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健康的百岁老人并不存在,但自主的百岁老人存在:一项基于丹麦百岁老人发病率的人群研究。

Healthy centenarians do not exist, but autonomous centenarians do: a population-based study of morbidity among Danish centenarians.

作者信息

Andersen-Ranberg K, Schroll M, Jeune B

机构信息

Aging Research Center, Epidemiology, Institute of Public Health, University of Southern Denmark, Odense, Denmark.

出版信息

J Am Geriatr Soc. 2001 Jul;49(7):900-8. doi: 10.1046/j.1532-5415.2001.49180.x.

DOI:10.1046/j.1532-5415.2001.49180.x
PMID:11527481
Abstract

OBJECTIVE

To assess the prevalence of common illnesses in an unselected population of centenarians.

DESIGN

A population-based survey.

SETTING

Denmark.

PARTICIPANTS

All Danes who celebrated their 100th anniversary between April 1, 1995 and May 31, 1996: 276 persons.

MEASUREMENTS

All participants (including proxies) were visited at their domicile for an interview (sociodemographic characteristics, activities of daily living, living conditions, need of assistance from other people, former health and current diseases, current medication) and a clinical examination (dementia screening test, heart and lung auscultation, neurological assessment, height and weight, electrocardiogram, arm and ankle blood pressure, assessment of hearing and vision capacity, a short physical performance test, bio-impedance, lung function test, blood test). Further health information was retrieved from medical files and national health registers.

RESULTS

Seventy-five percent (207) of eligible subjects participated in the study. Cardiovascular disease was present in 149 (72%) subjects. Osteoarthritis (major joints) was present in 54%, hypertension (> or =140/ > or =90) in 52%, dementia in 51%, and ischemic heart disease in 28%. The mean number of illness was 4.3 (standard deviation (SD) 1.86). Only one subject was identified as being free from any chronic condition or illness. Sixty percent had been treated for illness with high mortality. In 25 autonomous (nondemented, functioning well physically, living at home) and 182 nonautonomous centenarians, comorbidities were equivalent.

CONCLUSION

Because they have a high prevalence of several common diseases and chronic conditions, Danish centenarians are not healthy. However, a minor proportion was identified as being cognitively intact and functioning well.

摘要

目的

评估未经挑选的百岁老人群体中常见疾病的患病率。

设计

基于人群的调查。

地点

丹麦。

参与者

所有在1995年4月1日至1996年5月31日期间庆祝百岁生日的丹麦人:共276人。

测量方法

所有参与者(包括代理人)均在家中接受访谈(社会人口学特征、日常生活活动、生活条件、他人协助需求、既往健康状况和当前疾病、当前用药情况)以及临床检查(痴呆筛查测试、心肺听诊、神经学评估、身高和体重、心电图、手臂和脚踝血压、听力和视力评估、简短身体功能测试、生物电阻抗、肺功能测试、血液检测)。从医疗档案和国家健康登记处获取更多健康信息。

结果

75%(207名)符合条件的受试者参与了研究。149名(72%)受试者患有心血管疾病。54%患有骨关节炎(主要关节),52%患有高血压(≥140/≥90),51%患有痴呆,28%患有缺血性心脏病。平均疾病数为4.3(标准差1.86)。仅1名受试者被确定无任何慢性病或疾病。60%曾因高死亡率疾病接受治疗。在25名自主生活(无痴呆、身体功能良好、居家生活)和182名非自主生活的百岁老人中,合并症情况相当。

结论

丹麦百岁老人患有多种常见疾病和慢性病的患病率较高,故他们并不健康。然而,有一小部分被确定认知功能完好且身体功能良好。

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