We conducted a 14-year follow-up study to analyze the hazard ratio (HR) of mortality regarding lifestyle-related factors in
Saga Prefecture, Japan. The subjects included 2,170 people, who were randomly selected from men and women aged from 40 to
69 years old, and who also completed the standardized questionnaire on lifestyle in 1983. Information about death and corresponding
data were obtained either by mail and/or through the city offices in 1997. We found that a lower body weight, a lower physical
fitness level, not consuming a balanced diet, and cigarette smoking to be significantly elevated risks for all-causes of death
in males after adjustment by age and health status. In addition, these results did not change even after excluding subjects
for early death. The HR of the female subjects who quit smoking was significantly high, although it changed to insignificant
after excluding subjects for early death. These results suggested that being underweight might be an index of a positive risk
of death, while maintaining a higher physical fitness level, being careful to consume a more balanced diet, and non smoking
all appear to be indexes of a negative risk of death. In addition, these results might also be considered good evidence for
improving poor health habits in health promotion activities.
Key words Lifestyle - Mortality - physical activity - body mass index - smoking - prospective cohort study