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血清胆固醇浓度与事故、自杀及其他暴力原因导致的死亡率

Serum cholesterol concentration and mortality from accidents, suicide, and other violent causes.

作者信息

Vartiainen E, Puska P, Pekkanen J, Tuomilehto J, Lönnqvist J, Ehnholm C

机构信息

National Public Health Institute, Helsinki, Finland.

出版信息

BMJ. 1994 Aug 13;309(6952):445-7. doi: 10.1136/bmj.309.6952.445.

Abstract

OBJECTIVE

To study the association of mortality from accidents, suicides, and other violent deaths with serum cholesterol concentration.

DESIGN

Baseline measurements in two randomly chosen independent cohorts were carried out in 1972 and 1977. Mortality was monitored over 10-15 years through the national death registry.

SETTING

Eastern Finland.

SUBJECTS

The two cohorts comprised men (n = 10,898) and women (n = 11,534) born between 1913 and 1947. There were 193 deaths due to accidents, suicides, and violence among men and 43 among women.

MAIN OUTCOME MEASURE

Mortality from accidents, suicides, and other violent deaths was used as the end point. Deaths from these causes were pooled together in the analyses.

RESULTS

Serum cholesterol concentration was not associated with mortality from accidents, suicides, and other violent deaths in the univariate analyses or in the proportional hazards regression analyses including smoking, systolic blood pressure, alcohol drinking, and education. In both genders smoking was more prevalent among those who died from accidents, suicides, and other violent causes than from other causes. Frequent use of alcohol increased mortality from these causes.

CONCLUSION

The risk of accidents, suicides, and other violent deaths was not related to serum cholesterol concentration, whereas such deaths were more prevalent in smokers and alcohol drinkers.

摘要

目的

研究事故、自杀及其他暴力死亡导致的死亡率与血清胆固醇浓度之间的关联。

设计

于1972年和1977年对两个随机选取的独立队列进行了基线测量。通过国家死亡登记处对10至15年的死亡率进行监测。

地点

芬兰东部。

研究对象

这两个队列包括1913年至1947年出生的男性(n = 10898)和女性(n = 11534)。男性中有193例因事故、自杀及暴力死亡,女性中有43例。

主要观察指标

将事故、自杀及其他暴力死亡导致的死亡率作为终点。在分析中,将这些原因导致的死亡合并在一起。

结果

在单因素分析或包括吸烟、收缩压、饮酒和教育程度的比例风险回归分析中,血清胆固醇浓度与事故、自杀及其他暴力死亡导致的死亡率无关。在死于事故、自杀及其他暴力原因的人群中,吸烟在两性中都比其他原因导致死亡的人群更为普遍。频繁饮酒会增加这些原因导致的死亡率。

结论

事故、自杀及其他暴力死亡的风险与血清胆固醇浓度无关,而这类死亡在吸烟者和饮酒者中更为普遍。

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