1962 - 1986年挪威基督复临安息日会的死亡率

Mortality in Norwegian Seventh-Day Adventists 1962-1986.

作者信息

Fønnebø V

机构信息

Institute of Community Medicine, University of Tromsø, Norway.

出版信息

J Clin Epidemiol. 1992 Feb;45(2):157-67. doi: 10.1016/0895-4356(92)90008-b.

DOI:10.1016/0895-4356(92)90008-b

PMID:1573432

Abstract

The standardized mortality ratio (SMR) was studied in Norwegian Seventh-Day Adventists, a religious group practising a life-style regarded as protective against cancer and cardiovascular disease. Persons converting before the age of 19 had a SMR of 69 (men) and 59 (women). This was both significantly lower than the general population and those converting at age 35 or above. The site mainly responsible for the low SMR in young converts was cardiovascular disease (men, 44; women, 52). Overall SMR in Seventh-Day Adventists compared to the general population was 82 (95% CI: 77-88, p less than 0.001) in men and 95 (95% CI: 91-100, NS) in women. SMR for cancer was significantly lower only in men before the age of 75 (SMR: 78, 95% CI: 61-99, p less than 0.05). Adopting a healthful lifestyle early in life seems to be of decisive importance with regard to mortality, later lifestyle changes have a smaller effect on death risk.

摘要

对挪威基督复临安息日会信徒的标准化死亡率（SMR）进行了研究，该宗教团体践行一种被认为对癌症和心血管疾病有预防作用的生活方式。19岁之前皈依的人，男性的SMR为69，女性为59。这一数值显著低于普通人群以及35岁及以上皈依的人群。年轻皈依者中导致SMR较低的主要原因是心血管疾病（男性为44，女性为52）。与普通人群相比，基督复临安息日会男性的总体SMR为82（95%置信区间：77 - 88，p < 0.001），女性为95（95%置信区间：91 - 100，无显著差异）。仅在75岁之前的男性中，癌症的SMR显著较低（SMR：78，95%置信区间：61 - 99，p < 0.05）。早年养成健康的生活方式似乎对死亡率起着决定性作用，而后期生活方式的改变对死亡风险的影响较小。