Differences in predictors relevant to lifestyle characteristics and medical examination findings between disability and mortality in community-dwelling elderly persons

社区老年人残疾和死亡的生活方式特征和体检结果相关预测因素的差异

• 批准号: 12670361
• 负责人: YASUDA Nobufumi
• 金额: $ 1.73万
• 依托单位: Kochi Medical School
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12670361/
• 关键词: elderly; activities of daily living; lifestyle; medical examination; longitudinal study

This study examined differences in predictors relevant to lifestyle characteristics and medical examination findings between disability and mortality in an elderly population. Data derived from a longitudinal study of aging for persons aged 65 and older who lived in Ohtsuki, Kochi prefecture and who had no physical disability at baseline(N=1,054). Levels of physical disability were assessed by self-reports on six items of physical activities of daily living (eating, toileting, bathing, dressing, grooming, and walking) at both the baseline and the follow-up time points. Lifestyle characteristics examined at the baseline questionnaire survey included five health practices (smoking, drinking, sleeping hours, bowel habit, and physical activity) and availability of five social network elements (living arrangements, contact with children, contact with close relatives, contact with close friends, and attendance at group organizations). Medical examination findings were obtained for 644 person … More s who had the basic health examination under the Health Services for the Elderly Act at baseline. Associations of individual risk factors with a polychotomous outcome (physically independent vs physically dependent vs dead) were examined by fitting a polytomous logistic regression. Bowel habit assessed in the questionnaire survey was associated with disability only : age and gender adjusted odds ratios for subjects with irregular bowel habits relative to those with regular habits were 1.8 (95 % confidence interval : 1.0-3.2) for disability and 1.3 (95 % confidence interval : 0.8-2.1) for mortality.For the medical examination findings, body mass index was related to disability only : age and gender adjusted odds ratios for subjects with body mass index below or over the optimum range relative to those in the optimum range was 3.1 (95 % confidence interval : 1.3-7.5) for disability and 1.1 (95 % confidence interval : 0.7-1.9) for mortality. Factors associated with disability were not necessarily predictors of mortality. They should be differentiated from each other. Less

这项研究考察了老年人群中残疾和死亡率之间与生活方式特征和医学检查结果相关的预测因素的差异。数据来自对居住在高知县大津市的65岁及以上老年人的纵向老龄化研究，这些人在基线时没有身体残疾(N=1,054)。在基线和随访时间点，通过对日常生活中六项体力活动(吃、如厕、洗澡、穿衣、打扮和走路)的自我报告来评估身体残疾水平。在基线问卷调查中检查的生活方式特征包括五种健康习惯(吸烟、饮酒、睡眠时间、排便习惯和体力活动)和五种社交网络元素的可用性(生活安排、与儿童的接触、与近亲的联系、与亲密朋友的联系以及参加团体组织)。获得了644人…的体检结果更多的S根据《老年卫生服务法》进行了基线基本健康检查。个体危险因素与多胎妊娠结局(身体独立与身体依赖或死亡)的相关性通过多分类Logistic回归进行了检验。问卷调查中评估的排便习惯只与残疾有关：与有规律习惯的人相比，有不规则排便习惯的人的年龄和性别调整后的优势比为1.8(95%可信区间：1.0-3.2)，死亡率为1.3(95%可信区间：0.8-2.1)。体重指数只与残疾有关：体重指数低于或高于最佳范围的受试者，年龄和性别调整后的优势比相对于处于最佳范围的受试者，残疾为3.1(95%可信区间：1.3-7.5)，死亡率为1.1(95%可信区间：0.7-1.9)。与残疾相关的因素不一定是死亡率的预测因素。它们应该相互区分。较少

项目成果

Yasuda N: "The differential influence of distinct clusters of psychiatric symptoms, as assessed by the General Health Questionnaire, on cause of death in elderly persons living in a rural community of Japan"J Am Geriatr Soc. (in press).

Yasuda N：“根据一般健康调查问卷的评估，不同的精神症状对日本农村社区老年人的死因有不同的影响”J Am Geriatr Soc。

Yasuda N.: "The differential influence of distinct clusters of psychiatric symptoms, as assessed by the General Health Questionnaire, on cause of death in elderly persons living in a rural community of Japan"J Am Geriatr Soc. (in press).

Yasuda N.：“根据一般健康调查问卷的评估，不同的精神症状对日本农村社区老年人的死因有不同的影响”J Am Geriatr Soc。

安田誠史: "高齢者でのGeneral Health Questionnaire30項目版の因子構造と生命予後との関連"日本衛生学雑誌. 55(1). 536 (2000)

Masashi Yasuda：“一般健康问卷的 30 项版本的因素结构与老年人的生活预后之间的关系”日本卫生杂志 55(1) 536 (2000)。

安田誠史: "地域在宅高齢者の生活習慣、健康診査所見と長期施設ケア利用との関連"J Epidemiol. 11(Suppl). 116 (2001)

Masashi Yasuda：“社区老年人的生活习惯、健康检查结果和长期设施护理使用之间的关系”J Epidemiol 11（增刊）116（2001）。

Yasuda N.: "The factor structure of differential influence of the General Health Questionnaire and relations of individual factors with mortality in elderly persons"Jpn J Hyg. 55(1). 536 (2000)

安田N.：“一般健康问卷差异影响的因素结构以及个体因素与老年人死亡率的关系”Jpn J Hyg。