Epidemiology, 2005
- Mediterranean Diet, Lifestyle Factors, and 10-Year Mortality in Elderly European Men and WomenJAMA, 2004
- Mortality in relation to smoking: 50 years' observations on male British doctorsBMJ, 2004
- Selected major risk factors and global and regional burden of diseaseThe Lancet, 2002
- How stable is the risk curve between alcohol and all-cause mortality and what factors influence the shape? A precision-weighted hierarchical meta-analysis.European Journal of Epidemiology, 2002
- Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or MetforminThe New England Journal of Medicine, 2002
- Diet, Lifestyle, and the Risk of Type 2 Diabetes Mellitus in WomenThe New England Journal of Medicine, 2001
- Prevention of Type 2 Diabetes Mellitus by Changes in Lifestyle among Subjects with Impaired Glucose ToleranceThe New England Journal of Medicine, 2001
- Smoking and Atherosclerotic Cardiovascular Disease in Men With Low Levels of Serum CholesterolJAMA, 1999