ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2020
Impact of Combined Lifestyle Factors on All-Cause and Cause-Specific Mortality and Life Expectancy in Chinese: The Singapore Chinese Health Study.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Modeling the Impact of Behavior Changes on Mortality Attributable to Non-communicable Diseases in Canada.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026Article
- Effect of morbidity on the association between lifestyle and mortality in the Health Examinee cohort.Epidemiology and health · 2026Article
- Combined lifestyle habits, subjective well-being, and all-cause mortality among older adults in China.BMC geriatrics · 2025Article
- Impact of Healthy Lifestyle Factors on Life Expectancy and Lifetime Health Care Expenditure: Nationwide Cohort Study.JMIR public health and surveillance · 2024Article
- Risk factors for cardiometabolic health in Ghana: Cardiometabolic Risks Study Protocol-APTI Project.Frontiers in endocrinology · 2024Article
- Cardiovascular health and life expectancy with and without cardiovascular disease in the middle-aged and elderly Chinese population.BMC public health · 2023Article
- Ideal cardiovascular health metrics and life expectancy free of cardiovascular diseases: a prospective cohort study.The EPMA journal · 2023Article
- Association of Healthy Lifestyle Factors and Obesity-Related Diseases in Adults in the UK.JAMA network open · 2023Article
- Life expectancy and healthy life expectancy of patients with advanced schistosomiasis in Hunan Province, China.Infectious diseases of poverty · 2023Article
- Association of Combined Healthy Lifestyles With Cardiovascular Disease and Mortality of Patients With Diabetes: An International Multicohort Study.Mayo Clinic proceedings · 2023Article
- Article
- Healthy lifestyle and life expectancy at age 30 years in the Chinese population: an observational study.The Lancet. Public health · 2022Observational
- Cardiometabolic diseases, total mortality, and benefits of adherence to a healthy lifestyle: a 13-year prospective UK Biobank study.Journal of translational medicine · 2022Article
- Cardiovascular health and healthy longevity in people with and without cardiometabolic disease: A prospective cohort study.EClinicalMedicine · 2022Article
- Healthy lifestyle in older adults and life expectancy with and without heart failure.European journal of epidemiology · 2022Article
- Associations of combined lifestyle behaviors with all-cause and cardiovascular mortality in adults: A population-based cohort study in Jiangxi Province of China.Frontiers in public health · 2022Article
- Effect of healthy lifestyle index and lifestyle patterns on the risk of mortality: A community-based cohort study.Frontiers in medicine · 2022Article
- Association Between Functional Limitations and Incident Cardiovascular Diseases and All-Cause Mortality Among the Middle-Aged and Older Adults in China: A Population-Based Prospective Cohort Study.Frontiers in public health · 2022Article
- Article
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6 authors.
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Abstract
backgroundTo examine the impact of combined lifestyle factors on premature mortality and life expectancy in Chinese adults.
methodsA total of 44,052 Chinese adults aged 45-74 years free of cardiovascular disease (CVD), cancer, and diabetes were followed from recruitment (1993-1998) to the end of 2016 in the Singapore Chinese Health Study. A composite score (0-5 scale) was calculated based on five baseline healthy lifestyle factors including healthy diet, nonsmoking status, light to moderate alcohol drinking, being physically active and optimal body mass index. Mortality cases were identified through linkage with the nationwide death registry.
resultsAdopting five healthy versus none was associated with a lower risk of all-cause and cause-specific mortality, and the hazard ratio (95% confidence interval [CI]) was 0.38 (0.29, 0.51) for all-cause mortality, 0.26 (0.13, 0.52) for CVD mortality, and 0.59 (0.37, 0.92) for cancer mortality. Nonadherence to 4-5 healthy lifestyle factors accounted for 34.9% (95% CI = 29.2, 40.2) in population attributable fraction for all-cause mortality, 35.1% (23.7, 44.9) for CVD mortality, and 18.0% (6.5, 28.0) for cancer mortality. Conversely, adherence to 4-5 healthy lifestyle factors versus none could achieve a gain of 8.1 years in women and 6.6 years in men for the life expectancy at 50 years.
conclusionsA healthier lifestyle is associated with a substantially reduced risk of mortality and a longer life expectancy in the Chinese population. Our findings highlight the necessity of coordinated actions targeting combined lifestyle factors in reducing the overall burden of diseases and premature deaths.
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