Lifestyle and psychosocial factors and a decline in competence in daily living among Japanese early elderly people: from an age-specified community-based cohort study (NISSIN project)
Lifestyle and psychosocial factors and a decline in competence in daily living among Japanese early elderly people: from an age-specified community-based cohort study (NISSIN project)
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DOI：
10.1186/s12199-019-0787-7
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发表时间：
2019-05-06
影响因子：
4.7
通讯作者：
Tamakoshi, Akiko
中科院分区：
文献类型：
--
作者：
Okabayashi, Satoe;Kawamura, Takashi;Tamakoshi, Akiko
为了让早期老年人生活得更好，了解生活方式和社会心理因素与日常生活能力下降的关系是很重要的。方法研究日本某城市居民在64岁时的生活方式和心理社会因素与70岁时东京老年学能力指数下降2分的关系。对男性和女性分别进行多变量logistic回归分析。结果6年间男性1113人，女性1203人，男性110人，女性80人，日常生活能力下降。在男性中，两次夜间醒来（多变量比值比[more or] 2.14, 95%可信区间[CI] 1.19-3.86）和独居（more or 4.68, 95% CI 1.22-18.0）的风险增加，而中速步态（more or 0.37和0.21,95% CI 0.21-0.67和0.08-0.58）和高学业成绩（more or 0.32和0.43,95% CI 0.19-0.53和0.25-0.72）的风险显著降低。在女性中，高生活满意度（多比值0.39,95% CI 0.16-0.91）和参与社区活动（多比值0.50,95% CI 0.29-0.86）降低了风险，但抑郁情绪增加了风险（多比值1.86,95% CI 1.09-3.18）。结论64岁男性独居和女性生活满意度低与随后日常生活能力下降的风险显著相关。
BackgroundTo let the early elderly live well, understanding how lifestyle and psychosocial factors related to a decline in competence in daily living is important.MethodsWe investigated the associations between lifestyle and psychosocial factors at age 64years and a decline in the Tokyo Metropolitan Institute of Gerontology Index of Competence score of 2 points at age 70years among the participants in comprehensive medical check-ups living in a city in Japan. Multivariable logistic regression analyses were performed separately for men and women.ResultsOf the 1113 eligible men and 1203 eligible women, 110 men and 80 women showed a deteriorated competence in daily living during the 6years. In men, risk was increased with 2 nighttime awakenings (multivariable odds ratio [mOR] 2.14, 95% confidence interval [CI] 1.19-3.86) and living alone (mOR 4.68, 95% CI 1.22-18.0), whereas risk was significantly decreased with a medium or fast gait (mOR 0.37 and 0.21, 95% CI 0.21-0.67 and 0.08-0.58) and high academic achievement (mOR 0.32 and 0.43, 95% CI 0.19-0.53 and 0.25-0.72). In women, risk was decreased with high life satisfaction (mOR 0.39, 95% CI 0.16-0.91) and participation in community activities (mOR 0.50, 95% CI 0.29-0.86) but increased with depressive mood (mOR 1.86, 95% CI 1.09-3.18).ConclusionLiving alone for men and low life satisfaction for women at age 64years were markedly associated with the risk of a subsequent declining competence in daily living.