Driving and Incidence of Functional Limitation in Older People: A Prospective Population-Based Study
Driving and Incidence of Functional Limitation in Older People: A Prospective Population-Based Study
复制标题
老年人功能受限的驱动因素和发生率：一项基于人群的前瞻性研究
作者：
H. Shimada;H. Makizako;K. Tsutsumimoto;Ryo Hotta;S. Nakakubo;T. Doi
背景：许多研究调查了晚年停止驾驶对社会和健康的负面影响。然而，过渡到停止驾驶是否会导致老年人功能限制的发生率仍不清楚。目的：本研究的目的是研究日本老年人停止驾驶是否与功能限制的发生率有关。方法：纳入2011年8月至2012年2月“Obu老年人健康促进研究”队列研究的3,556名参与者（平均年龄：71.5±5.3岁，50.2%为女性）。参与者根据他们的驾驶状态被分为三组：驾驶、停止驾驶和不驾驶。我们评估了24个月期间功能限制的新发生率，并检查了几个混杂因素。结果：驾驶组、停止驾驶组和非驾驶组功能受限发生率分别为0.9%、10.8%和5.6% （p < 0.001）。完全调整的Cox比例风险模型显示，非驾驶员和停止驾驶的驾驶员的功能限制风险比（HR: 2.37, 95%可信区间（CI）： 1.27-4.44）显著高于当前驾驶员。结论：停止驾驶对功能受限风险有较大影响。需要进一步的研究来确定适当的干预策略，以帮助老年人保持安全驾驶所需的能力，并延迟与停止驾驶相关的功能限制。
Background: Many studies have examined the negative social and health consequences of driving cessation in later life. However, whether the transition to driving cessation results in the incidence of functional limitation in older people remains unclear. Objective: The aim of this study was to examine whether driving cessation was associated with the incidence of functional limitation in older Japanese individuals. Methods: The study included 3,556 participants (mean age: 71.5 ± 5.3 years, 50.2% women) enrolled in the ‘Obu Study of Health Promotion for the Elderly' cohort study between August 2011 and February 2012. The participants were classified into three groups according to their driving status: driving, driving cessation, and nondriving. We assessed new incidence of functional limitation over a 24- month period and examined several confounding factors. Results: The incidence rates for functional limitation in the driving, driving cessation, and nondriving groups were 0.9, 10.8, and 5.6%, respectively (p < 0.001). The fully adjusted Cox proportional hazard model showed that hazard ratios (HRs) for functional limitation in nondrivers [HR: 2.37, 95% confidence interval (CI): 1.27-4.44] and those who had ceased driving (HR: 7.80, 95% CI: 2.61-23.36) were significantly higher relative to those observed in current drivers. Conclusion: Driving cessation exerted a strong impact on the risk of functional limitation. Further study is required to determine appropriate intervention strategies to help older people to maintain the abilities required for safe driving and delay the functional limitation associated with driving cessation.
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DOI：
10.1093/geronb/63.5.s298
发表时间：
2008-09-01
影响因子：
6.2
作者：
Mezuk, Briana;Rebok, George W.
通讯作者：
Rebok, George W.
DOI：
10.1093/geronb/55.6.s334
发表时间：
2000-11-01
影响因子：
6.2
作者：
Marottoli, RA;de Leon, CFM;Berkman, LF
通讯作者：
Berkman, LF
影响因子：
120.7
作者：
Studenski, Stephanie;Perera, Subashan;Patel, Kushang;Rosano, Caterina;Faulkner, Kimberly;Inzitari, Marco;Brach, Jennifer;Chandler, Julie;Cawthon, Peggy;Connor, Elizabeth Barrett;Nevitt, Michael;Visser, Marjolein;Kritchevsky, Stephen;Badinelli, Stefania;Harris, Tamara;Newman, Anne B.;Cauley, Jane;Ferrucci, Luigi;Guralnik, Jack
通讯作者：
Guralnik, Jack
影响因子：
12.7
作者：
Freeman, Ellen E.;Gange, Stephen J.;West, Sheila K.
通讯作者：
West, Sheila K.
影响因子：
5.7
作者：
Ragland, DR;Satariano, WA;MacLeod, KE
通讯作者：
MacLeod, KE