Eating Alone Yet Living With Others Is Associated With Mortality in Older Men: The JAGES Cohort Survey.

Eating Alone Yet Living With Others Is Associated With Mortality in Older Men: The JAGES Cohort Survey.
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DOI:
10.1093/geronb/gbw211
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发表时间:
2018-09-20
期刊:
The journals of gerontology. Series B, Psychological sciences and social sciences
影响因子:
--
通讯作者:
Kondo K
Kondo K
中科院分区:
其他
文献类型:
--
作者:
Tani Y;Kondo N;Noma H;Miyaguni Y;Saito M;Kondo K

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独自进食可能是老年人营养不良和精神状态不佳的一个危险因素。然而,他们的纵向关联与死亡率有关的同居状态是未知的。我们对日本老年学评估研究的参与者进行了为期3年的随访,该研究是一项以65岁或以上日本成年人为基础的人群队列研究。我们分析了2010年至2013年33,083名男性和38,698名女性的死亡率。使用考克斯回归模型估计死亡率的风险比(HR)。随访期间共发生3,217例死亡。与同吃同住的男性相比,调整年龄和健康状况后,单独吃饭但与他人同住的男性的HR为1.48(95%置信区间[CI]:1.26-1.74),单独吃饭和同住的男性为1.19(95% CI:1.01-1.41)。在女性中,单独吃饭但与他人一起生活的女性的校正HR为1.18(95% CI:0.97-1.43),单独吃饭和生活的女性为1.10(95% CI:0.93-1.29)。老年人一起吃饭的环境可能对他们有保护作用。促进这种干预措施的重点应该是那些独自吃饭但与他人生活在一起的男子。
Eating by oneself may be a risk factor for poor nutritional and mental statuses among older adults. However, their longitudinal association with mortality in relation to coresidential status is unknown. We conducted a 3-year follow-up of participants in the Japan Gerontological Evaluation Study, a population-based cohort of 65 years or older Japanese adults. We analyzed mortality for 33,083 men and 38,698 women from 2010 to 2013 and used. Cox regression models were used to estimate hazard ratios (HR) for mortality. A total of 3,217 deaths occurred during the follow-up. Compared with men who ate and lived with others, the HRs after adjusting for age and health status were 1.48 (95% confidence intervals [CI]: 1.26–1.74) for men who ate alone yet lived with others and 1.19 (95% CI: 1.01–1.41) for men who ate and lived alone. Among women, the adjusted HR was 1.18 (95% CI: 0.97–1.43) for women who ate alone yet lived with others and 1.10 (95% CI: 0.93–1.29) for women who ate and lived alone. A setting in which older adults eat together may be protective for them. Promotion of this intervention should focus on men who eat alone yet live with others.
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