Multidimensional factors associated with the loss of independence: A population-based longitudinal study
Multidimensional factors associated with the loss of independence: A population-based longitudinal study
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DOI：
10.1111/ggi.13209
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发表时间：
2018-03-01
影响因子：
3.3
通讯作者：
Kamide, Kei
中科院分区：
文献类型：
--
作者：
Kabayama, Mai;Mikami, Hiroshi;Kamide, Kei
AimTo澄清的因素与损失的独立性多维度超过3年的时间在社区居住的老年adults.MethodsThe调查是专门由当地政府进行的人年龄>65岁谁是独立的基线生活在H市，一个中等规模的城市在日本。参与者完成了自我管理的邮政问卷，我们获得了关于他们的损失的独立性，从行政记录3 years later.ResultsA的数据，共有22 328名参与者完成了后续（基线平均年龄71.6岁）。在随访时，998名（4.3%）参与者被归类为依赖性，其中606名需要部分支持，洗澡等（轻度独立性丧失），392名需要完全支持（严重丧失）。与男性和女性3年后轻度丧失独立性独立相关的因素是高龄、身体功能低下、营养状况低下、认知功能低下和抑郁风险高。与此相反，独立因素与严重的独立性损失是先进的年龄，低的身体功能和高抑郁症的风险在男性，和先进的年龄，低的身体和认知功能在women.ConclusionsWe澄清的各种因素与损失的独立性，根据其严重程度，这些独立协会的强度是不同的，在整个城市的纵向研究。本研究的发现对发展更好的预防医学以建立健康长寿的社会具有重要的临床意义。Geriatr Gerontol Int 2018; 18：448-455.
AimTo clarify the factors associated with loss of independence multidimensionally over a 3-year period among community-dwelling older adults.MethodsThe survey was exclusively carried out by the local government for people aged >65 years who were independent at baseline living in H-City, a mid-sized urban city in Japan. The participants completed a self-administered postal questionnaire, and we obtained data regarding their loss of independence from administrative records 3 years later.ResultsA total of 22 328 participants completed the follow up (baseline mean age 71.6 years). At follow up, 998 (4.3%) participants were categorized as dependent, with 606 requiring partial support in toileting, bathing and so on (mild loss of independence), and 392 requiring complete support (severe loss). Factors independently associated with mild loss of independence after 3 years for both men and women were advanced age, low physical function, low nutritional status, low cognitive function and high depression risk. In contrast, factors independently associated with severe loss of independence were advanced age, low physical function and high depression risk in men, and advanced age, and low physical and cognitive function in women.ConclusionsWe clarified the variety of factors associated with loss of independence according to its severity, and the strength of those independent associations was different in the whole city longitudinal study. The present study's findings have important clinical implications for the development of better preventive medicine to establish a society of healthy longevity. Geriatr Gerontol Int 2018; 18: 448-455.