Risk factors for all-cause and coronary heart disease mortality in the oldest-old : The adventist health study.
The oldest-old population (=84 years of age) is growing rapidly and consumes a disproportionate amount of health care dollars.
Risk factors for disease have not been extensively studied in this group.
A cohort study of non-Hispanic white Seventh-Day Adventists from California allowed follow-up for mortality from 1976 through 1988.
Associations between traditional risk factors, consumption of selected foods, and both coronary heart disease (CHD) and all-cause mortality were evaluated in the oldest-old portion of this population, using proportional hazards regression analyses.
We observed 364 cases of CHD and 1387 total deaths during 11 828 person-years of follow-up.
Men had higher risk of both all-cause mortality and mortality from CHD.
The relative risks (RRs) associated with diabetes mellitus were 1.51 (95% confidence interval [CI], 1.24-1.84 ; P<. 001) for all deaths and 1.95 (95% Cl, 1.38-2.76 ; P<. 001) for mortality from CHD.
The apparent effects of hypertension were small unless subjects were currently taking antihypertensive medications.
Compared with those with no regular vigorous activity, subjects who exercised at least 3 times each week had RRs of death of 0.80 (95% Cl, 0.70-0.91 ; P<. 001) and 0.74 (95% CI, 0.56-0.97 ; P<. 05) for mortality from CHD.
Subjects who consumed nuts 5 times per week had RRs of death of 0.82 (95% CI, 0.70-0.96 ; P<. 01) (...)
Mots-clés Pascal : Evaluation, Mortalité, Cardiopathie coronaire, Etiologie, Facteur risque, Habitude alimentaire, Etude statistique, Vieillard, Homme, Economie santé, Appareil circulatoire pathologie, Nutrition
Mots-clés Pascal anglais : Evaluation, Mortality, Coronary heart disease, Etiology, Risk factor, Food habit, Statistical study, Elderly, Human, Health economy, Cardiovascular disease, Nutrition
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0543306
Code Inist : 002B30A01A2. Création : 24/03/1998.