Association of healthy lifestyle score with all-cause mortality and life expectancy: a city-wide prospective cohort study of cancer survivors

Background Adherence to a healthy lifestyle could reduce the cancer mortality in the western population. We conducted a city-wide prospective study in China investigating the association of a healthy lifestyle score with all-cause mortality and the life expectancy in cancer survivors. Methods This p...

Full description

Saved in:
Bibliographic Details
Published in:BMC medicine 2021-07, Vol.19 (1), p.1-158, Article 158
Main Authors: Sun, Ce, Li, Ke, Xu, Huan, Wang, Xiangjun, Qin, Pengzhe, Wang, Suixiang, Liang, Boheng, Xu, Lin
Format: Article
Language:English
Subjects:
Age groups
Alcohol use
Behavior
Body mass index
Cancer
Cancer survivor
Cancer survivors
Cancer therapies
Chemotherapy
China
Chinese medicine
Cohort analysis
Confidence intervals
Health aspects
Health behavior
Health care
Health promotion
Healthy lifestyle
Life expectancy
Life span
Life style
Lifestyles
Medical records
Mortality
Municipal finance
Physical activity
Radiation therapy
Risk factors
Sleep
Smoking
Statistical analysis
Survival
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3
cites cdi_FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3
container_end_page 158
container_issue 1
container_start_page 1
container_title BMC medicine
container_volume 19
creator Sun, Ce
Li, Ke
Xu, Huan
Wang, Xiangjun
Qin, Pengzhe
Wang, Suixiang
Liang, Boheng
Xu, Lin
description Background Adherence to a healthy lifestyle could reduce the cancer mortality in the western population. We conducted a city-wide prospective study in China investigating the association of a healthy lifestyle score with all-cause mortality and the life expectancy in cancer survivors. Methods This prospective cohort study included 46,120 surviving patients who were firstly diagnosed with cancer in Guangzhou. Five low-risk lifestyle factors including never smoking, never alcohol use, regular physical activity ([greater than or equai to] 2 h/week), sufficient sleep ([greater than or equai to] 6 h/day), and normal or high BMI ([greater than or equai to] 18.5 kg/m.sup.2) were assessed and a lifestyle score (0-5, a higher score indicates healthier lifestyle) was generated. Hazard ratios (HRs) of all-cause mortality and the life expectancy by levels of the lifestyle scores were estimated. Results Of 46,120 cancer survivors registered from 2010 to 2017, during an average follow-up of 4.3 years (200,285 person-years), 15,209 deaths were recorded. Adjusted HRs for mortality in cancer survivors with lifestyle score of 0-2, versus 5, were 2.59 (95% confidence interval (CI): 2.03-3.30) in women, 1.91 (95%CI 1.77-2.05) in men, 2.28 (95%CI 2.03-2.55) in those aged
doi_str_mv 10.1186/s12916-021-02024-2
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_b2027fc070a845a3a714c13e926d3ca2</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A672336561</galeid><doaj_id>oai_doaj_org_article_b2027fc070a845a3a714c13e926d3ca2</doaj_id><sourcerecordid>A672336561</sourcerecordid><originalsourceid>FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3</originalsourceid><addsrcrecordid>eNptkt9qFDEUxgdRbK2-gFcBQbyZmj8zyYwXwlKqFgre6HU4kzmzmyU7WZPMtvMQvnOzu0W7IiEk5PzOF_LlK4q3jF4y1siPkfGWyZJyliflVcmfFedMVaxUlNXPn-zPilcxrinltVLVy-JMVJy3Usrz4vciRm8sJOtH4geyQnBpNRNnB4xpdkii8QHJnU0rAs6VBqaIZONDAmfTTGDsDzDB-y2aBKOZPxEgJtfKO9sj2QYf9xW7Q2L8KjeSmKZ-3t9mMo6BxCns7M6H-Lp4MYCL-OZxvSh-frn-cfWtvP3-9eZqcVuaWrFUdiiga3glJKcoOykAetp3RrTYt7TLZjRDR2tKWS-GppIDUqMqoFBLpowy4qK4Oer2HtZ6G-wGwqw9WH048GGpISRrHOouO6sGQxWFpqpBgGKVYQJbLnthgGetz0et7dRtsDc4pgDuRPS0MtqVXvqdbrhkrWiywIdHgeB_Tdl1vbHRoHMwop-i5nXVsrZtWpnRd_-gaz-FMVuVqZo3IgeC_6WWkB9gx8Hne81eVC-k4kLI7EOmLv9D5dHjxho_4mDz-UnD-ycNx6BE76Z9dOIpyI-gyV8fAw5_zGBU75Orj8nVObn6kFzNxQNgseBD</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2552832912</pqid></control><display><type>article</type><title>Association of healthy lifestyle score with all-cause mortality and life expectancy: a city-wide prospective cohort study of cancer survivors</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Sun, Ce ; Li, Ke ; Xu, Huan ; Wang, Xiangjun ; Qin, Pengzhe ; Wang, Suixiang ; Liang, Boheng ; Xu, Lin</creator><creatorcontrib>Sun, Ce ; Li, Ke ; Xu, Huan ; Wang, Xiangjun ; Qin, Pengzhe ; Wang, Suixiang ; Liang, Boheng ; Xu, Lin</creatorcontrib><description>Background Adherence to a healthy lifestyle could reduce the cancer mortality in the western population. We conducted a city-wide prospective study in China investigating the association of a healthy lifestyle score with all-cause mortality and the life expectancy in cancer survivors. Methods This prospective cohort study included 46,120 surviving patients who were firstly diagnosed with cancer in Guangzhou. Five low-risk lifestyle factors including never smoking, never alcohol use, regular physical activity ([greater than or equai to] 2 h/week), sufficient sleep ([greater than or equai to] 6 h/day), and normal or high BMI ([greater than or equai to] 18.5 kg/m.sup.2) were assessed and a lifestyle score (0-5, a higher score indicates healthier lifestyle) was generated. Hazard ratios (HRs) of all-cause mortality and the life expectancy by levels of the lifestyle scores were estimated. Results Of 46,120 cancer survivors registered from 2010 to 2017, during an average follow-up of 4.3 years (200,285 person-years), 15,209 deaths were recorded. Adjusted HRs for mortality in cancer survivors with lifestyle score of 0-2, versus 5, were 2.59 (95% confidence interval (CI): 2.03-3.30) in women, 1.91 (95%CI 1.77-2.05) in men, 2.28 (95%CI 2.03-2.55) in those aged &lt;65 years, and 1.90 (95%CI 1.75, 2.05) in those aged [greater than or equai to] 65 years. Life expectancy at age 55 for those with a score of 0-2 and 5 was 53.4 and 57.1 months, respectively. We also found that cancer survivors with healthy lifestyle scores of 5 showed 59.9 months of life expectancy on average, which was longer than those with a score of 0-2. Conclusion Adopting a healthy lifestyle was associated with a substantially lower risk of all-cause mortality and longer life expectancy in cancer survivors. Our findings should be useful for health education and health promotion in primary care and clinical practice. Keywords: Healthy lifestyle, Cancer survivor, Mortality, Life expectancy</description><identifier>ISSN: 1741-7015</identifier><identifier>EISSN: 1741-7015</identifier><identifier>DOI: 10.1186/s12916-021-02024-2</identifier><identifier>PMID: 34229666</identifier><language>eng</language><publisher>London: BioMed Central Ltd</publisher><subject>Age groups ; Alcohol use ; Behavior ; Body mass index ; Cancer ; Cancer survivor ; Cancer survivors ; Cancer therapies ; Chemotherapy ; China ; Chinese medicine ; Cohort analysis ; Confidence intervals ; Health aspects ; Health behavior ; Health care ; Health promotion ; Healthy lifestyle ; Life expectancy ; Life span ; Life style ; Lifestyles ; Medical records ; Mortality ; Municipal finance ; Physical activity ; Radiation therapy ; Risk factors ; Sleep ; Smoking ; Statistical analysis ; Survival</subject><ispartof>BMC medicine, 2021-07, Vol.19 (1), p.1-158, Article 158</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3</citedby><cites>FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261938/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2552832912?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids></links><search><creatorcontrib>Sun, Ce</creatorcontrib><creatorcontrib>Li, Ke</creatorcontrib><creatorcontrib>Xu, Huan</creatorcontrib><creatorcontrib>Wang, Xiangjun</creatorcontrib><creatorcontrib>Qin, Pengzhe</creatorcontrib><creatorcontrib>Wang, Suixiang</creatorcontrib><creatorcontrib>Liang, Boheng</creatorcontrib><creatorcontrib>Xu, Lin</creatorcontrib><title>Association of healthy lifestyle score with all-cause mortality and life expectancy: a city-wide prospective cohort study of cancer survivors</title><title>BMC medicine</title><description>Background Adherence to a healthy lifestyle could reduce the cancer mortality in the western population. We conducted a city-wide prospective study in China investigating the association of a healthy lifestyle score with all-cause mortality and the life expectancy in cancer survivors. Methods This prospective cohort study included 46,120 surviving patients who were firstly diagnosed with cancer in Guangzhou. Five low-risk lifestyle factors including never smoking, never alcohol use, regular physical activity ([greater than or equai to] 2 h/week), sufficient sleep ([greater than or equai to] 6 h/day), and normal or high BMI ([greater than or equai to] 18.5 kg/m.sup.2) were assessed and a lifestyle score (0-5, a higher score indicates healthier lifestyle) was generated. Hazard ratios (HRs) of all-cause mortality and the life expectancy by levels of the lifestyle scores were estimated. Results Of 46,120 cancer survivors registered from 2010 to 2017, during an average follow-up of 4.3 years (200,285 person-years), 15,209 deaths were recorded. Adjusted HRs for mortality in cancer survivors with lifestyle score of 0-2, versus 5, were 2.59 (95% confidence interval (CI): 2.03-3.30) in women, 1.91 (95%CI 1.77-2.05) in men, 2.28 (95%CI 2.03-2.55) in those aged &lt;65 years, and 1.90 (95%CI 1.75, 2.05) in those aged [greater than or equai to] 65 years. Life expectancy at age 55 for those with a score of 0-2 and 5 was 53.4 and 57.1 months, respectively. We also found that cancer survivors with healthy lifestyle scores of 5 showed 59.9 months of life expectancy on average, which was longer than those with a score of 0-2. Conclusion Adopting a healthy lifestyle was associated with a substantially lower risk of all-cause mortality and longer life expectancy in cancer survivors. Our findings should be useful for health education and health promotion in primary care and clinical practice. Keywords: Healthy lifestyle, Cancer survivor, Mortality, Life expectancy</description><subject>Age groups</subject><subject>Alcohol use</subject><subject>Behavior</subject><subject>Body mass index</subject><subject>Cancer</subject><subject>Cancer survivor</subject><subject>Cancer survivors</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>China</subject><subject>Chinese medicine</subject><subject>Cohort analysis</subject><subject>Confidence intervals</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health promotion</subject><subject>Healthy lifestyle</subject><subject>Life expectancy</subject><subject>Life span</subject><subject>Life style</subject><subject>Lifestyles</subject><subject>Medical records</subject><subject>Mortality</subject><subject>Municipal finance</subject><subject>Physical activity</subject><subject>Radiation therapy</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Smoking</subject><subject>Statistical analysis</subject><subject>Survival</subject><issn>1741-7015</issn><issn>1741-7015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkt9qFDEUxgdRbK2-gFcBQbyZmj8zyYwXwlKqFgre6HU4kzmzmyU7WZPMtvMQvnOzu0W7IiEk5PzOF_LlK4q3jF4y1siPkfGWyZJyliflVcmfFedMVaxUlNXPn-zPilcxrinltVLVy-JMVJy3Usrz4vciRm8sJOtH4geyQnBpNRNnB4xpdkii8QHJnU0rAs6VBqaIZONDAmfTTGDsDzDB-y2aBKOZPxEgJtfKO9sj2QYf9xW7Q2L8KjeSmKZ-3t9mMo6BxCns7M6H-Lp4MYCL-OZxvSh-frn-cfWtvP3-9eZqcVuaWrFUdiiga3glJKcoOykAetp3RrTYt7TLZjRDR2tKWS-GppIDUqMqoFBLpowy4qK4Oer2HtZ6G-wGwqw9WH048GGpISRrHOouO6sGQxWFpqpBgGKVYQJbLnthgGetz0et7dRtsDc4pgDuRPS0MtqVXvqdbrhkrWiywIdHgeB_Tdl1vbHRoHMwop-i5nXVsrZtWpnRd_-gaz-FMVuVqZo3IgeC_6WWkB9gx8Hne81eVC-k4kLI7EOmLv9D5dHjxho_4mDz-UnD-ycNx6BE76Z9dOIpyI-gyV8fAw5_zGBU75Orj8nVObn6kFzNxQNgseBD</recordid><startdate>20210707</startdate><enddate>20210707</enddate><creator>Sun, Ce</creator><creator>Li, Ke</creator><creator>Xu, Huan</creator><creator>Wang, Xiangjun</creator><creator>Qin, Pengzhe</creator><creator>Wang, Suixiang</creator><creator>Liang, Boheng</creator><creator>Xu, Lin</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210707</creationdate><title>Association of healthy lifestyle score with all-cause mortality and life expectancy: a city-wide prospective cohort study of cancer survivors</title><author>Sun, Ce ; Li, Ke ; Xu, Huan ; Wang, Xiangjun ; Qin, Pengzhe ; Wang, Suixiang ; Liang, Boheng ; Xu, Lin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age groups</topic><topic>Alcohol use</topic><topic>Behavior</topic><topic>Body mass index</topic><topic>Cancer</topic><topic>Cancer survivor</topic><topic>Cancer survivors</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>China</topic><topic>Chinese medicine</topic><topic>Cohort analysis</topic><topic>Confidence intervals</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Health promotion</topic><topic>Healthy lifestyle</topic><topic>Life expectancy</topic><topic>Life span</topic><topic>Life style</topic><topic>Lifestyles</topic><topic>Medical records</topic><topic>Mortality</topic><topic>Municipal finance</topic><topic>Physical activity</topic><topic>Radiation therapy</topic><topic>Risk factors</topic><topic>Sleep</topic><topic>Smoking</topic><topic>Statistical analysis</topic><topic>Survival</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Ce</creatorcontrib><creatorcontrib>Li, Ke</creatorcontrib><creatorcontrib>Xu, Huan</creatorcontrib><creatorcontrib>Wang, Xiangjun</creatorcontrib><creatorcontrib>Qin, Pengzhe</creatorcontrib><creatorcontrib>Wang, Suixiang</creatorcontrib><creatorcontrib>Liang, Boheng</creatorcontrib><creatorcontrib>Xu, Lin</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Ce</au><au>Li, Ke</au><au>Xu, Huan</au><au>Wang, Xiangjun</au><au>Qin, Pengzhe</au><au>Wang, Suixiang</au><au>Liang, Boheng</au><au>Xu, Lin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of healthy lifestyle score with all-cause mortality and life expectancy: a city-wide prospective cohort study of cancer survivors</atitle><jtitle>BMC medicine</jtitle><date>2021-07-07</date><risdate>2021</risdate><volume>19</volume><issue>1</issue><spage>1</spage><epage>158</epage><pages>1-158</pages><artnum>158</artnum><issn>1741-7015</issn><eissn>1741-7015</eissn><abstract>Background Adherence to a healthy lifestyle could reduce the cancer mortality in the western population. We conducted a city-wide prospective study in China investigating the association of a healthy lifestyle score with all-cause mortality and the life expectancy in cancer survivors. Methods This prospective cohort study included 46,120 surviving patients who were firstly diagnosed with cancer in Guangzhou. Five low-risk lifestyle factors including never smoking, never alcohol use, regular physical activity ([greater than or equai to] 2 h/week), sufficient sleep ([greater than or equai to] 6 h/day), and normal or high BMI ([greater than or equai to] 18.5 kg/m.sup.2) were assessed and a lifestyle score (0-5, a higher score indicates healthier lifestyle) was generated. Hazard ratios (HRs) of all-cause mortality and the life expectancy by levels of the lifestyle scores were estimated. Results Of 46,120 cancer survivors registered from 2010 to 2017, during an average follow-up of 4.3 years (200,285 person-years), 15,209 deaths were recorded. Adjusted HRs for mortality in cancer survivors with lifestyle score of 0-2, versus 5, were 2.59 (95% confidence interval (CI): 2.03-3.30) in women, 1.91 (95%CI 1.77-2.05) in men, 2.28 (95%CI 2.03-2.55) in those aged &lt;65 years, and 1.90 (95%CI 1.75, 2.05) in those aged [greater than or equai to] 65 years. Life expectancy at age 55 for those with a score of 0-2 and 5 was 53.4 and 57.1 months, respectively. We also found that cancer survivors with healthy lifestyle scores of 5 showed 59.9 months of life expectancy on average, which was longer than those with a score of 0-2. Conclusion Adopting a healthy lifestyle was associated with a substantially lower risk of all-cause mortality and longer life expectancy in cancer survivors. Our findings should be useful for health education and health promotion in primary care and clinical practice. Keywords: Healthy lifestyle, Cancer survivor, Mortality, Life expectancy</abstract><cop>London</cop><pub>BioMed Central Ltd</pub><pmid>34229666</pmid><doi>10.1186/s12916-021-02024-2</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1741-7015
ispartof BMC medicine, 2021-07, Vol.19 (1), p.1-158, Article 158
issn 1741-7015
1741-7015
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_b2027fc070a845a3a714c13e926d3ca2
source Publicly Available Content Database; PubMed Central
subjects Age groups
Alcohol use
Behavior
Body mass index
Cancer
Cancer survivor
Cancer survivors
Cancer therapies
Chemotherapy
China
Chinese medicine
Cohort analysis
Confidence intervals
Health aspects
Health behavior
Health care
Health promotion
Healthy lifestyle
Life expectancy
Life span
Life style
Lifestyles
Medical records
Mortality
Municipal finance
Physical activity
Radiation therapy
Risk factors
Sleep
Smoking
Statistical analysis
Survival
title Association of healthy lifestyle score with all-cause mortality and life expectancy: a city-wide prospective cohort study of cancer survivors
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T09%3A25%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20of%20healthy%20lifestyle%20score%20with%20all-cause%20mortality%20and%20life%20expectancy:%20a%20city-wide%20prospective%20cohort%20study%20of%20cancer%20survivors&rft.jtitle=BMC%20medicine&rft.au=Sun,%20Ce&rft.date=2021-07-07&rft.volume=19&rft.issue=1&rft.spage=1&rft.epage=158&rft.pages=1-158&rft.artnum=158&rft.issn=1741-7015&rft.eissn=1741-7015&rft_id=info:doi/10.1186/s12916-021-02024-2&rft_dat=%3Cgale_doaj_%3EA672336561%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c571t-be3ab8243620e6b63aad0dbc39ed90b0208fb05001d3f846fe0c74a0a5617c7c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2552832912&rft_id=info:pmid/34229666&rft_galeid=A672336561&rfr_iscdi=true