A comparative study of the relationship between morbidity and disability among exceptional survivors in Okinawa, Hawaii and mainland USA

本研究比较了冲绳、夏威夷和美国大陆三个地区百岁老人的发病率和残疾率之间的关系。调查结果表明：1）约1/3的百岁老人被归类为“幸存者”（发病年龄在85岁之前），在HHP队列中发现的人数更多，主要是由于HHP男性中糖尿病和高血压相对较早发病。2)最大的ADL困难被发现的参与者中的“走”和“听”，但大多数人仍然独立的“自我喂养”。3)男性的ADL困难比女性少。4)痴呆、脑血管疾病和白内障与ADL困难的关系最密切。

This project compared the relationship between morbidity and disability among centenarians in three areas: Okinawa (OCS), Hawaii (HHP) and mainland USA (NECS). Findings indicated: 1) about 1/3 of centenarians were classified as "survivors" (age of disease onset before age of 85 years) with higher numbers found in the HHP cohort, mainly due to relatively early onset of diabetes and hypertension in HHP men. 2) The greatest ADL difficulties among participants were found in "walking" and "hearing", however most remained independent in "self-feeding". 3) Men had fewer ADL difficulties than women. 4) Dementia, cerebrovascular disease and cataracts showed the strongest relationship with ADL difficulties.