Exponential increases in the prevalence of disability in the oldest old: a Canadian national survey.
Exponential increases in the prevalence of disability in the oldest old: a Canadian national survey.
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作者：
Guay M;Dubois MF;Corrada M;Lapointe-Garant MP;Kawas C
由于大多数研究通常将所有85岁以上的老年人视为一个同质群体，因此对年龄最大的老年人口（90岁及以上）的具体残疾情况知之甚少。估计加拿大老年人，包括高龄老人、90岁及以上的老年人日常生活活动中按年龄划分的残疾发生率。全国横断面调查，对年龄在50至104岁之间的非机构化加拿大人（n= 28，406）进行代表性抽样。残疾是自我报告的，并被定义为需要帮助进行自我护理和家庭生活活动。残疾的发生率随着年龄的增长而增加，如果考虑到年龄最大的老人，这种增加似乎是指数级的。在90岁时，估计残疾率最高的是家务（50%），购物（45%）和交通（44%），21%的人需要帮助自己洗澡。与85-89岁年龄组相比，95岁以上年龄组报告残疾的估计比例约为自理活动的三倍，家庭生活活动的两倍。即使我们知道残疾会随着年龄的增长而增加，我们现在可以说，85岁以后，残疾会以更快的速度增加。将85岁以上的人归为一类，导致对高龄老人残疾的严重低估。为迅速扩大的年龄组分配充分的护理和康复资源，需要作出准确的估计。
As most studies generally treat all 85+ year-olds as a homogeneous group, little is known about the specific disabilities of the oldest old population, those aged 90 and older. To estimate age-specific prevalence of disability in activities of daily living for older Canadians, including the oldest old, those aged 90 and older. Cross-sectional national survey with a representative sample of non-institutionalized Canadians aged between 50 and 104 years old (n=28,406). Disability was self-reported and defined as needing assistance to perform self-care and domestic life activities. The prevalence of disability increased with age, and the rise appeared exponential when considering the oldest old. At age 90, the highest estimated rates of disability were reported for housekeeping (50%), shopping (45%), and transportation (44%) and 21% reported requiring assistance for washing themselves. Compared to the 85-89 age group, the estimated proportion of people reporting disability in the 95+ age group approximately triples for self-care activities and doubles for domestic life activities. Even if we knew that disability increases with age, we can now state that it increases at an accelerated rate beyond age 85. Grouping people aged 85+ into one category leads to substantial underestimates of disability in the oldest-old. Accurate estimates are necessary for adequate allocation of care and rehabilitation resources for a rapidly expanding age group.
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影响因子：
168.9
作者：
Christensen, Kaare;Doblhammer, Gabriele;Rau, Roland;Vaupel, James W.
通讯作者：
Vaupel, James W.
影响因子：
7.2
作者：
Winblad, K;Jääskeläinen, M;Laippala, P
通讯作者：
Laippala, P
影响因子：
3.4
作者：
LaPlante, MP;Harrington, C;Kang, TW
通讯作者：
Kang, TW
影响因子：
1.8
作者：
Zingmark, Magnus;Bernspang, Birgitta
通讯作者：
Bernspang, Birgitta
DOI：
10.1093/geronb/gbp129
发表时间：
2010-11-01
影响因子：
6.2
作者：
LaPlante, Mitchell P.
通讯作者：
LaPlante, Mitchell P.