Lifestyle still predicts mortality in older men with established vascular disease

Spencer, CA, Jamrozik, K, Lawrence-Brown, M and Norman, PE (2005) Lifestyle still predicts mortality in older men with established vascular disease. Preventive Medicine, 41 2: 583-588. doi:10.1016/j.ypmed.2004.12.007

Author Spencer, CA
Jamrozik, K
Lawrence-Brown, M
Norman, PE
Title Lifestyle still predicts mortality in older men with established vascular disease
Journal name Preventive Medicine   Check publisher's open access policy
ISSN 0091-7435
Publication date 2005-01-01
Sub-type Article (original research)
DOI 10.1016/j.ypmed.2004.12.007
Open Access Status Not yet assessed
Volume 41
Issue 2
Start page 583
End page 588
Total pages 6
Editor A. Morabia
Place of publication San Diego, U.S.A.
Publisher Academic Press Inc Elsevier Science
Language eng
Subject C1
321003 Cardiology (incl. Cardiovascular Diseases)
730202 Men's health
Abstract Background. It is uncertain whether accepted associations between health behaviors and mortality are pertinent to elderly people. No previous studies have examined the patterns of lifestyle in elderly men with and without clinically evident vascular disease by using a lifestyle score to predict survival. Methods. We measured prevalence of a healthy lifestyle (four or more healthy behaviors out of eight) and examined survival in 11,745 men aged 65-83 years participating in a randomized population-based trial of screening for abdominal aortic aneurysm in Perth, Western Australia. After stratifying participants into five groups according to history and symptoms of vascular disease, we compared survival of men in each subgroup with that of 'healthy' men with no history or symptoms of vascular disease. Results. Invitations to screening produced a corrected response of 70.5%. After adjusting for age and place of birth, having an unhealthy lifestyle was associated with an increase of 20% in the likelihood of death from any cause within 5 years (95% CI: 10-30%). This pattern was consistently evident across subgroups defined by history of vascular disease, but was less evident for deaths from vascular disease. Conclusions. Our results highlight the importance of maintaining a healthy lifestyle through to old age, regardless of history of vascular disease. (c) 2005 Elsevier Inc. All rights reserved.
Keyword Mortality
Survival Analysis
Abdominal Aortic Aneurysm
Cardiovascular Disease
Public, Environmental & Occupational Health
Medicine, General & Internal
Abdominal Aortic-aneurysm
All-cause Mortality
Health Behaviors
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2006 Higher Education Research Data Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
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Created: Wed, 15 Aug 2007, 16:06:27 EST