Large Cohort Study
A prospective study on the association between lifestyles and mortality risk in adults in Henan Province
Fan Lei, Qi Minjie, Xing Tianfang, Hou Gang, Zhang Hanxue, Liang Sen, Han Li, Ding Wenxie, Kang Kai, Han Zhiwei
Published 2024-08-10
Cite as Chin J Epidemiol, 2024, 45(8): 1052-1058. DOI: 10.3760/cma.j.cn112338-20240416-00198
Abstract
ObjectiveTo analyze the association between healthy lifestyle and mortality among Henan Province 35-74 years old individuals.
MethodsData 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).
ResultsOut 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.
ConclusionAdherence to a healthy lifestyle can reduce the risk of death, and participants with a healthy lifestyle had a lower mortality risk.
Key words:
Healthy lifestyle; Mortality risk; Prospective study
Contributor Information
Fan Lei
Department of Chronic Non-communicable Disease Control and Prevention, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Qi Minjie
Department of Chronic Non-communicable Disease Control and Prevention, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Xing Tianfang
Department of Chronic Non-communicable Disease Control and Prevention, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Hou Gang
Department of Disease Control and Prevention, Henan Provincial People's Hospital, Zhengzhou 450003, China
Zhang Hanxue
Department of Chronic Non-communicable Disease Control and Prevention, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Liang Sen
Department of Chronic Non-communicable Disease Control and Prevention, Puyang Center for Disease Control and Prevention of Henan, Puyang 457000, China
Han Li
Department of Chronic Non-communicable Disease Control and Prevention, Hebi Center for Disease Control and Prevention of Henan, Hebi 458000, China
Ding Wenxie
Department of Chronic Non-communicable Disease Control and Prevention, Shangqiu Center for Disease Control and Prevention of Henan, Shangqiu 476000, China
Kang Kai
Department of Chronic Non-communicable Disease Control and Prevention, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
Han Zhiwei
Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
