Successful aging: Predictors and associated activities
Successful aging: Predictors and associated activities
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DOI：
10.1093/oxfordjournals.aje.a008900
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发表时间：
1996-07-15
影响因子：
5
通讯作者：
Kaplan, GA
中科院分区：
文献类型：
--
作者：
Strawbridge, WJ;Cohen, RD;Kaplan, GA
分析了356名阿拉米达县研究中年龄在65-95岁的男性和女性的成功老龄化的6年预测因素，这些研究于1984年进行前瞻性测量，并随访至1990年。成功老龄化的定义是不需要帮助，13项活动/移动性测量中的任何一项都没有困难，5项身体性能测量很少或没有困难。在调整了基线成功老龄化、性别和年龄后，作者发现，1984年成功老龄化的预测因素包括收入高于最低五分位数的人群（比值比（OR）= 2.01，95%置信区间（Cl）0.99-4.11），受教育年限≥ 12年（OR = 1.67，95% CI 0.98-2.84），白色种族（OR = 2.12，95%CI 0.93-4.86），糖尿病（OR = 0.10，95%CI 0.01-0.79），慢性阻塞性肺疾病（OR = 0.41，95% CI 0.17-0.97）、关节炎（OR = 0.43，95% CI 0.26-0.71）和听力问题（OR = 0.48，95% CI 0.25-0.89）。调整所有变量后，作者发现行为和心理社会预测因素包括没有抑郁症（OR = 1.94，95%CI 1.10-3.42），有密切的个人接触（OR = 1.82，95%CI 1.05-3.18），经常散步锻炼（OR = 1.77，95%CI 1.00-3.12）。在后续的横断面比较显示，显着更高的社区参与，身体活动和心理健康的那些成功老化。
Six-year predictors of successful aging were analyzed for 356 Alameda County Study men and women aged 65-95 years measured prospectively in 1984 and followed to 1990, Successful aging was defined as needing no assistance nor having difficulty on any of 13 activity/mobility measures plus little or no difficulty on five physical performance measures. After adjusting for baseline successful aging, sex, and age, the authors found that 1984 predictors of 1990 successful aging included income above the lowest quintile (odds ratio (OR) = 2.01, 95% confidence interval (Cl) 0.99-4.11), greater than or equal to 12 years of education (OR = 1.67, 95% CI 0.98-2.84), white ethnicity (OR = 2.12, 95% Cl 0.93-4.86), diabetes (OR = 0.10, 95% CI 0.01-0.79), chronic obstructive pulmonary disease (OR = 0.41, 95% CI 0.17-0.97), arthritis (OR = 0.43, 95% CI 0.26-0.71), and hearing problems (OR = 0.48, 95% CI 0.25-0.89). Adjusting for all variables, the authors found that behavioral and psychosocial predictors included the absence of depression (OR = 1.94, 95% CI 1.10-3.42), having close personal contacts (OR = 1.82, 95% CI 1.05-3.18), and often walks for exercise (OR = 1.77, 95% CI 1.00-3.12). Cross-sectional comparisons at follow-up revealed significantly higher community involvement, physical activity, and mental health for those aging successfully.