Prevalence and causes of functional disability in an elderly general population of Japanese: the Hisayama study.
Prevalence and causes of functional disability in an elderly general population of Japanese: the Hisayama study.
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DOI：
10.2188/jea.je20110083
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发表时间：
2012
影响因子：
4.7
通讯作者：
Kiyohara Y
中科院分区：
文献类型：
--
作者：
Yoshida D;Ninomiya T;Doi Y;Hata J;Fukuhara M;Ikeda F;Mukai N;Kiyohara Y
关于日本老年总人口中残疾的患病率和原因的数据有限。在一项以人群为基础的横断面研究中，我们调查了1,550名65岁或以上的日本人的功能性残疾(定义为≤95的Barthel指数评分)的患病率及其原因。共有311名参与者患有残疾(患病率为20.1%)。残疾患病率随着年龄的增长而增加，年龄每增加5岁，残疾患病率就增加一倍。女性的患病率高于男性，特别是在85岁或以上的人群中。在致残原因方面，男性痴呆占23.5%，中风占24.7%，骨科疾病占12.9%，其他疾病占38.9%；女性分别为35.8%、9.3%、31.0%和23.9%。在年龄方面，在75岁或以上的受试者中，痴呆症是最常见的残疾原因，而中风在65至74岁的受试者中最常见。在完全依赖的病例中，大约三分之二的男女都是痴呆症，而轻度或中度/严重依赖的主要原因是男性的中风和女性的整形外科疾病。在完全依赖的参与者中，94.8%住在医院或卫生保健机构。我们的发现表明，功能性残疾在日本老年人中很常见，其主要原因是男性中风和女性痴呆症。
There are limited data on the prevalence and causes of disability in the elderly general population in Japan. In a population-based cross-sectional study of 1550 Japanese aged 65 years or older, we examined the prevalence of functional disability (defined as a Barthel Index score of ≤95) and its causes. A total of 311 of the participants had a disability (prevalence 20.1%). The prevalence of disability increased with age and doubled with every 5-year increment in age. Prevalence was higher in women than in men, especially among those aged 85 years or older. With respect to the cause of functional disability, dementia accounted for 23.5%, stroke for 24.7%, orthopedic disease for 12.9%, and other disease for 38.9% of cases in men; in women, the respective values were 35.8%, 9.3%, 31.0%, and 23.9%. Regarding age, dementia was the most frequent cause of disability in subjects aged 75 years or older, whereas stroke was most common in subjects aged 65 to 74 years. Approximately two-thirds of cases of total dependence were attributed to dementia in both sexes, whereas the main cause of slight or moderate/severe dependence was stroke in men and orthopedic disease in women. Among participants with total dependence, 94.8% resided in a hospital or health care facility. Our findings indicate that functional disability is common among Japanese elderly adults and that its major cause is stroke in men and dementia in women.
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DOI：
10.2114/jpa.22.19
发表时间：
2003-01-01
期刊：
Journal of Physiological Anthropology and Applied Human Science
影响因子：
--
作者：
Demura, Shinichi;Sato, Susumu;Kasuga, Kohsho
通讯作者：
Kasuga, Kohsho
影响因子：
168.9
作者：
Mathers, CD;Sadana, R;Lopez, AD
通讯作者：
Lopez, AD
DOI：
10.1111/j.1532-5415.2005.00533.x
发表时间：
2006-01-01
影响因子：
6.3
作者：
Ng, TP;Niti, M;Kua, EH
通讯作者：
Kua, EH
DOI：
10.1111/j.1532-5415.1997.tb00986.x
发表时间：
1997-01-01
影响因子：
6.3
作者：
Fried, LP;Guralnik, JM
通讯作者：
Guralnik, JM
影响因子：
4
作者：
KOYANO, W;SHIBATA, H;SUYAMA, Y
通讯作者：
SUYAMA, Y