Self-rated health is associated with subsequent functional decline among older adults in Japan
| Autor: | Kozo Matsubayashi, Michiko Fujisawa, Wenling Chen, Yumi Kimura, Ryota Sakamoto, Kiyohito Okumiya, Masayuki Ishine, Kuniaki Otsuka, Mayumi Hirosaki, Masahiro Nakatsuka, Yoriko Kasahara, Eriko Fukutomi, Yasuko Ishimoto, Taizo Wada |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Aging Activities of daily living Visual Analog Scale Logistic regression Diagnostic Self Evaluation 03 medical and health sciences 0302 clinical medicine Japan Surveys and Questionnaires Activities of Daily Living Humans Medicine Prospective Studies 030212 general & internal medicine Functional ability Prospective cohort study Geriatric Assessment Aged Self-rated health Aged 80 and over Depression business.industry Confounding Odds ratio Confidence interval Psychiatry and Mental health Clinical Psychology Logistic Models Female Independent Living Geriatrics and Gerontology business Gerontology 030217 neurology & neurosurgery Demography |
| Zdroj: | International Psychogeriatrics. 29:1475-1483 |
| ISSN: | 1741-203X 1041-6102 |
| DOI: | 10.1017/s1041610217000692 |
| Popis: | Background:Previous studies have reported that self-rated health (SRH) predicts subsequent mortality. However, less is known about the association between SRH and functional ability. The aim of this study was to examine whether SRH predicts decline in basic activities of daily living (ADL), even after adjustment for depression, among community-dwelling older adults in Japan.Methods:A three-year prospective cohort study was conducted among 654 residents aged 65 years and older without disability in performing basic ADL at baseline. SRH was assessed using a visual analogue scale (range; 0–100), and dichotomized into low and high groups. Information on functional ability, sociodemographic factors, depressive symptoms, and medical conditions were obtained using a self-administered questionnaire. Logistic regression analysis was used to examine the association between baseline SRH and functional decline three years later.Results:One hundred and eight (16.5%) participants reported a decline in basic ADL at the three-year follow-up. Multiple logistic regression analysis showed that the low SRH group had a higher risk for functional decline compared to the high SRH group, even after controlling for potential confounding factors (odds ratio (OR) = 2.4; 95% confidence interval (CI) = 1.3–4.4). Furthermore, a 10-point difference in SRH score was associated with subsequent functional decline (OR = 1.37; 95% CI = 1.16–1.61).Conclusions:SRH was an independent predictor of functional decline. SRH could be a simple assessment tool for predicting the loss or maintenance of functional ability in community-dwelling older adults. Positive self-evaluation might be useful to maintain an active lifestyle and stay healthy. |
| Databáze: | OpenAIRE |
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