Trajectories of multimorbidity and impacts on successful aging
Trajectories of multimorbidity and impacts on successful aging
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DOI：
10.1016/j.exger.2015.04.005
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发表时间：
2015-06-01
影响因子：
3.9
通讯作者：
Hsu, Hui-Chuan
中科院分区：
文献类型：
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作者：
Hsu, Hui-Chuan
老年人通常同时患有多种慢性疾病。然而，对长期多发病模式的研究很少。本研究的目的是检查台湾老年人慢性多重病的联合轨迹，并检查相关因素并预测后来的成功老龄化结果。本研究使用的数据来自1993年至2007年在台湾进行的全国代表性面板调查。分析中包括至少参与过三轮调查的人（总共2584人、57,012个观察值）。慢性疾病包括心血管疾病（CVD）、慢性非特异性肺病（CNSLD）、关节炎、癌症、胃肠道疾病（GI）和肾脏疾病。应用基于多组的轨迹分析方法来识别轨迹组。确定了四个多发病轨迹组：低风险（55.51%）、仅CVD风险（15.55%）、GI和CNSLD风险（20.20%）和多种风险（8.74%）。相关因素包括年龄、受教育程度、身体机能、抑郁症状和接受健康检查。多重发病轨迹影响了后来的身体功能、抑郁症状、认知功能和生活满意度。多种疾病的多重轨迹显示了随着时间的推移，老年人的健康负担模式和成功老龄化的风险。 (C) 2015 Elsevier Inc. 保留所有权利。
Elderly people usually have multiple chronic diseases concurrently. However, studies of multimorbidity patterns over long time periods are scarce. The purpose of this study was to examine the joint trajectories of chronic multimorbidity among the Taiwanese elderly and to examine related factors and to predict later successful aging outcomes. The data used in this study were from a nation-representative panel survey conducted in Taiwan from 1993 to 2007. Those who participated in at least three waves of the survey were included in the analysis (in total 2584 persons and 57,012 observations). The chronic diseases included cardiovascular disease (CVD), chronic non-specific lung disease (CNSLD), arthritis, cancer, gastrointestinal disease (GI), and kidney disease. The multiple group-based trajectories analysis approach was applied to identify the trajectory groups. Four trajectory groups of multimorbidity were identified: low risk (55.51%), CVD risk only (15.55%), GI & CNSLD risk (20.20%), and multiple risks (8.74%). Related factors included age, level of education, physical functioning, depressive symptoms, and undergoing health examinations. The multimorbidity trajectories affected later physical functioning, depressive symptoms, cognitive function, and life satisfaction. Multiple trajectories of multimorbidity show the patterns of health burden and risks to successful aging among the elderly over time. (C) 2015 Elsevier Inc. All rights reserved.