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Study objective: To asses the association between alcohol consumption and the risk of colorectal cancer (CRC) in the Chinese population. Design: A population-based prospective cohort study was initiated from the colorectal cancer screening population in Jiashan County in 1989–1990. The drinking habits of individuals were investigated with demographic information. Setting: A cohort study was followed-up from 1st May 1990 to 1st January 2001 and censored at the date of diagnosis of CRC, at death from any causes, or at 1st January 2001, whichever came first, and the person-time was computed. Participants: Two hundred and forty two CRC patients were diagnosed during the study period and 64,100 individuals finished the follow-up. Results: The distribution of sex, smoking status, occupation, education level and marital status were all significantly different among different drinking habits at baseline. When the above factors were adjusted, no significant association was observed between alcohol consumption and the risk of CRC. Exclusion of individuals diagnosed cancer less than 1 year after the examination date did not alter the strength of an alcohol–CRC relationship. Further analysis in sex strata also did not show a significant relationship. Conclusions: Alcohol drinking may not be associated with a higher risk of CRC in the Chinese population.This revised was published online in April 2005. In the previous version the article category was missing.  相似文献   

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目的 探讨2型糖尿病人群中睡眠时间和全死因死亡风险的关联。方法 以江苏省常熟市、淮安市清河区和淮安区纳入国家基本公共卫生服务管理的17 452名2型糖尿病患者作为观察队列。利用Cox比例风险模型计算不同睡眠时间人群随访期间的全死因死亡风险比(HR)值及其95% CI,并按照性别、年龄、生活方式因素进行分层分析。结果 研究人群累计随访67 912人年,平均随访4年,随访期间糖尿病患者死亡1 057人。以睡眠时间7 h/d为参照,调整混杂因素后,睡眠时间≤ 6、8、9和≥ 10 h/d发生死亡的HR值(95% CI)分别为1.14(0.94~1.37)、1.10(0.91~1.32)、1.33(1.05~1.70)和1.52(1.24~1.87)。分层分析显示结果和全人群结果相似,睡眠时间过长与糖尿病患者死亡风险有统计学关联,但未见睡眠时间不足与糖尿病患者死亡风险有统计学关联。结论 睡眠时间过长可增加2型糖尿病患者死亡风险。  相似文献   

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The objective of this study was to estimate the economic costs over the first 2 years of life of Group B Streptococcus (GBS) disease occurring in infants less than 90 days of age. A cost analysis was conducted using a prospective cohort of children born between 2000 and 2003 in the Greater London, Oxford, Portsmouth and Bristol areas of England. Unit costs were applied to estimates of the health and social resource use made by 138 infants diagnosed with GBS disease and 305 non-GBS controls matched for birth weight and hospital stay and time of birth. The health and social care costs for infants exposed to GBS disease were analysed in a multiple linear regression model. The mean health and social care cost over the first 2 years of life was estimated at £11,968.9 for infants with GBS, compared to £6,260.7 for the non-GBS controls; a mean cost difference of £5,708.1 (bootstrap 95% CI £2,977.1, £8,391.2, P = 0.03). After adjusting for gestational age and other potential confounders in a multiple linear regression, mean societal costs was £6,144.7 higher among GBS cases than among non-GBS controls (P < 0.001). This study shows that the health and social care costs for infants with GBS disease is, on average, two-fold higher during the first 2 years of life than for infants without GBS disease. These data should be used to inform policy decisions regarding the cost-effectiveness of prevention and treatment strategies for GBS disease during early childhood.  相似文献   

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目的 探究社区老年人不同高蛋白食物摄入与认知变化的关联,为从营养膳食角度预防老年人认知减退提供科学依据。方法 采用前瞻性队列研究,于2010年5—6月整群抽样选取65岁及以上社区老年人作为研究对象,通过问卷调查获得一般人口学信息,食物频率问卷(FFQ)获得饮食信息,韦氏成人智力量表(中国修订版)测量智商值评估认知,并于2011—2019年逐年随访测试认知状况。广义估计方程分析高蛋白食物(畜肉、禽肉、水产品类、奶及其制品、蛋类、大豆及其制品)与认知功能变化的关联。结果 共纳入研究对象509名。广义估计方程分析结果显示:摄入较高水产品类(β=24.902,sx-=5.092,P<0.001)、禽肉(β=13.896,sx-=2.803,P<0.001)、奶及其制品(β=171.165,sx-=35.699,P<0.001)与总智商的升高有统计学关联;而摄入较高畜肉(含内脏)(β=-175.869,sx-  相似文献   

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目的 探讨2型糖尿病患者中社会经济地位(SES)和全死因死亡风险的关联。方法 以江苏省常熟市、淮安市清江浦区和淮安区纳入国家基本公共卫生服务管理的17 553名2型糖尿病患者作为观察队列。首先通过潜在类别分析,根据5项社会经济指标对患者的SES进行分类。然后利用Cox比例风险回归模型分性别计算不同SES人群随访期间的全死因死亡风险比(HR)及其95%CI,并按照年龄、城乡进行分层分析。结果 研究人群累计随访100 529.08人年,平均随访5.7年,随访期间糖尿病患者死亡1 829人。根据潜在类别模型拟合结果提示含3个潜在类别的模型最佳,故将人群SES分为低(8 256人,47.0%)、中(4 427人,25.2%)、高(4 870人,27.8%)3组。以高SES组为参照,调整混杂因素后,男、女性低SES组发生死亡的HR值(95%CI)分别为1.84(1.53~2.21)和1.41(1.51~1.72)。分层分析发现,男、女性低SES组在 < 60岁患者中发生死亡的HR值(95%CI)分别为1.99(1.12~2.95)和2.01(1.20~3.23),在≥60岁患者中为1.90(1.57~2.31)和1.40(1.13~1.73);男、女性低SES组在城市患者中发生死亡的HR值(95%CI)分别为1.54(1.17~2.04)和1.27(1.02~1.59),在农村患者中为2.11(1.55~2.85)和2.64(1.17~3.35)。结论 低SES可增加2型糖尿病患者死亡风险,且这种负向关联在年轻人和农村人群中更显著。  相似文献   

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目的探讨空腹血糖(FPG)长期变异性与2型糖尿病(T2DM)患者全因死亡风险的关联。方法以江苏省常熟市纳入国家基本公共卫生服务管理的7 174名T2DM患者作为观察队列。基于≥3次随访的FPG值, 计算并使用其标准差(SD)、变异系数(CV)、平均真实变异(ARV)和独立于均值的变异系数(VIM)评价长期FPG变异性。死亡信息主要通过江苏省居民死因监测系统获取。利用Cox比例风险回归模型分析4个变异性指标与T2DM患者全因死亡风险比(HR)及其95%CI。结果截至2021年12月31日, 研究人群累计随访55 058.50人年, 平均随访7.67年, 随访期间发生死亡898名。在调整混杂因素后, Cox比例风险回归分析显示, 与T1组相比, SD、CV、ARV和VIM的T3组发生全因死亡的HR值(95%CI)分别为1.24(1.03~1.49)、1.20(1.01~1.43)、1.28(1.07~1.55)和1.20(1.01~1.41)。SD、CV、ARV和VIM每增加1个单位SD, T2DM患者发生全因死亡的HR值(95%CI)分别为1.13(1.06~1.21)、1.08(1.0...  相似文献   

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目的 分析江苏省2型糖尿病患者发病年龄、病程和糖化血红蛋白(HbA1c)与缺血性脑卒中(IS)发病风险的关联。方法 研究对象来自江苏省社区糖尿病综合干预及应用研究,2013年12月至2014年1月开展基线调查,本研究随访数据截至2021年12月31日,剔除基线诊断为脑卒中以及发病年龄、病程和HbA1c信息缺失的参与者后,最终共纳入17 576名研究对象。采用Cox比例风险回归模型计算发病年龄、病程、HbA1c与IS发病的风险比(HR)值及其95%CI结果 研究对象中位随访时间8.02年,期间共登记IS新发病例2 622名。多因素Cox比例风险回归分析显示,糖尿病发病年龄每延迟5年,IS发病风险降低5%(HR=0.95,95%CI:0.92~0.99),糖尿病病程每增加5年,IS发病风险增加5%(HR=1.05,95%CI:1.02~1.10),较高的HbA1c(每增加1个标准差:HR=1.17,95%CI:1.13~1.21)与IS发病风险增加相关。结论 2型糖尿病患者较早的发病年龄、更长的病程和较高水平的HbA1c均与IS发病风险增加相关。  相似文献   

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We studied 85,975 Japanese subjects by questionnaire at baseline (age 45–65 years, no histories of CVD or cancer) in 1995 and 1998, and were followed until the end of 2009 and 2010 in Cohorts I and II, respectively. Dietary magnesium intake was estimated from a self-administered 138 item food-frequency questionnaire. Confounding variables were used for age, smoking, alcohol, body mass index, history of diabetes, medication of antihypertensive drug and anti-lipidemic drug users, regular exercise, public health centers, foods (vegetables and fish), dietary energy and minerals (salt, calcium, and potassium).
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目的 通过前瞻性队列研究,评价孕20周内母体甲状腺功能相关激素指标水平与新生儿出生体格和婴幼儿期神经精神发育水平之间的剂量反应关系。方法 在安徽省马鞍山市建立945名孕妇队列,留取队列孕妇血清标本,使用电化学发光免疫法检测孕妇血清甲状腺功能相关激素水平;收集孕妇的一般社会人口统计学资料,测量新生儿出生体格和婴幼儿神经精神的发育情况等。结果 孕期母体血清促甲状腺激素(TSH)水平处于不同百分段的孕妇所分娩的活产儿出生时身长和头围差异均有统计学意义(P<0.05)。孕期母体TSH水平<P5和≥ P95的新生儿出生身长和头围比母体TSH水平位于P25~P75的新生儿偏低,差异均有统计学意义(P<0.05)。新生儿出生头围与母体TSH-Z分呈倒"U"形分布模式(Y=33.940+0.003X-0.109X2F=4.685,P=0.009)。孕期母体TSH水平处于不同百分段的孕妇所分娩后代在出生后18~30个月时的精神发展指数(MDI)差异有统计学意义(P<0.05),孕期母体TSH水平≥ P90的婴儿MDI评价水平比母体TSH水平P25~P75的婴儿低6.39分(95% CI:2.29~10.49;P=0.002)。婴幼儿18~30个月时MDI与母体TSH-Z分亦呈倒"U"形分布模式(Y=103.249-1.524X-0.939X2F=6.616,P=0.001)。结论 孕妇血清TSH水平与新生儿出生时身长、头围,以及婴幼儿18~30个月时MDI关系密切;孕期母体TSH-Z分与新生儿头围和婴幼儿18~30个月时MDI均呈现倒"U"形的分布模式。  相似文献   

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