Selim Alfredo J, Fincke Graeme, Berlowitz Dan R, Miller Donald R, Qian Shirley X, Lee Austin, Cong Zhongxiao, Rogers William, Selim Bernardo J, Ren Xinhua S, Spiro Avron, Kazis Lewis E
Center for Health Quality, Outcomes & Economic Research, Veterans Affairs Medical Center, Bedford, MA, USA.
J Gerontol A Biol Sci Med Sci. 2005 Apr;60(4):515-9. doi: 10.1093/gerona/60.4.515.
Information on the health status of centenarians provides a means for understanding the health care needs of this growing population. Therefore, we examined the health status of a national cohort of centenarian veteran enrollees.
Ninety-three centenarian veteran enrollees returned a complete health history questionnaire, which included questions about sociodemographic information, age-associated conditions, health behaviors, health-related quality of life as measured by the Veterans SF-36, and change in health status.
Centenarian veteran enrollees are a group with major impairment across multiple dimensions of health-related quality of life despite having a relatively low prevalence of diseases. They had considerable physical limitations as reflected by their physical health summary scores (26.2 +/- 8.3). However, their mental health was comparatively good (mental health summary score 44.1 +/- 12.5). Compared to younger elderly veterans (ages 85-99), centenarians had a lower prevalence of hypertension, angina or myocardial infarction, diabetes, and chronic low back pain (p <.05). Centenarians had significantly worse physical functioning, role physical, vitality, and social functioning scores than did younger elderly veterans. The two groups did not differ in their general health, bodily pain, role emotional, and mental health scores. Centenarians did not perceive much decline in their physical or mental health during the preceding year.
Centenarian veteran enrollees are a group with a low number of age-associated diseases and good mental health despite substantial physical limitations. These results support future studies of services directed toward improvement of function as opposed to those focused solely on the treatment of diseases.
百岁老人的健康状况信息为了解这一不断增长的人群的医疗保健需求提供了一种途径。因此，我们研究了一组全国性的百岁退伍军人入组者的健康状况。
93名百岁退伍军人入组者返回了一份完整的健康史问卷，其中包括关于社会人口统计学信息、与年龄相关的疾病、健康行为、通过退伍军人SF - 36量表测量的健康相关生活质量以及健康状况变化的问题。
尽管百岁退伍军人入组者的疾病患病率相对较低，但他们在健康相关生活质量的多个维度上存在严重损害。他们的身体健康综合评分（26.2±8.3）反映出存在相当程度的身体限制。然而，他们的心理健康状况相对较好（心理健康综合评分44.1±12.5）。与年龄较小的老年退伍军人（85 - 99岁）相比，百岁老人患高血压、心绞痛或心肌梗死、糖尿病和慢性腰痛的患病率较低（p<.05）。百岁老人的身体功能、身体角色、活力和社会功能评分明显低于年龄较小的老年退伍军人。两组在总体健康、身体疼痛、情感角色和心理健康评分方面没有差异。百岁老人在前一年中并未感觉到自己的身体或心理健康有太大下降。
百岁退伍军人入组者是一个年龄相关疾病数量较少且心理健康状况良好，但身体存在严重限制的群体。这些结果支持未来开展旨在改善功能而非仅专注于疾病治疗的服务研究。
