Age Institute, Asemapäällikönkatu 7, FI-00520, Helsinki, Finland.
Arch Gerontol Geriatr. 2011 Jan-Feb;52(1):e11-4. doi: 10.1016/j.archger.2010.03.018. Epub 2010 Apr 20.
The present study was aimed to examine whether functional capacity among the urban home-dwelling older adults associates with health-related behavior. We also examined whether health-related behavior and certain diseases can be seen as mechanisms explaining socioeconomic disparities in functional capacity. A cross-sectional survey from 2008 was used to study 1395 older adults aged 75 and over living in one of the central areas of the city center of Helsinki, the capital of Finland. Associations of activities of daily living (ADL) with, smoking, food habits, physical activity, socioeconomic status and certain diseases were tested using ordinal regression model. Current smokers had slightly poorer functional ability than non-smokers among men. Those who did not use vegetables and/or fruits daily had a poorer functional capacity than daily users. Physically inactive respondents had clearly poorer functional capacity in comparison to active ones. Those with lower education had poorer functional status than higher educated irrespective of health-related behaviors and certain diseases. As health-related behaviors are modifiable, intervention programs should be targeted at all older adults with or without health problems.
本研究旨在探讨城市居家老年人的功能能力是否与健康相关行为有关。我们还探讨了健康相关行为和某些疾病是否可以被视为解释功能能力方面社会经济差异的机制。该研究使用 2008 年的一项横断面调查，对居住在芬兰首都赫尔辛基市中心中心区之一的 1395 名 75 岁及以上的老年人进行了研究。使用有序回归模型检验了日常生活活动（ADL）与吸烟、饮食习惯、身体活动、社会经济地位和某些疾病之间的关联。与不吸烟者相比，男性吸烟者的功能能力稍差。那些不每天食用蔬菜和/或水果的人比每天食用者的功能能力差。与活跃者相比，不活跃的受访者的功能能力明显较差。无论健康相关行为和某些疾病如何，受教育程度较低的人功能状态较差。由于健康相关行为是可以改变的，干预计划应该针对所有有或没有健康问题的老年人。
