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Titolo:
Ten years of life - Is it a matter of choice?
Autore:
Fraser, GE; Shavlik, DJ;
Indirizzi:
Loma Linda Univ, Sch Publ Hlth, Ctr Hlth Res, Loma Linda, CA 92350 USA Loma Linda Univ Loma Linda CA USA 92350 lth Res, Loma Linda, CA 92350 USA
Titolo Testata:
ARCHIVES OF INTERNAL MEDICINE
fascicolo: 13, volume: 161, anno: 2001,
pagine: 1645 - 1652
SICI:
0003-9926(20010709)161:13<1645:TYOL-I>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY HEART-DISEASE; SEVENTH-DAY-ADVENTISTS; PHYSICAL-ACTIVITY; RISK-FACTORS; NUT CONSUMPTION; COLLEGE ALUMNI; SECONDARY PREVENTION; BREAST-CANCER; COLON-CANCER; ALL-CAUSE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
56
Recensione:
Indirizzi per estratti:
Indirizzo: Fraser, GE Loma Linda Univ, Sch Publ Hlth, Ctr Hlth Res, Nichol Hall,Room 2008, Loma Linda, CA 92350 USA Loma Linda Univ Nichol Hall,Room 2008 Loma Linda CA USA 92350 A
Citazione:
G.E. Fraser e D.J. Shavlik, "Ten years of life - Is it a matter of choice?", ARCH IN MED, 161(13), 2001, pp. 1645-1652

Abstract

Background: Relative risk estimates suggest that effective implementation of behaviors commonly advocated in preventive medicine should increase lifeexpectancy, although there is little direct evidence. Objective: To test the hypothesis that choices regarding diet, exercise, and smoking influence life expectancy. Methods: A total of 34 192 California Seventh-Day Adventists (75% of thoseeligible) were enrolled in a cohort and followed up from 1976 to 1988. A mailed questionnaire provided dietary and other exposure information at study baseline. Mortality for all subjects was ascertained by matching to statedeath tapes and the National Death Index. Results: California Adventists have higher life expectancies at the age of30 years than other white Californians by 7.28 years (95% confidence interval, 6.59-7.97 years) in men and by 4.42 years (95% confidence interval, 3.96-4.88 years) in women, giving them perhaps the highest life expectancy ofany formally described population. Commonly observed combinations of diet,exercise, body mass index, past smoking habits, and hormone replacement therapy (in women) can account for differences of up to 10 years of life expectancy among Adventists. A comparison of life expectancy when these factorstake high-risk compared with low-risk values shows independent effects that vary between 1.06 and 2.74 years for different variables. The effect of each variable is assessed with all others at either medium- or high-risk levels. Conclusions: Choices regarding diet, exercise, cigarette smoking, body weight, and hormone replacement therapy, in combination, appear to change lifeexpectancy by many years. The longevity experience of Adventists probably demonstrates the beneficial effects of more optimal behaviors.

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Documento generato il 14/07/20 alle ore 06:59:36