Limitations in activities of daily living increase the risk of stroke in older Chinese adults: a population-based longitudinal study
Autor: | Jia-Yuan Wu, Zhou Liu, Ying Wu, Yu Yang, Bin Zhao, Zhuangsheng Wei, Hao Wu, Yu-Sen Chen, Chenyao Kang |
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Rok vydání: | 2022 |
Předmět: |
Gerontology
Longitudinal study Activities of daily living Alcohol abuse Developmental Neuroscience activities of daily living chinese longitudinal healthy longevity survey cohort older chinese individuals propensity score matching risk stroke survey medicine Risk factor RC346-429 Stroke business.industry Confounding older Chinese individuals Chinese Longitudinal Healthy Longevity Survey medicine.disease Cohort Propensity score matching Neurology. Diseases of the nervous system business human activities Research Article |
Zdroj: | Neural Regeneration Research Neural Regeneration Research, Vol 17, Iss 3, Pp 643-648 (2022) |
ISSN: | 1673-5374 |
DOI: | 10.4103/1673-5374.320994 |
Popis: | It remains unclear whether limitations in activities of daily living (ADL) increase the risk of stroke in older Chinese adults. This longitudinal study used data from the Chinese Longitudinal Healthy Longevity Survey to investigate the effects of limitations in ADL on the incidence of stroke in older adults. Between 2002 and 2011, 46,728 participants from 22 provinces in China were included in this study. Of participants, 11,241 developed limitations in ADL at baseline. A 3-year follow-up was performed to determine the incidence of stroke. During the 3-year follow-up, 929 participants (8.26%) and 2434 participants (6.86%) experienced stroke in the ADL limitations group and non-ADL limitations group, respectively. Logistic regression was used to analyze the effect of ADL limitations on the risk of stroke. The results showed that after adjusting for the confounding factors gender, age, weight, hypertension, diabetes, heart disease, natural teeth, hearing impairment, visual impairment, smoking, alcohol abuse, exercise, ethnicity, literacy, residential area, and poverty, the ADL limitations group had a 77% higher risk of developing stroke than the non-ADL limitations group. After propensity score matching, the ADL limitations group still had a 33% higher risk of developing stroke than the non-ADL limitations group (OR = 1.326, 95% CI: 1.174–1.497). These findings suggest that limitations in ADL are a stroke risk factor. |
Databáze: | OpenAIRE |
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