Increased mortality among individuals with chronic XXXX relates to lifestyle factors: a prospective population-based study.

@entity1118 @entity65 @entity158
PURPOSE: Widespread @entity1118 has been related to disability and loss of quality of life, but in a few epidemiological studies also to increased mortality. The aim of this study was to further investigate the relationship between @entity1118 , lifestyle factors and all cause mortality. METHODS: A random sample of an adult (age 25-74) Swedish population (n = 1609) responded to a comprehensive questionnaire on @entity158 , other symptoms, lifestyle, work and socioeconomic factors in 1988. Mortality data for this cohort between 1988 and 2002 were analysed. Survival analysis (Kaplan-Meier) and Cox proportional regression were used to study initially reported factors influencing survival. RESULTS: Individuals with widespread @entity1118 showed an increased mortality risk (hazard ratio, HR = 1.95, CI: 1.26-3.03) compared to the group without @entity1118 . Death due to @entity65 accounted for the increased mortality. Adjustment for lifestyle factors eliminated the excess risk. CONCLUSIONS: Increased mortality among individuals with widespread @entity1118 is related to factors like smoking, sleep disturbances and low physical activity. The result emphasises the importance of including lifestyle factors in a cognitive-behavioural rehabilitation process. It remains to be shown whether health promotion activities aimed at lifestyle could change mortality among individuals with @entity1118 .
