Spousal bereavement and its effects on later life physical and cognitive capability: the Tromsø study.

Autor: Strand BH; Department for Physical Health and Aging, Norwegian Institute of Public Health, Oslo, Norway. heine@fhi.no.; Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway. heine@fhi.no.; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway. heine@fhi.no., Håberg AK; Department for Physical Health and Aging, Norwegian Institute of Public Health, Oslo, Norway.; Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU, Trondheim, Norway., Eyjólfsdóttir HS; Aging Research Center (ARC), Karolinska Institutet, Stockholm, Sweden.; Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.; Stockholm University, Stockholm, Sweden., Kok A; Department of Epidemiology & Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Amsterdam Public Health, Aging & Later Life Programme, Amsterdam, The Netherlands., Skirbekk V; Department for Physical Health and Aging, Norwegian Institute of Public Health, Oslo, Norway.; Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway., Huxhold O; DZA, Berlin, Germany., Løset GK; NOVA - Norwegian Social Research, Oslo Metropolitan University, Oslo, Norway., Lennartsson C; Aging Research Center (ARC), Karolinska Institutet, Stockholm, Sweden.; Swedish Institute for Social Research (SOFI), Stockholm University, Stockholm, Sweden., Schirmer H; Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.; Department of Cardiology, Akershus, University Hospital, Lørenskog, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Herlofson K; NOVA - Norwegian Social Research, Oslo Metropolitan University, Oslo, Norway., Veenstra M; HØKH Akershus University Hospital, Lørenskog, Norway.
Jazyk: angličtina
Zdroj: GeroScience [Geroscience] 2024 Dec; Vol. 46 (6), pp. 6055-6069. Date of Electronic Publication: 2024 Apr 09.
DOI: 10.1007/s11357-024-01150-y
Abstrakt: Spousal bereavement is associated with health declines and increased mortality risk, but its specific impact on physical and cognitive capabilities is less studied. A historical cohort study design was applied including married Tromsø study participants (N=5739) aged 50-70 years with baseline self-reported overall health and health-related factors and measured capability (grip strength, finger tapping, digit symbol coding, and short-term recall) at follow-up. Participants had data from Tromsø4 (1994-1995) and Tromsø5 (2001), or Tromsø6 (2007-2008) and Tromsø7 (2015-2016). Propensity score matching, adjusted for baseline confounders (and baseline capability in a subset), was used to investigate whether spousal bereavement was associated with poorer subsequent capability. Spousal bereavement occurred for 6.2% on average 3.7 years (SD 2.0) before the capability assessment. There were no significant bereavement effects on subsequent grip strength, immediate recall, or finger-tapping speed. Without adjustment for baseline digit symbol coding test performance, there was a negative significant effect on the digit symbol coding test (ATT -1.33; 95% confidence interval -2.57, -0.10), but when baseline digit symbol coding test performance was taken into account in a smaller subsample, using the same set of matching confounders, there was no longer any association (in the subsample ATT changed from -1.29 (95% CI -3.38, 0.80) to -0.04 (95% CI -1.83, 1.75). The results in our study suggest that spousal bereavement does not have long-term effects on the intrinsic capacity components physical or cognition capability to a notable degree.
(© 2024. The Author(s).)
Databáze: MEDLINE
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