健康生活方式可增寿6年以上,不吸烟具有很大的生存获益

2021-02-07 jessica MedSci原创

不吸烟、不喝酒,活到99 !

 

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来源:myparla.com

由于一些错误的生活方式,越来越多的人不只患有一种疾病。来自苏格兰的数据显示,65岁以上的老年人中约有65%的人有多病症。多病症是指一个人可能患两种或两种以上疾病,包括血管疾病(CVD),2型糖尿病(T2D)和癌症等非传染性疾病。

 之前的临床研究主要集中在生活方式与单个疾病之间的关联,比如饮食与心血管疾病之间的关系,但是很少有研究调查生活方式与多病症的关联,尤其是与癌症的结合。

 2020年发表在BMC Medicine的一项研究表明,较高的健康生活方式指数HLI,与多病症的发生呈显著的反比关系。

 

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Lifestyle factors and risk of multimorbidity

of cancer and cardiometabolic diseases: a

multinational cohort study

https://doi.org/10.1186/s12916-019-1474-7

 

在这项大型的多国队列研究中,研究人员收集了来自7个欧洲国家的29万名参与者的数据,分析了五种生活方式与癌症-心脏代谢多发病风险之间的关联。其中癌症-心脏代谢多发病的定义是指一个人随后至少患两种疾病,包括任何部位的癌症、心血管疾病和2型糖尿病。

五种生活方式因素包括:身体质量指数(BMI)、吸烟状态、酒精摄入量、体力活动、坚持地中海饮食这五个因素被归纳为健康生活方式指数(healthy lifestyle index HLI)。简而言之,每个因素的类别从0到4分,分值越高表示行为越健康。HLI从0到20不等。

每个生活方式因素的具体分数如下:

吸烟:(从不吸烟=4,以前吸烟=2,现在吸烟=0)

酒精摄入量:(<6克/天=4,6.0-11.9克/天=3,≥60 g/天=0)

体力活动:(活跃=4,中度活跃=3,中度不活跃=1,不活跃=0)

BMI:(22-23.9 kg/m2=4, <22=3, 24-25.9=2, 26-29.9=1, ≥30=0)

饮食:(改善的地中海饮食相对评分(mrMDS)的从上至下五分位数得分4~0)。(地中海饮食详情可点击往期文章 促炎饮食、抗炎饮食,你知多少?

研究结果发现,在11年的中位随访期间,有1910名男性和1334名女性患上了癌症和心脏代谢疾病的多病症。较高的健康生活方式指数HLI,反映了健康的生活方式,与多病症呈显著的反比关系。在发生癌症、CVD和T2D后,每增加3个单位的HLI,多病症的危险比分别为0.75、0.84和0.82。

 

生活方式因素与癌症、心血管疾病、T2D和随后的癌症-心肌病多发病的风险

研究进一步发现,在发生2型糖尿病后,不健康生活方式的男性和女性在10年后,患多发病的绝对风险分别为40%和25%,而健康生活方式的男性和女性只有30%和18%。

 

患癌症、心血管疾病、T2D以及随后的癌症-心肌代谢多发病的累积发生率函数(CIFs)

在这篇文章中,我们仅知道健康的生活方式能降低癌症、心脏代谢疾病以及多病症的风险,那健康的生活方式在多大程度上延长多病症患者的寿命尚不清楚。

 2020年,由英国莱斯特总医院糖尿病研究中心专家团队发表在PLoS Med上的一项研究表明,无论是否有患有多种疾病,采用更健康的生活方式都可以延长寿命,对于男性和女性,分别是延长6.3年和7.6年。

Healthy lifestyle and life expectancy in people

with multimorbidity in the UK Biobank: A

longitudinal cohort study

 doi: 10.1371/journal.pmed.1003332.

 

在这项研究中,研究人员收集了英国生物库2006年至2010年之间大约50万位参与者的信息数据,并对参与者进行了随访,直到2016年。研究员分析了患有和不患有多种疾病的人的健康生活方式与预期寿命之间的关联。

 研究员提取了36种慢性病并将多发性疾病定义为2种或2种以上的疾病。四种生活方式因素分别为:体育锻炼,吸烟,饮食和饮酒。并将参与者分为4类:非常不健康,不健康,健康和非常健康。

结果显示,在45岁时,与非常不健康的生活方式相比,非常健康的多发性疾病的男性和女性的寿命分别延长了6.3年和7.6年。在没有多发病的患者中进行的分析中结果是一致的。

 

45岁和65岁时按生活方式得分计算的寿命增加年数

研究进一步发现,对于单个生活方式因素,不吸烟具有最大的生存获益。在多病症参与者中,与经常吸烟者相比,目前不吸烟的男性与女性的死亡率分别降低了46%和52%。

在45岁时,与经常吸烟者相比,目前不吸烟的男性和女性的预期寿命分别延长了4.9年和5.9年。

单个生活方式因素与寿命之间的关系

所以不管是否存在多种疾病,坚持更健康的生活方式都会使男性寿命延长6.3年,女性寿命延长7.6年,而且不吸烟具有最大的生存获益

对于吸烟这个生活方式因素与死亡率之间的联系,的确值得所有人的重视。最近,发表在影响因子高达292.278的“神刊” CA( A Cancer Journal for Clinicians)上的一则2020年的美国癌症统计报告显示,自1991年以来,美国癌症死亡率持续下降,总体下降了31%,这一稳定的进展主要是由于吸烟的减少和随后肺癌死亡率的下降。

Cancer Statistics, 2021

doi: 10.3322/caac.21654

 

 1930–2018年美国按性别的癌症死亡率总体趋势和部分癌症死亡率趋势

 

美国癌症5年生存率高达67%,而根据最新的《中国居民营养与慢性病状况报告》显示,中国的癌症5年生存率仅为40.5%,与美国相比尚有不小的差距。那我们可以从美国借鉴哪些预防癌症绝招呢?

 每年美国因癌症去世的人里,肺癌大约占了1/4,其中82%是由吸烟直接引起的。即使在最近确诊的肺癌患者中(2011-2016年),84%的女性和90%的男性都有吸烟史。

 但是从1990年到现在,美国成人吸烟率显著降低,从42.4%降到了16.8%。吸烟率的下降直接使与烟草相关的癌症(包括肺癌,喉癌和膀胱癌)的发病率和死亡率降低,以及总体发病率和死亡率。其中死于肺癌的男性降低了45%,女性降低了19%。 

1930–2018年美国男性部分癌症死亡率趋势

1930–2018年美国女性部分癌症死亡率趋势

2014-2018年间美国整体死亡率下降7.7%,有46%是源自肺癌死亡率下降的贡献。

在我国,2020年,肺癌死亡人数遥遥领先,高达71万,占癌症死亡总数的23.8%。肺癌仍是我国癌症的首要病种与死因。因此,借鉴上述CA的结论,控制吸烟或许是我们目前能够努力的重要方向之一。

2020年中国癌症死亡例数前十的癌症类型

因此不吸烟 、运动、控制体重 、控制饮酒和健康饮食这五种健康生活方式不仅可以降低多病症的发生风险,还可以降低癌症死亡率和延长寿命6到7年。并且,在这五种健康生活方式中,不吸烟具有最大的生存获益。

马上快到新年了,在这里,预祝大家新年快乐,身体健康!

 

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  3. [GetPortalCommentsPageByObjectIdResponse(id=1660925, encodeId=fd7a1660925af, content=<a href='/topic/show?id=a38b2e8752d' target=_blank style='color:#2F92EE;'>#健康生活#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27875, encryptionId=a38b2e8752d, topicName=健康生活)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48dd25178476, createdName=xiaoyang_ambs, createdTime=Fri Apr 02 09:49:30 CST 2021, time=2021-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006961, encodeId=423b2006961d2, content=<a href='/topic/show?id=52ad6902144' target=_blank style='color:#2F92EE;'>#生存获益#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69021, encryptionId=52ad6902144, topicName=生存获益)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/EFCEF19303EB52B3F41B30C45995AF2C/100, createdBy=8e712500159, createdName=ms8538335253054589, createdTime=Wed Dec 22 00:49:30 CST 2021, time=2021-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954051, encodeId=e44f9540514a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6252444951, createdName=123e2062m78暂无昵称, createdTime=Mon Apr 05 22:32:37 CST 2021, time=2021-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954049, encodeId=1b349540494d, content=还是不能吸烟, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6252444951, createdName=123e2062m78暂无昵称, createdTime=Mon Apr 05 22:32:01 CST 2021, time=2021-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923719, encodeId=acdc923e1922, content=健康的生活方式,不吸烟、不饮酒,适量运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=57bf5459553, createdName=ms8000000903832600, createdTime=Mon Feb 08 18:03:17 CST 2021, time=2021-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1371983, encodeId=1d2613e198381, content=<a href='/topic/show?id=ec702e877fb' target=_blank style='color:#2F92EE;'>#健康生活方式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27877, encryptionId=ec702e877fb, topicName=健康生活方式)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f612331, createdName=gds2009, createdTime=Tue Feb 09 00:49:30 CST 2021, time=2021-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923624, encodeId=f475923624f8, content=吸烟有害健康, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/11/07/32f6eeca95f16df602e2fe81e7416090.jpg, createdBy=ddb32421444, createdName=精气神, createdTime=Mon Feb 08 11:04:18 CST 2021, time=2021-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923428, encodeId=ddac92342808, content=不吸烟、不喝酒、控制饮食、适量运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Sun Feb 07 10:30:51 CST 2021, time=2021-02-07, status=1, ipAttribution=)]
    2021-04-05 123e2062m78暂无昵称

    学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1660925, encodeId=fd7a1660925af, content=<a href='/topic/show?id=a38b2e8752d' target=_blank style='color:#2F92EE;'>#健康生活#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27875, encryptionId=a38b2e8752d, topicName=健康生活)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48dd25178476, createdName=xiaoyang_ambs, createdTime=Fri Apr 02 09:49:30 CST 2021, time=2021-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006961, encodeId=423b2006961d2, content=<a href='/topic/show?id=52ad6902144' target=_blank style='color:#2F92EE;'>#生存获益#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69021, encryptionId=52ad6902144, topicName=生存获益)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/EFCEF19303EB52B3F41B30C45995AF2C/100, createdBy=8e712500159, createdName=ms8538335253054589, createdTime=Wed Dec 22 00:49:30 CST 2021, time=2021-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954051, encodeId=e44f9540514a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6252444951, createdName=123e2062m78暂无昵称, createdTime=Mon Apr 05 22:32:37 CST 2021, time=2021-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954049, encodeId=1b349540494d, content=还是不能吸烟, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6252444951, createdName=123e2062m78暂无昵称, createdTime=Mon Apr 05 22:32:01 CST 2021, time=2021-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923719, encodeId=acdc923e1922, content=健康的生活方式,不吸烟、不饮酒,适量运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=57bf5459553, createdName=ms8000000903832600, createdTime=Mon Feb 08 18:03:17 CST 2021, time=2021-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1371983, encodeId=1d2613e198381, content=<a href='/topic/show?id=ec702e877fb' target=_blank style='color:#2F92EE;'>#健康生活方式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27877, encryptionId=ec702e877fb, topicName=健康生活方式)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f612331, createdName=gds2009, createdTime=Tue Feb 09 00:49:30 CST 2021, time=2021-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923624, encodeId=f475923624f8, content=吸烟有害健康, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/11/07/32f6eeca95f16df602e2fe81e7416090.jpg, createdBy=ddb32421444, createdName=精气神, createdTime=Mon Feb 08 11:04:18 CST 2021, time=2021-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923428, encodeId=ddac92342808, content=不吸烟、不喝酒、控制饮食、适量运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Sun Feb 07 10:30:51 CST 2021, time=2021-02-07, status=1, ipAttribution=)]
    2021-04-05 123e2062m78暂无昵称

    还是不能吸烟

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1660925, encodeId=fd7a1660925af, content=<a href='/topic/show?id=a38b2e8752d' target=_blank style='color:#2F92EE;'>#健康生活#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27875, encryptionId=a38b2e8752d, topicName=健康生活)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48dd25178476, createdName=xiaoyang_ambs, createdTime=Fri Apr 02 09:49:30 CST 2021, time=2021-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006961, encodeId=423b2006961d2, content=<a href='/topic/show?id=52ad6902144' target=_blank style='color:#2F92EE;'>#生存获益#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69021, encryptionId=52ad6902144, topicName=生存获益)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/EFCEF19303EB52B3F41B30C45995AF2C/100, createdBy=8e712500159, createdName=ms8538335253054589, createdTime=Wed Dec 22 00:49:30 CST 2021, time=2021-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954051, encodeId=e44f9540514a, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6252444951, createdName=123e2062m78暂无昵称, createdTime=Mon Apr 05 22:32:37 CST 2021, time=2021-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954049, encodeId=1b349540494d, content=还是不能吸烟, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6252444951, createdName=123e2062m78暂无昵称, createdTime=Mon Apr 05 22:32:01 CST 2021, time=2021-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923719, encodeId=acdc923e1922, content=健康的生活方式,不吸烟、不饮酒,适量运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=57bf5459553, createdName=ms8000000903832600, createdTime=Mon Feb 08 18:03:17 CST 2021, time=2021-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1371983, encodeId=1d2613e198381, content=<a href='/topic/show?id=ec702e877fb' target=_blank style='color:#2F92EE;'>#健康生活方式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27877, encryptionId=ec702e877fb, topicName=健康生活方式)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f612331, createdName=gds2009, createdTime=Tue Feb 09 00:49:30 CST 2021, time=2021-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923624, encodeId=f475923624f8, content=吸烟有害健康, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/11/07/32f6eeca95f16df602e2fe81e7416090.jpg, createdBy=ddb32421444, createdName=精气神, createdTime=Mon Feb 08 11:04:18 CST 2021, time=2021-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=923428, encodeId=ddac92342808, content=不吸烟、不喝酒、控制饮食、适量运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Sun Feb 07 10:30:51 CST 2021, time=2021-02-07, status=1, ipAttribution=)]
    2021-02-08 ms8000000903832600

    健康的生活方式,不吸烟、不饮酒,适量运动

    0

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    2021-02-08 精气神

    吸烟有害健康

    0

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    2021-02-07 Jessica

    不吸烟、不喝酒、控制饮食、适量运动

    0