We analyzed cancer mortality trends in 3282 elderly subjects from two gener
al Italian populations with different life-style patterns taking part in th
e Cardiovascular Study in the Elderly (CASTEL). The aim of the study was to
evaluate which predictors were able to influence cancer mortality. Age, ge
nder, tobacco smoking, the presence of respiratory symptoms, increased seru
m levels of ALT and ALP, and the town of residence were powerful predictors
. Subjects living in Chioggia (lour income, rural) had significantly greate
r lung and liver cancer mortality, compared with those living in Castelfran
co (industrial). The findings suggest that an incongruous life-style (smoki
ng, alcohol consumption, poor hygienic conditions) may increase cancer mort
ality despite the favorable environmental conditions typical of rural Medit
erranean areas.