RT Journal
A1 Gopinath B, Flood VM, Burlutsky G, Mitchell P
T1 COmbined influence of health behaviors on total and cause-specific mortality
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD September 27
VO 170
IS 17
SP 1605
OP 1607
DO 10.1001/archinternmed.2010.303
UL http://dx.doi.org/10.1001/archinternmed.2010.303
AB 
A recent article in the Archives1 prospectively examined the individual and collective influence of 4 risk factors (physical activity, diet, smoking, and alcohol consumption) on total and cause-specific mortality. In the Health and Lifestyle Survey (HALS), adjusted hazard ratios and 95% confidence intervals (CIs) for total mortality associated with 1, 2, 3, and 4 poor health behaviors compared with none were 1.85 (95% CI, 1.28-2.68), 2.23 (95% CI, 1.55-3.20), 2.76 (95% CI, 1.91-3.99), and 3.49 (95% CI, 2.31-5.26), respectively (P value for trend, <.001). Only a handful of population-based studies2- 4 have examined the combined effect of these behaviors on mortality. We investigated whether the collective influence of similar poor health behaviors as detailed by Kvaavik et al1 influenced the risk of total and cause-specific mortality in a cohort of older Australian adults.