Relation between self-reported physical functional health and chronic disease mortality in men and women in the European Prospective Investigation into Cancer (EPIC-Norfolk): a prospective population study.

TitleRelation between self-reported physical functional health and chronic disease mortality in men and women in the European Prospective Investigation into Cancer (EPIC-Norfolk): a prospective population study.
Publication TypeJournal Article
Year of Publication2006
AuthorsMyint, PK, Luben, RN, Surtees, PG, Wainwright, NWJ, Welch, AA, Bingham, SA, Day, NE, Wareham, NJ, Khaw, K-T
JournalAnn Epidemiol
Volume16
Issue6
Pagination492-500
Date Published2006 Jun
ISSN1047-2797
KeywordsAdult, Aged, Aged, 80 and over, Cardiovascular Diseases, Chronic Disease, Cohort Studies, Female, Humans, Male, Middle Aged, Neoplasms, Physical Fitness, Prospective Studies, Self Concept, United Kingdom
Abstract

PURPOSE: To explore the relationship between self-reported physical functional health and mortality.METHODS: A cohort of 17,777 men and women aged 41-80 years who completed the anglicised 36-item short-form questionnaire (UK SF-36) in 1996-2000 were followed prospectively until 2004, average 6.5 years, for mortality from all causes, from cardiovascular disease, from cancer, and from all other causes.RESULTS: During 115,527 person-years of follow-up, 1065 deaths occurred. After adjusting for age, body mass index, systolic blood pressure, cholesterol, smoking, diabetes, and social class, the relative risks (RR) for all cause mortality were 2.15 (95% CI: 1.54, 2.99) and 2.42 (1.57, 3.74), cardiovascular mortality were RR = 2.71 (1.47, 4.98) and 3.09 (1.30, 7.33), and death from other causes excluding cancer RR = 2.88 (1.43, 5.79) and 5.22 (1.21, 22.53) in men and women respectively for those who were in the lowest compared to top quintile of SF-36 scores. These associations remained unchanged after exclusion of deaths during the first two years of follow-up and were also consistent in different age groups.CONCLUSIONS: Poor self-reported physical functional health in men and women without known instances of prevalent cardiovascular disease or cancer predicts total and cardiovascular disease mortality in the general population independently of known risk factors.

DOI10.1016/j.annepidem.2005.04.005
Alternate JournalAnn Epidemiol
Citation Key10.1016/j.annepidem.2005.04.005
PubMed ID16005244
Grant ListG0300128 / / Medical Research Council / United Kingdom
G0401527 / / Medical Research Council / United Kingdom
MC_U106179471 / / Medical Research Council / United Kingdom
/ / Wellcome Trust / United Kingdom