Lifestyle and psychosocial factors and a decline in competence in daily living among Japanese early elderly people: from an age-specified community-based cohort study (NISSIN project)
Environmental Health and Preventive Medicine
;
: 28-28, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-777613
ABSTRACT
BACKGROUND@#To let the early elderly live well, understanding how lifestyle and psychosocial factors related to a decline in competence in daily living is important.@*METHODS@#We investigated the associations between lifestyle and psychosocial factors at age 64 years and a decline in the Tokyo Metropolitan Institute of Gerontology Index of Competence score of ≥ 2 points at age 70 years among the participants in comprehensive medical check-ups living in a city in Japan. Multivariable logistic regression analyses were performed separately for men and women.@*RESULTS@#Of the 1113 eligible men and 1203 eligible women, 110 men and 80 women showed a deteriorated competence in daily living during the 6 years. In men, risk was increased with ≥ 2 nighttime awakenings (multivariable odds ratio [mOR] 2.14, 95% confidence interval [CI] 1.19-3.86) and living alone (mOR 4.68, 95% CI 1.22-18.0), whereas risk was significantly decreased with a medium or fast gait (mOR 0.37 and 0.21, 95% CI 0.21-0.67 and 0.08-0.58) and high academic achievement (mOR 0.32 and 0.43, 95% CI 0.19-0.53 and 0.25-0.72). In women, risk was decreased with high life satisfaction (mOR 0.39, 95% CI 0.16-0.91) and participation in community activities (mOR 0.50, 95% CI 0.29-0.86) but increased with depressive mood (mOR 1.86, 95% CI 1.09-3.18).@*CONCLUSION@#Living alone for men and low life satisfaction for women at age 64 years were markedly associated with the risk of a subsequent declining competence in daily living.
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Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Psicologia
/
Atividades Cotidianas
/
Avaliação Geriátrica
/
Inquéritos e Questionários
/
Fatores de Risco
/
Estudos de Coortes
/
Pesquisa Participativa Baseada na Comunidade
/
Vida Independente
/
Fatores de Proteção
/
Envelhecimento Saudável
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Environmental Health and Preventive Medicine
Ano de publicação:
2019
Tipo de documento:
Artigo
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