Abstract

Objectives

The main objective of the current study was to investigate associations between two aspects of well-being – satisfaction with life and vitality – and incidence of and mortality from ischemic heart disease. Study design. The Copenhagen Aging and Midlife Biobank (CAMB) was conducted from 2009 to 2011 and was used as baseline data with 6750 individuals having complete information on The Satisfaction with Life Scale (SWLS) and 6652 individuals with complete information on the Short Form Health Survey (SF-36) vitality scale. Incidence of and mortality from ischemic heart disease were assessed using Danish register data and a total of 349 CAMB individuals were registered with either a diagnosis (n = 337) or had died (n = 12) from ischemic heart disease before the end of follow-up (31 December 2017). The hazard ratios of ischemic heart disease according to satisfaction with life and vitality scores were investigated using Cox proportional hazard regression adjusted for potential covariates. Results. A one standard deviation increase on the SWLS was associated with an 18% reduced risk of ischemic heart disease while a one standard deviation increase on the SF-36 vitality scale was associated with a 24% reduced risk of ischemic heart disease after adjustment for baseline socio-demographic factors. These associations remained when separately adjusting for lifestyle, objective health, and social factors, but became non-significant when adjusting for self-reported health. Conclusion. Our study indicates that both psychological and health-related components of wellbeing are important in relation to ischemic heart disease.

中文翻译：

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对生活和 SF-36 活力的满意度预测缺血性心脏病的风险：一项前瞻性队列研究

摘要

目标

本研究的主要目的是调查幸福感的两个方面——生活满意度和活力——与缺血性心脏病的发病率和死亡率之间的关联。研究设计。哥本哈根老龄化和中年生物库 (CAMB) 于 2009 年至 2011 年进行，用作基线数据，其中 6750 名拥有生活满意度量表 (SWLS) 的完整信息，6652 名拥有简短健康调查 (SF) 的完整信息。 -36) 活力量表。使用丹麦登记数据评估缺血性心脏病的发病率和死亡率，共有 349 名 CAMB 个体被登记为诊断 ( n  = 337) 或已经死亡 ( n = 12) 来自随访结束前的缺血性心脏病（2017 年 12 月 31 日）。使用针对潜在协变量调整的 Cox 比例风险回归，研究根据生活满意度和活力评分的缺血性心脏病风险比。结果。SWLS 增加 1 个标准差与缺血性心脏病风险降低 18% 相关，而 SF-36 活力量表增加 1 个标准差与在调整基线社会后缺血性心脏病风险降低 24% 相关- 人口因素。当分别调整生活方式、客观健康和社会因素时，这些关联仍然存在，但在调整自我报告的健康时变得不显着。结论. 我们的研究表明，幸福感的心理和健康相关成分对于缺血性心脏病都很重要。