ArticleJournal of epidemiology2010
Impact of smoking and other lifestyle factors on life expectancy among japanese: findings from the Japan Collaborative Cohort (JACC) Study.
Article in Journal of epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- A review of sleep-related indicators measured in large population-based cohort studies in Japan.Environmental health and preventive medicine · 2026Review
- Cancer risk according to lifestyle risk score trajectories: a population-based cohort study.BJC reports · 2025Article
- Associations between healthy lifestyle and mortality across different social environments: a study among adults with frailty from the UK Biobank.European journal of public health · 2024Article
- Healthy Lifestyle Is Associated with Reduced Mortality in Patients with Non-Alcoholic Fatty Liver Disease.Nutrients · 2022Article
- Cardiovascular health and healthy longevity in people with and without cardiometabolic disease: A prospective cohort study.EClinicalMedicine · 2022Article
- Intake of isoflavones reduces the risk of all-cause mortality in middle-aged Japanese.European journal of clinical nutrition · 2021Article
- Does Masticatory Ability Contribute to Nutritional Status in Older Individuals?International journal of environmental research and public health · 2020Article
- Healthy lifestyle and life expectancy in people with multimorbidity in the UK Biobank: A longitudinal cohort study.PLoS medicine · 2020Article
- Associations of smoking status with other lifestyle behaviors are modified by sex and occupational category among urban civil servants in Japan.Environmental health and preventive medicine · 2016Article
- Smoking, smoking cessation, and 7-year mortality in a cohort of Thai adults.Population health metrics · 2015Article
- Article
- Declining rates of tobacco use in the Japanese medical profession, 1965-2009.Journal of epidemiology · 2013Review
- Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA number of lifestyle factors, including smoking and drinking, are known to be independently associated with all-cause mortality. However, it might be more effective in motivating the public to adopt a healthier lifestyle if the combined effect of several lifestyle factors on all-cause mortality could be demonstrated in a straightforward manner.
methodsWe examined the combined effects of 6 healthy lifestyle behaviors on all-cause mortality by estimating life expectancies at 40 and 60 years of age among 62 106 participants in a prospective cohort study with a 14.5-year follow-up. The healthy behaviors selected were current nonsmoking, not heavily drinking, walking 1 hour or more per day, sleeping 6.5 to 7.4 hours per day, eating green leafy vegetables almost daily, and having a BMI between 18.5 to 24.9.
resultsAt age 40, we found a 10.3-year increase in life expectancy for men and a 8.3-year increase for women who had all 6 healthy behaviors, as compared with those who had only 0 to 2 healthy behaviors. Increases of 9.6 and 8.2 years were observed for men and women, respectively, at age 60 with all 6 healthy behaviors. When comparing currently nonsmoking individuals with 0 to 1 healthy behaviors, the life expectancy of smokers was shorter in both men and women, even if they maintained all 5 other healthy behaviors.
conclusionsAmong individuals aged 40 and 60 years, maintaining all 6 healthy lifestyle factors was associated with longer life expectancy. Smokers should be encouraged to quit smoking first and then to maintain or adopt the other 5 lifestyle factors.
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