中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
2期
109-113
,共5页
唐认桥%郑苇%李泓澜%舒晓鸥%项永兵
唐認橋%鄭葦%李泓瀾%舒曉鷗%項永兵
당인교%정위%리홍란%서효구%항영병
肿瘤%生活方式因素%健康分值%公共卫生学评价
腫瘤%生活方式因素%健康分值%公共衛生學評價
종류%생활방식인소%건강분치%공공위생학평개
Neoplasia%Lifestyle-related factors%Healthy score%Public health assessment
目的 探讨生活方式因素及健康分值对上海市成年男性恶性肿瘤发病的影响.方法 利用2002-2006年上海市男性健康队列(SMHS)的基线调查资料,至2009年12月最近一次随访,男性队列累积收集恶性肿瘤新病例2033例.根据吸炯(吸烟计0分,不吸烟计1分)、饮酒(≥1 drinks/d计0分,＜1drinks/d计1分)、BMI(＜18.5 kg/m2或≥28 kg/m2计0分,18.5～27.9 kg/m2计1分)、体力活动(＜54 Met-hours/week计0分,≥54 Met-hours/week计1分)、蔬菜水果摄入(＜451g/d计0分,≥451 g/d计1分)五种常见生活方式因素建立健康生活方式分值表,分值分布范围为0(最不健康生活方式)至5(最健康生活方式)分.采用Cox回归模型估计健康生活方式分值与癌症的相对危险度(HR)及其95％CI.结果 相对于得分为0或者1分的人群组,得分为2～5分人群组发生癌症的HR值分别为0.77(95％CI:0.66 ～ 0.90)、0.67(95％CI:0.58 ～ 0.78)、0.56(95％CI:0.47 ～ 0.65)、0.51(95％CI:0.42 ～ 0.62).健康生活方式得分少于3项的人群癌症发病归因危险度百分比(PAR％)为10.4％(95％CI:7.3％ ～ 13.5％).结论 不吸烟、不过量饮酒,保持正常体型,适当体育锻炼及多食蔬菜水果可较显著降低癌症的发生,保持健康的生活方式具有显著的公共卫生学效益.
目的 探討生活方式因素及健康分值對上海市成年男性噁性腫瘤髮病的影響.方法 利用2002-2006年上海市男性健康隊列(SMHS)的基線調查資料,至2009年12月最近一次隨訪,男性隊列纍積收集噁性腫瘤新病例2033例.根據吸炯(吸煙計0分,不吸煙計1分)、飲酒(≥1 drinks/d計0分,＜1drinks/d計1分)、BMI(＜18.5 kg/m2或≥28 kg/m2計0分,18.5～27.9 kg/m2計1分)、體力活動(＜54 Met-hours/week計0分,≥54 Met-hours/week計1分)、蔬菜水果攝入(＜451g/d計0分,≥451 g/d計1分)五種常見生活方式因素建立健康生活方式分值錶,分值分佈範圍為0(最不健康生活方式)至5(最健康生活方式)分.採用Cox迴歸模型估計健康生活方式分值與癌癥的相對危險度(HR)及其95％CI.結果 相對于得分為0或者1分的人群組,得分為2～5分人群組髮生癌癥的HR值分彆為0.77(95％CI:0.66 ～ 0.90)、0.67(95％CI:0.58 ～ 0.78)、0.56(95％CI:0.47 ～ 0.65)、0.51(95％CI:0.42 ～ 0.62).健康生活方式得分少于3項的人群癌癥髮病歸因危險度百分比(PAR％)為10.4％(95％CI:7.3％ ～ 13.5％).結論 不吸煙、不過量飲酒,保持正常體型,適噹體育鍛煉及多食蔬菜水果可較顯著降低癌癥的髮生,保持健康的生活方式具有顯著的公共衛生學效益.
목적 탐토생활방식인소급건강분치대상해시성년남성악성종류발병적영향.방법 이용2002-2006년상해시남성건강대렬(SMHS)적기선조사자료,지2009년12월최근일차수방,남성대렬루적수집악성종류신병례2033례.근거흡형(흡연계0분,불흡연계1분)、음주(≥1 drinks/d계0분,＜1drinks/d계1분)、BMI(＜18.5 kg/m2혹≥28 kg/m2계0분,18.5～27.9 kg/m2계1분)、체력활동(＜54 Met-hours/week계0분,≥54 Met-hours/week계1분)、소채수과섭입(＜451g/d계0분,≥451 g/d계1분)오충상견생활방식인소건립건강생활방식분치표,분치분포범위위0(최불건강생활방식)지5(최건강생활방식)분.채용Cox회귀모형고계건강생활방식분치여암증적상대위험도(HR)급기95％CI.결과 상대우득분위0혹자1분적인군조,득분위2～5분인군조발생암증적HR치분별위0.77(95％CI:0.66 ～ 0.90)、0.67(95％CI:0.58 ～ 0.78)、0.56(95％CI:0.47 ～ 0.65)、0.51(95％CI:0.42 ～ 0.62).건강생활방식득분소우3항적인군암증발병귀인위험도백분비(PAR％)위10.4％(95％CI:7.3％ ～ 13.5％).결론 불흡연、불과량음주,보지정상체형,괄당체육단련급다식소채수과가교현저강저암증적발생,보지건강적생활방식구유현저적공공위생학효익.
Objective To evaluate the effects of combined lifestyle-related factors and risk of cancer incidence among adult men in urban Shanghai.Methods Information was obtained from 60 817 men in the Shanghai Men' s Health Study (2002-2006) program and 2033 incident cancers who were confirmed at the end of 2009.A healthy lifestyle score (HLS) system was developed,based on five lifestyle-related factors,and participants were scored one point for each of the healthy behaviour:never smoked,alcohol intake less than 1 drink/day,under normal weight range (18.5-27.9 kg/m2),physical activity (≥ 54 Met-hours/week),fruit and vegetable intake ≥451 g/day,the else would score as zero.The total score would range from zero to five.Cox regression model was used to evaluate the associations between combined lifestyle-related factors and the cancer incidence.Results Compared to men having scores as zero or one,the hazard ratios (95％ confidence intervals) for men with two,three,four,five health behaviour scores were 0.77 (95％CI:0.66,0.90),0.67 (95％CI:0.58,0.78),0.56(95％ CI:0.47,0.65),0.51 (95％ CI:0.42,0.62),respectively.The population attributable risks for cancer incidence was 10.4％ for those having scores less than 3 items.Conclusion Never smoked,moderate alcohol intake,maintaining normal weight,being physically fit,and having enough daily fruit and vegetable intake were associated with lower risk of total cancer incidence in men.Our data showed that healthy lifestyle could significantly benefit the public health programs of the population.
