澳大利亚摇滚音乐家、流行音乐家、足球运动员、板球运动员和普通人的癌症死亡率和全因死亡率比较

John W. Orchard , Tim Driscoll , Angus Davis , Elizabeth Driscoll , Jessica J. Orchard
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摘要

导言多项国际研究(包括一些来自澳大利亚的研究)发现,职业运动员和精英运动员的死亡率比普通人低/预期寿命比普通人长。方法比较了 1971 年至 2022 年(含 2022 年)澳大利亚摇滚和流行音乐家、VFL/AFL 男性足球运动员、Sheffield Shield 男性板球运动员的死亡率和预期寿命。数据来源于维基百科。结果655 名澳大利亚摇滚和流行音乐家组成的队列显示,标准化死亡率(SMR)增加了 1.35(95% CI 1.07-1.71)。音乐家的癌症死亡率更高,为 1.85(95% CI 1.32-2.59)。与普通澳大利亚男性人口相比,澳大利亚足球运动员(SMR 0.77 (95% CI 0.74-0.80))和板球运动员(SMR 0.71 (95% CI 0.64-0.78))的死亡率明显下降。男性运动员群体在 20 岁之后的预期寿命与澳大利亚普通女性人口的预期寿命基本一致,而男性音乐家群体的预期寿命则略低于澳大利亚普通男性人口。讨论澳大利亚音乐家癌症死亡人数可能增加的原因可能是接触了药物(酒精、烟草,包括主动和被动接触,也可能是其他非法药物),尽管我们的研究没有具体评估这种因果关系。与其他国际音乐家队列不同的是,我们没有观察到在音乐家生命的第 3 和第 4 个十年中直接因吸毒过量而死亡的比例很高。运动员队列健康状况较好的原因可能是众所周知的大量运动(主要是通过减少心血管疾病和癌症)对生存有益。
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Comparison of cancer and all-cause death rates of Australian rock and pop musicians, footballers, cricketers and the general population

Introduction

Multiple international studies, including some from Australia, have found that professional and elite athletes have lower death rates/greater life expectancy than the general population. By contrast, international rock and pop musicians have been found to die prematurely compared to the general population, although no studies have focused on Australian musicians specifically.

Methods

Death rates and life expectancy were compared for cohorts of Australian rock and pop musicians, male VFL/AFL footballers and male Sheffield Shield cricketers and the general Australian population, for the years 1971–2022 inclusive. Data were sourced from Wikipedia.

Results

A cohort of 655 Australian rock and pop musicians showed an increased Standardized Mortality Rate (SMR) of 1.35 (95% CI 1.07–1.71). The rate of cancer deaths in musicians showed an even higher SMR of 1.85 (95% CI 1.32–2.59). The male Australian football, SMR 0.77 (95% CI 0.74–0.80), and cricket, SMR 0.71 (95% CI 0.64–0.78), athlete cohorts showed significantly decreased death rates compared to the general Australian male population. Life expectancy for the male athlete groups after age 20 roughly tracked the superior life expectancy of the general Australian female population, whereas life expectancy for the male musician group was slightly inferior to the general Australian male population.

Discussion

The likely increase in cancer deaths in Australian musicians could be explained by substance exposure (alcohol, tobacco, both active and passive, and perhaps other illicit substances), although this causation was not specifically assessed as part of our study. Unlike other international musician cohorts, we did not observe a high rate of deaths directly due to drug overdose in the 3rd and 4th decades of life. The likely explanation for the better health of the athlete cohorts is the known survival benefit of high levels of exercise (primarily through reduced cardiovascular disease and cancers).

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