Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the...Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.展开更多
Over the 60 years since the establishment of the Xizang Autonomous Region,one indicator has been particularly remarkable:the average life expectancy of the local population has surged from 35.5 years before the democr...Over the 60 years since the establishment of the Xizang Autonomous Region,one indicator has been particularly remarkable:the average life expectancy of the local population has surged from 35.5 years before the democratic reform to 72.5 years in today,an increase of 37 years.Behind this number lies an unprecedented miracle of development on the Qinghai-Xizang Plateau,a hymn to life composed by political system reform,economic development,social security,education popularization,medical progress,and infrastructure improvement.展开更多
Background There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy.The purpose of the study was to investigate the interplay between...Background There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy.The purpose of the study was to investigate the interplay between objectively measured PA volume and intensity profiles with modeled life expectancy in women and men within the UK Biobank cohort study and interpret findings in relation to brisk walking.Methods Individuals from UK Biobank with wrist-worn accelerometer data were included.The average acceleration and intensity gradient were extracted to describe the physical activity volume and intensity profile.Mortality data were obtained from national registries.Adjusted life expectancies were estimated using parametric flexible survival models.Results 40,953(57.1%)women(median age=61.9 years)and 30,820(42.9%)men(63.1 years)were included.Over a median follow-up of 6.9 years,there were 1719(2.4%)deaths(733 in women;986 in men).At 60 years,life expectancy was progressively longer for higher physical activity volume and intensity profiles,reaching 95.6 years in women and 94.5 years in men at the 90th centile for both volume and intensity,corresponding to 3.4 additional years(95%confidence interval(95%CI):2.4-4.4)in women and 4.6 additional years(95%CI:3.6-5.6)in men compared to those at the 10th centiles.An additional 10-min or 30-min daily brisk walk was associated with 0.9(95%CI:0.5-1.3)and 1.4 years(95%CI:0.9-1.9)longer life expectancy,respectively,in inactive women;and 1.4 years(95%CI:1.0-1.8)and 2.5(95%CI:1.9-3.1)in inactive men.Conclusion Higher physical activity volumes were associated with longer life expectancy,with a higher physical activity intensity profile further adding to a longer life.Adding as little as a 10-min brisk walk to daily activity patterns may result in a meaningful benefit to life expectancy.展开更多
In the new released article of the Journal of Sport and Health Science,Zaccardi et al.1 provide compelling evidence that engaging in higher volumes and intensities of physical activity(PA)increases life expectancy in ...In the new released article of the Journal of Sport and Health Science,Zaccardi et al.1 provide compelling evidence that engaging in higher volumes and intensities of physical activity(PA)increases life expectancy in older men and women enrolled in the UK Biobank study.The study included 30,820 men and 40,953 women with median ages of 63.1 years and 61.9 years,respectively.Study participants wore accelerometers to track their time and intensity of PA for 7 days at baseline.展开更多
Objectives This study aimed to quantify the impact of major chronic diseases on changes in healthy life expectancy(HLE)from 2011 to 2020 in China using an age-specific disability weights(DW)estimation method.Methods H...Objectives This study aimed to quantify the impact of major chronic diseases on changes in healthy life expectancy(HLE)from 2011 to 2020 in China using an age-specific disability weights(DW)estimation method.Methods HLE at age 60(HLE_(60))was used as the indicator of HLE in China.Cause-specific mortality rates were obtained from the cause-of-death database of the National Health Commission.Selfreported disease and disability status were derived from the China Health and Retirement Longitudinal Study.A total of 55,861 participants were included for DW estimation.Rates of disability,which was assessed using the Activities of Daily Living questionnaires,were estimated using data from 5,465 participants in 2011 and 9,910 participants in 2020.Age-specific DWs were calculated using a Bayesian logistic regression model.Changes in HLE_(60) were decomposed into mortality and disability effects by cause,based on the estimated DWs.Results HLE_(60) in China increased by 0.83 years from 2011 to 2020.Ischemic heart disease(IHD)contributed the most to the decline in HLE_(60),remaining the leading cause of reduction in terms of mortality effects.Diabetes showed the greatest impact on HLE_(60) due to disability,followed by stroke.The largest sex disparities in HLE_(60) were associated with disability from arthritis.Conclusion HLE_(60) in China improved from 2011 to 2020 and IHD remained the leading contributor to its decline,particularly through increased mortality.Disabilities related to diabetes,stroke,and arthritis had significant negative impacts.These findings highlight the need to strengthen integrated chronic disease prevention and rehabilitation services at community health centers.展开更多
How do individuals adjust their savings and consumption behaviors in response to the combined effects of increased life expectancy and declining pension replacement rates?This study constructs a life-cycle model,using...How do individuals adjust their savings and consumption behaviors in response to the combined effects of increased life expectancy and declining pension replacement rates?This study constructs a life-cycle model,using changes in conditional survival probabilities as a proxy for shifts in individual life expectancy,to examine consumption behavior under the dual backdrop of prolonged longevity and a gradual decline in pension replacement rates.The results suggest that changes in life expectancy and pension replacement rates together explain 8.9%to 10.2%of the observed decline in consumption in recent years,with both variables playing equally significant explanatory roles.Furthermore,we find that,to fully offset the negative impact of increased life expectancy on consumption,the pension replacement rate must reach at least 82%.These findings offer theoretical and policy implications for improving the quality of life in later years among enterprise employees in the context of population aging.展开更多
文摘Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.
文摘Over the 60 years since the establishment of the Xizang Autonomous Region,one indicator has been particularly remarkable:the average life expectancy of the local population has surged from 35.5 years before the democratic reform to 72.5 years in today,an increase of 37 years.Behind this number lies an unprecedented miracle of development on the Qinghai-Xizang Plateau,a hymn to life composed by political system reform,economic development,social security,education popularization,medical progress,and infrastructure improvement.
基金funded by the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC)the Applied Research Collaborations East Midlands (ARC-EM)supported by a UKRI project grant (MR/T031816/1)。
文摘Background There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy.The purpose of the study was to investigate the interplay between objectively measured PA volume and intensity profiles with modeled life expectancy in women and men within the UK Biobank cohort study and interpret findings in relation to brisk walking.Methods Individuals from UK Biobank with wrist-worn accelerometer data were included.The average acceleration and intensity gradient were extracted to describe the physical activity volume and intensity profile.Mortality data were obtained from national registries.Adjusted life expectancies were estimated using parametric flexible survival models.Results 40,953(57.1%)women(median age=61.9 years)and 30,820(42.9%)men(63.1 years)were included.Over a median follow-up of 6.9 years,there were 1719(2.4%)deaths(733 in women;986 in men).At 60 years,life expectancy was progressively longer for higher physical activity volume and intensity profiles,reaching 95.6 years in women and 94.5 years in men at the 90th centile for both volume and intensity,corresponding to 3.4 additional years(95%confidence interval(95%CI):2.4-4.4)in women and 4.6 additional years(95%CI:3.6-5.6)in men compared to those at the 10th centiles.An additional 10-min or 30-min daily brisk walk was associated with 0.9(95%CI:0.5-1.3)and 1.4 years(95%CI:0.9-1.9)longer life expectancy,respectively,in inactive women;and 1.4 years(95%CI:1.0-1.8)and 2.5(95%CI:1.9-3.1)in inactive men.Conclusion Higher physical activity volumes were associated with longer life expectancy,with a higher physical activity intensity profile further adding to a longer life.Adding as little as a 10-min brisk walk to daily activity patterns may result in a meaningful benefit to life expectancy.
文摘In the new released article of the Journal of Sport and Health Science,Zaccardi et al.1 provide compelling evidence that engaging in higher volumes and intensities of physical activity(PA)increases life expectancy in older men and women enrolled in the UK Biobank study.The study included 30,820 men and 40,953 women with median ages of 63.1 years and 61.9 years,respectively.Study participants wore accelerometers to track their time and intensity of PA for 7 days at baseline.
基金National Key Research and Development Plan of China(2022YFC3600800)Shenzhen Medical Academy of Research and Translation(Grants C2302001)。
文摘Objectives This study aimed to quantify the impact of major chronic diseases on changes in healthy life expectancy(HLE)from 2011 to 2020 in China using an age-specific disability weights(DW)estimation method.Methods HLE at age 60(HLE_(60))was used as the indicator of HLE in China.Cause-specific mortality rates were obtained from the cause-of-death database of the National Health Commission.Selfreported disease and disability status were derived from the China Health and Retirement Longitudinal Study.A total of 55,861 participants were included for DW estimation.Rates of disability,which was assessed using the Activities of Daily Living questionnaires,were estimated using data from 5,465 participants in 2011 and 9,910 participants in 2020.Age-specific DWs were calculated using a Bayesian logistic regression model.Changes in HLE_(60) were decomposed into mortality and disability effects by cause,based on the estimated DWs.Results HLE_(60) in China increased by 0.83 years from 2011 to 2020.Ischemic heart disease(IHD)contributed the most to the decline in HLE_(60),remaining the leading cause of reduction in terms of mortality effects.Diabetes showed the greatest impact on HLE_(60) due to disability,followed by stroke.The largest sex disparities in HLE_(60) were associated with disability from arthritis.Conclusion HLE_(60) in China improved from 2011 to 2020 and IHD remained the leading contributor to its decline,particularly through increased mortality.Disabilities related to diabetes,stroke,and arthritis had significant negative impacts.These findings highlight the need to strengthen integrated chronic disease prevention and rehabilitation services at community health centers.
文摘How do individuals adjust their savings and consumption behaviors in response to the combined effects of increased life expectancy and declining pension replacement rates?This study constructs a life-cycle model,using changes in conditional survival probabilities as a proxy for shifts in individual life expectancy,to examine consumption behavior under the dual backdrop of prolonged longevity and a gradual decline in pension replacement rates.The results suggest that changes in life expectancy and pension replacement rates together explain 8.9%to 10.2%of the observed decline in consumption in recent years,with both variables playing equally significant explanatory roles.Furthermore,we find that,to fully offset the negative impact of increased life expectancy on consumption,the pension replacement rate must reach at least 82%.These findings offer theoretical and policy implications for improving the quality of life in later years among enterprise employees in the context of population aging.
