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喜剧会致命吗?一项针对53位英国喜剧演员的幽默与长寿情况的回顾性纵向队列嵌套病例对照研究。

Does comedy kill? A retrospective, longitudinal cohort, nested case-control study of humour and longevity in 53 British comedians.

作者信息

Stewart Simon, Thompson David R

机构信息

Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.

Centre for the Heart and Mind, Australian Catholic University, Melbourne, Australia.

出版信息

Int J Cardiol. 2015 Feb 1;180:258-61. doi: 10.1016/j.ijcard.2014.11.152. Epub 2014 Nov 26.

Abstract

OBJECTIVES

This work aims to test the hypothesis that the funniest comedians are most at risk of a premature death and reduced longevity compared to their relatively less funny counterparts.

METHODS

A retrospective longitudinal cohort study with a nested case-control analysis of longevity of 53 male British comedians born between 1900 and 1954 was conducted. All comedians were given a subjective score from 1 (relatively funny) to 10 (hilariously funny) by the study investigators. The survival profile of all comedians was then examined adjusting for decade of birth, whether they worked in a comedy team and their comedy score. A nested case-control analysis examined the longevity of those comedians working in teams according to their pre-specified status within the team (straight/less funny versus funny team member).

RESULTS

On an adjusted basis, there was no correlation between the decade of birth (HR 0.94, 95% 0.65 to 1.38 per incremental decade; p=0.763) and comedy team status (HR 1.13, 95% 0.51 to 2.48 versus independent comedian; p=0.761) with longevity. However, an increasingly funny comedy score was associated with increased mortality (HR 1.24, 95% CI 1.06 to 1.44 per unit funny score; p=0.006). Of the 23 comedians adjudged to be very funny (score 8-10), 18 (78%) had died versus 12 (40%) of the rest; mean age at death 63.3±12.2 versus 72.3±14.7 (p=0.079). Within comedy teams, those identified as the funnier member(s) of the partnership were, on an adjusted basis, more than three times more likely to die prematurely when compared to their more serious comedy partners (HR 3.52, 95% CI 1.22, 10.1; p=0.020).

CONCLUSIONS

These data suggest that elite comedians are at increased risk of premature death compared to their less funny counterparts. Mental health issues and personality characteristics that help shape their comedic talent and success may well explain their reduced longevity and raises serious issues for identifying and mitigating their risk of a premature death.

摘要

目的

本研究旨在验证以下假设:与相对不那么有趣的喜剧演员相比,最有趣的喜剧演员过早死亡和寿命缩短的风险更高。

方法

对53名出生于1900年至1954年间的英国男性喜剧演员进行了一项回顾性纵向队列研究,并进行了嵌套病例对照分析以研究其寿命。研究人员给所有喜剧演员从1分(相对有趣)到10分(极其有趣)进行了主观评分。然后根据出生年代、是否在喜剧团队工作以及他们的喜剧评分,对所有喜剧演员的生存情况进行了分析。一项嵌套病例对照分析根据团队中预先指定的地位(普通/不太有趣与有趣的团队成员)研究了在团队中工作的喜剧演员的寿命。

结果

在进行调整后,出生年代(风险比0.94,每增加一个年代95%置信区间为0.65至1.38;p = 0.763)和喜剧团队身份(与独立喜剧演员相比,风险比1.13,95%置信区间为0.51至2.48;p = 0.761)与寿命之间没有相关性。然而,喜剧评分越高,死亡率越高(每单位有趣分数的风险比1.24,95%置信区间为1.06至1.44;p = 0.006)。在被判定为非常有趣(评分8 - 10分)的23名喜剧演员中,18名(78%)已经去世,而其余演员中有12名(40%)去世;平均死亡年龄分别为63.3±12.2岁和72.3±14.7岁(p = 0.079)。在喜剧团队中,与较严肃的喜剧搭档相比,被认定为团队中较有趣成员的人在调整后过早死亡的可能性要高出三倍多(风险比3.52,95%置信区间为1.22至10.1;p = 0.020)。

结论

这些数据表明,与不太有趣的喜剧演员相比,精英喜剧演员过早死亡的风险更高。有助于塑造他们喜剧天赋和成功的心理健康问题和性格特征很可能解释了他们寿命的缩短,并为识别和降低他们过早死亡的风险提出了严重问题。

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