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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Lifestyle factors and chronic diseases: application of a composite risk index.
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Lifestyle factors and chronic diseases: application of a composite risk index.

机译:生活方式因素和慢性病:综合风险指数的应用。

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BACKGROUND: Assessing a combination of modifiable lifestyle practices may be a practical tool to modify patients' health behavior in counseling. Therefore, we developed a chronic disease risk index (CDRI) and investigated its relation with chronic disease in a multiethnic cohort. METHODS: A total of 15,693 men and 16,007 women in Hawaii who reported their diet and other lifestyle behaviors between 1975 and 1980 were followed until 1994. A semi-quantitative composite CDRI with scores ranging from 1 to 10 included the rankings for smoking, alcohol use, body mass index, fat intake, and fruit and vegetable consumption. Cox's proportional hazards regression was used to estimate the relative risk for chronic diseases. RESULTS: When comparing the highest to the lowest CDRI category, the respective relative risks (RRs) for total mortality were 2.9 (95% CI 2.3-3.8) and 3.8 (95% CI 2.9-5.0) for men and women. With higher CDRIs, the RRs for cancer incidence, mortality from cancer, coronary heart disease, and stroke increased significantly. Among the five components of the CDRI, smoking had the greatest influence on chronic disease risk, followed by body mass index. CONCLUSIONS: Positive health behavior reflected by the CDRI is associated with a lower risk of cancer and with greater longevity.
机译:背景:评估可改变生活方式的组合可能是在咨询中改变患者健康行为的实用工具。因此,我们开发了慢性疾病风险指数(CDRI),并在多种族队列中研究了其与慢性疾病的关系。方法:跟踪直到1975年至1994年在夏威夷报告饮食和其他生活方式行为的15,693名男性和16,007名女性,直到1994年。半定量复合CDRI的得分为1至10,其中包括吸烟,饮酒的等级,体重指数,脂肪摄入以及水果和蔬菜的摄入量。 Cox的比例风险回归用于估计慢性疾病的相对风险。结果:在比较最高和最低CDRI类别时,男性和女性的总死亡率分别为2.9(95%CI 2.3-3.8)和3.8(95%CI 2.9-5.0)。随着较高的CDRI,癌症发病率,癌症死亡率,冠心病和中风的RR显着增加。在CDRI的五个组成部分中,吸烟对慢性病风险的影响最大,其次是体重指数。结论:CDRI反映出积极的健康行为与较低的癌症风险和更长的寿命相关。

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