Association of Activities of Daily Living and Indices of Mental Status with Subsequent 20‐year All‐Cause Mortality in an Elderly Japanese Population
Association of Activities of Daily Living and Indices of Mental Status with Subsequent 20‐year All‐Cause Mortality in an Elderly Japanese Population
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日本老年人日常生活活动和精神状态指数与随后 20 年全因死亡率的关系
DOI：
10.1046/j.1442-2018.2002.01140_12.x
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发表时间：
2002
影响因子：
2.7
通讯作者：
Heizo Tanaka
中科院分区：
文献类型：
--
作者：
W. Kushiro;T. Yokoyama;C. Date;N. Yoshiike;Heizo Tanaka
目的：研究日本老年人群日常生活能力(ADL)和精神状态指数与随后死亡风险的关系。
设计：前瞻性队列研究。
参与者：1976-1977年基线检查时年龄在65岁或以上的男性约725人，女性984人。
测量：人口统计数据，ADL残疾水平，以及包括自测健康(SRH)、痴呆症和抑郁症在内的精神状态指数。
主要观察指标：随访20年全死因死亡率。
结果：(1)日常生活能力障碍和精神状态的多项指标(即SRH差、痴呆症评分高、快感降低、士气低落、易流泪)与随后20年全因死亡的风险增加显著相关。(2)日常生活活动能力无残疾、SRH差、愉悦程度降低、痴呆评分高、情绪低落的ADL患者，其全因死亡的风险分别与SRH好、愉悦程度高、痴呆评分低、士气高的ADL障碍患者相似。
结论：ADL中的残疾程度和精神状态的几个指数与随后的死亡率有很强的相关性。结论是，即使老年人在日常生活能力方面有一些残疾，良好的心理状态也可以延长寿命。
Purpose: To examine the associations of activities of daily living (ADL) and indices of mental status with the risk of subsequent mortality in an elderly Japanese population.
Design: Prospective cohort study.
Participants: 725 men and 984 women aged 65 years or older at time of baseline examination in 1976–1977.
Measurements: Demographic data, levels of disability in ADL, and indices of mental status including self-rated health (SRH), dementia, and depression.
Main outcome measures: The subsequent 20-year all-cause mortality.
Results: (1) Disability in ADL and several indices of mental status (i.e. bad SRH, high dementia score, decreased pleasure, low morale, and prone to tears) were significantly associated with an increased risk of subsequent 20-year all-cause mortality. (2) The risk of all-cause mortality among people who had no disability in ADL with either of bad SRH, decreased pleasure, high dementia score, or low morale was similar to that among people who had some disability in ADL with either good SRH, increased pleasure, low dementia score, or high morale, respectively.
Conclusion: There were strong associations among the levels of disability in ADL and several indices of mental status with subsequent mortality. It was concluded that good mental status may improve longevity even when elderly people have some disability in ADL.