Association between a lifestyle score and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010
Association between a lifestyle score and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010
Authors
Petermann Rocha, Fanny
Diaz Toro, Felipe
Troncoso Pantoja, Claudia
Martinez Sanguinetti, Maria Adela
Leiva Ordonez, Ana Maria
Nazar, Gabriela
Concha Cisternas, Yeny
Diaz Martinez, Ximena
Lanuza, Fabian
Carrasco Marin, Fernanda
Martorell, Miquel
Ramirez Alarcon, Karina
Labrana, Ana Maria
Parra Soto, Solange
Villagran, Marcelo
Lasserre Laso, Nicole
Cigarroa, Igor
Mardones, Lorena
Vasquez Gomez, Jaime
Celis Morales, Carlos A.
ELHOC Res Consortium
Diaz Toro, Felipe
Troncoso Pantoja, Claudia
Martinez Sanguinetti, Maria Adela
Leiva Ordonez, Ana Maria
Nazar, Gabriela
Concha Cisternas, Yeny
Diaz Martinez, Ximena
Lanuza, Fabian
Carrasco Marin, Fernanda
Martorell, Miquel
Ramirez Alarcon, Karina
Labrana, Ana Maria
Parra Soto, Solange
Villagran, Marcelo
Lasserre Laso, Nicole
Cigarroa, Igor
Mardones, Lorena
Vasquez Gomez, Jaime
Celis Morales, Carlos A.
ELHOC Res Consortium
Profesor GuĆa
Authors
Date
Datos de publicaciĆ³n:
10.1017/S1368980023002598
PUBLIC HEALTH NUTRITION,Vol.27,2023
PUBLIC HEALTH NUTRITION,Vol.27,2023
Tipo de recurso
Article
Keywords
Materia geogrƔfica
Collections
Abstract
Objective:To investigate the association between a lifestyle score and all-cause mortality in the Chilean population.Design:Prospective study.Settings:The score was based on seven modifiable behaviours: salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviours. 1-point was assigned for each healthy recommendation. Points were summed to create an unweighted score from 0 (less healthy) to 7 (healthiest). According to their score, participants were then classified into: less healthy (0-2 points), moderately healthy (3-4 points) and the healthiest (5-7 points). Associations between the categories of lifestyle score and all-cause mortality were investigated using Cox proportional hazard models adjusted for confounders. Nonlinear associations were also investigated.Participants:2706 participants from the Chilean National Health Survey 2009-2010.Results:After a median follow-up of 10 center dot 9 years, 286 (10 center dot 6 %) participants died. In the maximally adjusted model, and compared with the healthiest participants, those less healthy had 2 center dot 55 (95 % CI 1 center dot 75, 3 center dot 71) times higher mortality risk due to any cause. Similar trends were identified for the moderately healthy group. Moreover, there was a significant trend towards increasing the mortality risk when increasing unhealthy behaviours (hazard ratio model 3: 1 center dot 61 (95 % CI 1 center dot 34, 1 center dot 94)). There was no evidence of nonlinearity between the lifestyle score and all-cause mortality.Conclusion:Individuals in the less healthy lifestyle category had higher mortality risk than the healthiest group. Therefore, public health strategies should be implemented to promote adherence to a healthy lifestyle across the Chilean population.