Functional health status as a predictor of mortality in men and women over 65

Functional health status as a predictor of mortality in men and women over 65
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DOI:
10.1016/s0895-4356(96)00365-4
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发表时间:
1997-03-01
影响因子:
7.2
通讯作者:
Sharpe, PA
Sharpe, PA
中科院分区:
医学2区
文献类型:
--
作者:
Scott, WK;Macera, CA;Sharpe, PA

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This study evaluated the effect of functional health status on mortality in a sample of community-dwelling older people. White and African-American self-respondents to the 1986 National Health Interview Survey Functional Health Supplement (n = 5,320) were included in the study. Functional health status was measured by a ten item unidimensional activities of dairy living-instrumental activities of daily living (ADL-IADL) scale and a three-item cognitive ADL scale. Proportional hazards regression was used to evaluate the effect of increasing score on the ten item ADL-IADL scale on risk of mortality over a 5-year period while controlling for demographic, social, and health status covariates. In both men and women, increasing score on the ADL-IADL scale was predictive of mortality, adjusting for increasing age, poor self-rated health, low body mass index in women, and being an unmarried man. These findings indicate that a unidimensional scale consisting of both ADL and IADL items is useful in predicting mortality, controlling for the effect of covariates in sex-specific models. (C) 1997 Elsevier Science Inc.