Reinders Ilse, van Schoor Natasja M, Deeg Dorly J H, Huisman Martijn, Visser Marjolein
Department of Nutrition and Dietetics, Internal Medicine, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
Eur J Public Health. 2018 Jun;28(3):564-570. doi: 10.1093/eurpub/ckx173. Epub 2017 Oct 13.
Unhealthy lifestyle factors, such as obesity, smoking, excessive alcohol consumption and physical inactivity, are associated with increased morbidity and mortality risk, even in older age. We investigated trends in lifestyle among three cohorts of adults aged 55-64 years from the Netherlands.
Data from the Longitudinal Aging Study Amsterdam were used. This study consisted of three randomly selected samples of men and women. Lifestyle data were collected in 1992/1993 (cohort 1, n = 988), in 2002/2003 (cohort 2, n = 1002) and in 2012/2013 (cohort 3, n = 1023). Trends in lifestyle across cohorts were tested using multivariable regression analyses.
Complete lifestyle data were available for 834 participants from cohort 1, 861 from cohort 2 and 845 from cohort 3. Among men, but not in women, mean BMI and prevalence of obesity increased over time. The mean minutes per day spent being physically active decreased among both men and women, from 130 ± 107 and 230 ± 122 (1992/1993) to 114 ± 100 and 192 ± 109 (2002/2003), and 126 ± 98 and 187 ± 112 (2012/2013), respectively. The percentage of men and women defined as excessive drinkers (>7 alcoholic consumptions per week) increased from 54.9%, 62.3% to 65.4% (men) and 22.7%, 36.1% to 37.4% (women), in 1992/1993, 2002/2003 and 2012/2013, respectively. The percentage of non-smoking men and women increased over time.
The lifestyle of Dutch adults aged 55-64 years was less healthy in 2012/2013 compared with 2002/2003 and 1992/1993. Political attention regarding healthy ageing should target the prevention of overweight, physical inactivity and excessive alcohol consumption in middle-aged persons.
不健康的生活方式因素，如肥胖、吸烟、过量饮酒和缺乏身体活动，即使在老年人中也与发病率和死亡率风险增加相关。我们调查了来自荷兰的三组55 - 64岁成年人的生活方式趋势。
使用了阿姆斯特丹纵向衰老研究的数据。该研究由三个随机抽取的男性和女性样本组成。生活方式数据于1992/1993年（队列1，n = 988）、2002/2003年（队列2，n = 1002）和2012/2013年（队列3，n = 1023）收集。使用多变量回归分析测试各队列间生活方式的趋势。
队列1的834名参与者、队列2的861名参与者和队列3的845名参与者可获得完整的生活方式数据。在男性中，而非女性中，平均体重指数和肥胖患病率随时间增加。男性和女性每天进行身体活动的平均分钟数均减少，分别从1992/1993年的130±107和230±122分钟，降至2002/2003年的114±100和192±109分钟，以及2012/2013年的126±98和187±112分钟。被定义为过度饮酒者（每周饮酒超过7次）的男性和女性比例分别从1992/1993年的54.9%、62.3%增至2002/2003年的65.4%（男性）和22.7%、36.1%增至2012/2013年的37.4%（女性）。不吸烟的男性和女性比例随时间增加。
与2002/2003年和1992/1993年相比，2012/2013年55 - 64岁荷兰成年人的生活方式更不健康。关于健康老龄化的政策关注应针对预防中年人的超重、缺乏身体活动和过量饮酒。
