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Titre : | Smoking and Physical Activity: Examining Health Behaviors and 15-Year Mortality Among Individuals With Multiple Sclerosis (2015) |
Auteurs : | Aaron P. Turner ; Narineh Hartoonian ; Charles Maynard |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/3, 2015) |
Article en page(s) : | p. 402-409 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Mortalité ; Rééducation et réadaptation ; Sclérose en plaques ; Tabagisme |
Mots-clés: | Exercise ; Mortality ; Multiple sclerosis ; Smoking |
Résumé : |
Objectives To examine 2 modifiable health behaviorssmoking and physical activityand their relationship to mortality among individuals with multiple sclerosis (MS). Design Secondary analysis of Large Health Survey. Setting Data were obtained from a linkage of the Veterans Affairs (VA) MS National Data Repository, containing information on service provision to all individuals with MS receiving health services within the U.S. Department of Veterans Affairs; the VA 1999 Large Health Survey, containing information on smoking and physical activity; and the VA Vital Status File. All-cause mortality was examined for the 15-year period from 1999 through 2013. Participants Participants (N=2994) with MS who completed the Large Health Survey containing information on smoking and physical activity. Interventions Not applicable. Main Outcome Measure Survival. Results There were 1500 deaths (50.1%) during the study period. Cox proportional hazard analyses were conducted to examine the association between smoking and physical activity and 15-year mortality. After adjusting for demographic factors, physical functioning, mental health, and comorbid medical conditions, baseline smoking was associated with greater mortality (hazard ratio [HR]=1.38; 95% confidence interval [CI], 1.1841.60). Higher levels of baseline physical activity were associated with lower mortality (activity 12 times/wk: HR=.64; 95% CI, .518.798; activity ≥3 times/wk: HR=.53; 95% CI, .388.715). Conclusions Results suggest that modifiable health behaviors represent a promising opportunity for intervention to improve the lives of individuals with MS. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314012155 |