發病順序會影響人的預期壽命?

A study looking at three conditions that have long-term physical and mental effects: mental disorders, diabetes and congestive heart failure found that the order in which the conditions occur can lead to differences in life expectancy of up to 10 years or more. It turns out that there is such a possibility.

It is understood that more than 25% of UK adults have two or more long-term health conditions, with this proportion increasing to 65% for: 82% of people aged 65 and over and 85% and over People account for 82%. The study looked at three diseases that cause long-term health problems and looked at which diseases affect life expectancy.

The study collected medical history and health records from about 1.6 million adults over the age of 25 over the past 20 years to determine the order and timing of mental disorders, diabetes and congestive heart failure, as well as their health status. associated life expectancy.

The results show that the order in which these diseases occur has a significant impact on life expectancy. Among them, people with diabetes, mental illness, and congestive heart failure have the shortest life expectancy, with an average remaining life span of about 13 years.

People with the same disease but in a different order of onset have very different outcomes. For example, when comparing multiple 50-year-old men living in an average poverty area, the average difference in the order of onset of the three diseases is More than 10 years.

The study found that people who developed diabetes first, then a mental illness and then congestive heart failure, or from their last diagnosis, had an increased risk of developing the next long-term condition. These findings suggest an increased risk of developing the next long-term disease. Risk of death within five years.

However, we also know that having more disease does not necessarily increase the risk of death. For example, people diagnosed with a mental illness and diabetes have a longer life expectancy than those diagnosed with a mental illness only, and studies speculate that people with diabetes who interact frequently with health care professionals, such as through diabetes clinics, may improve their overall health.

Research shows that the sequence of disease onset can have a significant impact on life expectancy, but the relationship is complex and disease onset does not necessarily shorten lifespan. It can also be reproduced in other pathological combinations, such as the long-term sequelae of infectious diseases on quality of life.

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