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Healthy lifestyle a...
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Bian, ZilongZhejiang Univ, Affiliated Hosp 2, Sch Publ Hlth, Dept Big Data Hlth Sci,Sch Med, Hangzhou, Peoples R China.;Zhejiang Univ, Affiliated Hosp 2, Ctr Clin Big Data & Analyt, Sch Med, Hangzhou, Peoples R China.;Nanjing Med Univ, Ctr Global Hlth, Sch Publ Hlth, Dept Biostat, Nanjing, Peoples R China.
(author)
Healthy lifestyle and cancer survival : A multinational cohort study
- Article/chapterEnglish2024
Publisher, publication year, extent ...
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John Wiley & Sons,2024
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-533252
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-533252URI
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https://doi.org/10.1002/ijc.34846DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:154718689URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Lifestyle factors after a cancer diagnosis could influence the survival of cancer 60 survivors. To examine the independent and joint associations of healthy lifestyle factors with mortality outcomes among cancer survivors, four prospective cohorts (National Health and Nutrition Examination Survey [NHANES], National Health Interview Survey [NHIS], UK Biobank [UKB] and Kailuan study) across three countries. A healthy lifestyle score (HLS) was defined based on five common lifestyle factors (smoking, alcohol drinking, diet, physical activity and body mass index) that related to cancer survival. We used Cox proportional hazards regression to estimate the hazard ratios (HRs) for the associations of individual lifestyle factors and HLS with all-cause and cancer mortality among cancer survivors. During the follow-up period of 37,095 cancer survivors, 8927 all-cause mortality events were accrued in four cohorts and 4449 cancer death events were documented in the UK and US cohorts. Never smoking (adjusted HR = 0.77, 95% CI: 0.69-0.86), light alcohol consumption (adjusted HR = 0.86, 95% CI: 0.82-0.90), adequate physical activity (adjusted HR = 0.90, 95% CI: 0.85-0.94), a healthy diet (adjusted HR = 0.69, 95% CI: 0.61-0.78) and optimal BMI (adjusted HR = 0.89, 95% CI: 0.85-0.93) were significantly associated with a lower risk of all-cause mortality. In the joint analyses of HLS, the HR of all-cause and cancer mortality for cancer survivors with a favorable HLS (4 and 5 healthy lifestyle factors) were 0.55 (95% CI 0.42-0.64) and 0.57 (95% CI 0.44-0.72), respectively. This multicohort study of cancer survivors from the United States, the United Kingdom and China found that greater adherence to a healthy lifestyle might be beneficial in improving cancer prognosis. This study investigated the independent and joint associations of healthy lifestyle factors with mortality outcomes among cancer survivors by analyzing data from four prospective cohorts across three countries-the National Health and Nutrition Examination Survey and National Health Interview Survey in the United States, the UK Biobank and the Kailuan study in China. Adhering to a healthy lifestyle could reduce the risk of all-cause and cancer mortality by half among cancer survivors. Specifically, avoiding smoking and excessive alcohol consumption, maintaining a healthy diet, engaging in physical activity and maintaining a healthy body mass index were associated with improved prognosis.image
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Zhang, RongqiZhejiang Univ, Affiliated Hosp 2, Sch Publ Hlth, Dept Big Data Hlth Sci,Sch Med, Hangzhou, Peoples R China.;Zhejiang Univ, Affiliated Hosp 2, Ctr Clin Big Data & Analyt, Sch Med, Hangzhou, Peoples R China.
(author)
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Yuan, ShuaiKarolinska Institutet,Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Stockholm, Sweden.
(author)
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Fan, RongZhejiang Univ, Affiliated Hosp 2, Sch Publ Hlth, Dept Big Data Hlth Sci,Sch Med, Hangzhou, Peoples R China.;Zhejiang Univ, Affiliated Hosp 2, Ctr Clin Big Data & Analyt, Sch Med, Hangzhou, Peoples R China.
(author)
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Wang, LijuanUniv Edinburgh, Usher Inst, Edinburgh, Scotland.
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Larsson, Susanna C.Karolinska Institutet,Uppsala universitet,Medicinsk epidemiologi,Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Stockholm, Sweden.(Swepub:uu)susla720
(author)
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Theodoratou, EvropiUniv Edinburgh, Usher Inst, Edinburgh, Scotland.;Univ Edinburgh, Med Res Council, Canc Res UK Edinburgh Ctr, Inst Genet & Canc, Edinburgh, Scotland.
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Zhu, YiminZhejiang Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Sch Med, Hangzhou, Peoples R China.
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Wu, ShoulingKailuan Gen Hosp, Dept Cardiol, Tangshan, Peoples R China.
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Ding, YuanZhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Hepatobiliary & Pancreat Surg, Hangzhou, Peoples R China.
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Li, XueZhejiang Univ, Affiliated Hosp 2, Sch Publ Hlth, Dept Big Data Hlth Sci,Sch Med, Hangzhou, Peoples R China.;Zhejiang Univ, Affiliated Hosp 2, Ctr Clin Big Data & Analyt, Sch Med, Hangzhou, Peoples R China.;Univ Edinburgh, Usher Inst, Edinburgh, Scotland.
(author)
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Zhejiang Univ, Affiliated Hosp 2, Sch Publ Hlth, Dept Big Data Hlth Sci,Sch Med, Hangzhou, Peoples R China.;Zhejiang Univ, Affiliated Hosp 2, Ctr Clin Big Data & Analyt, Sch Med, Hangzhou, Peoples R China.;Nanjing Med Univ, Ctr Global Hlth, Sch Publ Hlth, Dept Biostat, Nanjing, Peoples R China.Zhejiang Univ, Affiliated Hosp 2, Sch Publ Hlth, Dept Big Data Hlth Sci,Sch Med, Hangzhou, Peoples R China.;Zhejiang Univ, Affiliated Hosp 2, Ctr Clin Big Data & Analyt, Sch Med, Hangzhou, Peoples R China.
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In:International Journal of Cancer: John Wiley & Sons154:10, s. 1709-17180020-71361097-0215
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Bian, Zilong
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Zhang, Rongqi
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Yuan, Shuai
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Theodoratou, Evr ...
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Wu, Shouling
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