Health factors and longevity in men and women: a 26-year follow-up study
- 11 July 2010
- journal article
- Published by Springer Science and Business Media LLC in European Journal of Epidemiology
- Vol. 25 (8), 547-551
- https://doi.org/10.1007/s10654-010-9472-2
Abstract
Health factors have the power to prevent and postpone diseases and death; however, studies using the same methodology in both men and women are sparse. We aimed to study the ability of health factors to prevent mortality in a population-based, 26-year follow-up of Swedish men and women. During 1969-70, a health-screening programme was offered to a stratified sample of 3,064 individuals aged 18-64 years to estimate health-care needs. Missing data (largely according to protocol) for physical fitness, BMI, and smoking habits left 935 subjects, 463 men and 472 women. Alcohol consumption in grams per week and BMI was calculated. Tobacco smoking was recorded as yes/no. Multivariate analysis was performed by Cox regression with age adjusted hazard ratios (HR) and 95% confidence interval (CI). Moderate alcohol consumption did not lead to any decrease in mortality. Having two health factors halved the mortality risk in men and women (hazard ratio (HR) 0.52, confidence interval (CI) 0.39-0.70). A further risk reduction was seen in men with three health factors (HR 0.17, CI 0.074-0.41). Men had about 70 per cent higher risk of mortality compared with women after adjustments for all health factors (HR 1.67, CI 1.26-2.23). Men compared to women had greater benefit of all three health factors. This in combination with the overall higher mortality risk in men makes a healthy lifestyle more important for them. The benefit of moderate alcohol consumption could not be detected in this study, and may be explained by an unhealthy drinking pattern in Sweden.Keywords
This publication has 27 references indexed in Scilit:
- Effect of heart-rate recovery on long-term mortality among men and womenInternational Journal of Cardiology, 2010
- Life expectancy in relation to cardiovascular risk factors: 38 year follow-up of 19 000 men in the Whitehall studyBMJ, 2009
- Who benefits most from the cardioprotective properties of alcohol consumption--health freaks or couch potatoes?Journal of Epidemiology and Community Health, 2008
- Does drinking pattern modify the effect of alcohol on the risk of coronary heart disease? Evidence from a meta-analysisJournal of Epidemiology and Community Health, 2008
- Alcohol Consumption and Risk for Coronary Heart Disease in Men With Healthy LifestylesArchives of Internal Medicine, 2006
- Alcohol consumption and its relation to cardiovascular risk factors in GermanyEuropean Journal of Clinical Nutrition, 2004
- Moderate Alcohol Consumption, Estrogen Replacement Therapy, and Physical Activity Are Associated With Increased Insulin SensitivityDiabetes Care, 2003
- Healthy diet and lifestyle clustering and glucose intoleranceProceedings of the Nutrition Society, 2002
- Validity of two questions on alcohol use in a health survey questionnaireScandinavian Journal of Public Health, 1999
- Effects of an assessment of needs for medical and social services on long-term mortality: a randomized controlled study.International Journal of Epidemiology, 1998