Hogeschool van Amsterdam

Centre of Expertise Urban Vitality

Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes

prospective cohort study

Artikel

<p>OBJECTIVE: To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases.</p><p>DESIGN: Prospective cohort study.</p><p>SETTING AND PARTICIPANTS: The Nurses' Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366).</p><p>MAIN EXPOSURES: Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%).</p><p>MAIN OUTCOME: Life expectancy free of diabetes, cardiovascular diseases, and cancer.</p><p>RESULTS: The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smoked heavily (≥15 cigarettes/day) or obese men and women (body mass index ≥30), their disease-free life expectancies accounted for the lowest proportion (≤75%) of total life expectancy at age 50.</p><p>CONCLUSION: Adherence to a healthy lifestyle at mid-life is associated with a longer life expectancy free of major chronic diseases.</p>

Reference Li, Y., Schoufour, J., Wang, D. D., Dhana, K., Pan, A., Liu, X., Song, M., Liu, G., Shin, H. J., Sun, Q., Al-Shaar, L., Wang, M., Rimm, E. B., Hertzmark, E., Stampfer, M. J., Willett, W. C., Franco, O. H., & Hu, F. B. (2020). Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ: British Medical Journal, 368, [el6669]. https://doi.org/10.1136/bmj.l6669
Published by  Urban Vitality 8 January 2020

Publication date

Jan 2020

Author(s)

Yanping Li
Dong D Wang
Klodian Dhana
An Pan
Xiaoran Liu
Mingyang Song
Gang Liu
Hyun Joon Shin
Qi Sun
Laila Al-Shaar
Molin Wang
Eric B Rimm
Ellen Hertzmark
Meir J Stampfer
Walter C Willett
Oscar H Franco
Frank B Hu

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