Impact of Smoking and Other Lifestyle Factors on Life Expectancy among Japanese: Findings from the Japan Collaborative Cohort (JACC) Study
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概要
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Background: A 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.Methods: We 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.Results: At 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.Conclusions: Among 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.
著者
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HASHIMOTO Shuji
Department of Physiologic Laboratory, National Cardiovascular Center
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OZASA Kotaro
Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medici
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TAMAKOSHI Akiko
Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Gradu
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KIKUCHI Shogo
Department of Public Health, Aichi Medical University School of Medicine
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TAMAKOSHI Koji
Department of Public Health/ Health Information Dynamics, Program in Health and Community Medicine,
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YAGYU Kiyoko
Department of Public Health, Aichi Medical University School of Medicine
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LIN Yingsong
Department of Public Health, Aichi Medical University School of Medicine
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KAWADO Miyuki
Department of Hygiene, Fujita Health University School of Medicine
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