Fujita Y, Nakamura Y, Hiraoka J, Kobayashi K, Sakata K, Nagai M, Yanagawa H
Department of Public Health, Jichi Medical School, Tochigi, Japan.
J Clin Epidemiol. 1995 Nov;48(11):1349-59. doi: 10.1016/0895-4356(95)00533-1.
A follow-up study was conducted to clarify the relationship between physical-strength level and risk of death from all causes and from cancer and cardiovascular disease. The 7286 persons who were examined at seven health-promotion centers throughout Japan between 1982 and 1987 were followed up. By January 1992, 6259 persons (85.9%) had been contacted by questionnaire. They included 3117 men (49.8% of all subjects studied) (average age 53.6 years at baseline, SD = 9.0 years, range 40-84 years), and 3142 women (50.2%) (average age 54.5 years at baseline, SD = 8.5 years, range 40-85 years). The follow-up period for each person averaged 6.1 years, for a total of 38,253 person-years. During this period, 155 deaths were reported. At baseline, five physical-strength tests (grip strength, side step, vertical jump, standing trunk flexion, and sit-ups) were performed. Five clinical laboratory tests (thickness of skinfold, blood sugar, total serum cholesterol, percent vital lung capacity, and blood pressure) were also conducted. The examinees were questioned about smoking status (current smoker, nonsmoker, and ex-smoker). Men with thicker skinfold [relative risk (RR) = 2.11] and higher levels of blood sugar (RR = 1.89) had an excess risk of death from all causes. Men with higher serum cholesterol (RR = 5.08), thicker skinfold (RR = 4.54), and elevated blood pressure (RR = 2.33) had an excess risk of death from cardiovascular disease. In women, no relationship was seen between clinical laboratory tests and an excess risk of death. Men exhibiting lower values for side step (RR = 2.43), vertical jump (RR = 2.37), sit-ups (RR = 1.93) and grip strength (RR = 1.92) also had an excess risk of death from all causes. Furthermore, men with lower heights for vertical jump (RR = 5.51) had an excess risk of death from cardiovascular disease. After adjustment for skinfold thickness, blood sugar, total serum cholesterol, blood pressure, percent vital lung capacity and smoking status, men with a lower level of side step, vertical jump, and grip strength had an excess risk of death from all causes. No such relationship was seen between physical-strength level and an excess risk of death in women. It is concluded that a low level of physical strength might be significantly correlated with subsequent health outcomes in men.
进行了一项随访研究，以阐明体力水平与全因死亡、癌症死亡和心血管疾病死亡风险之间的关系。对1982年至1987年期间在日本各地七个健康促进中心接受检查的7286人进行了随访。到1992年1月，通过问卷调查联系到了6259人（85.9%）。其中包括3117名男性（占所有研究对象的49.8%）（基线平均年龄53.6岁，标准差=9.0岁，范围40-84岁），以及3142名女性（50.2%）（基线平均年龄54.5岁，标准差=8.5岁，范围40-85岁）。每个人的随访期平均为6.1年，总计38253人年。在此期间，报告了155例死亡。在基线时，进行了五项体力测试（握力、侧步、垂直跳跃、站立躯干前屈和仰卧起坐）。还进行了五项临床实验室测试（皮褶厚度、血糖、总血清胆固醇、肺活量百分比和血压）。对受检者询问了吸烟状况（当前吸烟者、不吸烟者和既往吸烟者）。皮褶较厚[相对风险（RR）=2.11]和血糖水平较高（RR=1.89）的男性全因死亡风险较高。血清胆固醇较高（RR=5.08）、皮褶较厚（RR=4.54）和血压升高（RR=2.33）的男性心血管疾病死亡风险较高。在女性中，未发现临床实验室测试与死亡风险增加之间存在关联。侧步（RR=2.43）、垂直跳跃（RR=2.37）、仰卧起坐（RR=1.93）和握力（RR=1.92）值较低的男性全因死亡风险也较高。此外，垂直跳跃高度较低（RR=5.51）的男性心血管疾病死亡风险较高。在对皮褶厚度、血糖、总血清胆固醇、血压、肺活量百分比和吸烟状况进行调整后，侧步、垂直跳跃和握力水平较低的男性全因死亡风险较高。在女性中，未发现体力水平与死亡风险增加之间存在这种关系。得出的结论是，体力水平较低可能与男性随后的健康结果显著相关。
