Institute of Social and Preventive Medicine, University Hospital Center, University of Lausanne, 52, Route de Berne, CH-1010 Lausanne, Switzerland.
J Gerontol B Psychol Sci Soc Sci. 2011 Nov;66(6):675-80. doi: 10.1093/geronb/gbr052. Epub 2011 Jul 20.
This study examines the relationship between self-perception of aging and vulnerability to adverse outcomes in adults aged 65-70 years using data from a cohort of 1,422 participants in Lausanne, Switzerland.
A positive or negative score of perception of aging was established using the Attitudes Toward Own Aging subscale including 5 items of the Philadelphia Geriatric Center Morale Scale. Falls, hospitalizations, and difficulties in basic and instrumental activities of daily living (ADL) collected in the first 3 years of follow-up were considered adverse outcomes. The relationship between perception and outcomes were evaluated using multiple logistic regression models adjusting for chronic medical conditions, depressive feelings, living arrangement, and socioeconomic characteristics.
The strongest associations of self-perception of aging with outcomes were observed for basic and instrumental ADL. Associations with falls and hospitalizations were not constant but could be explained by health characteristics.
A negative self-perception of aging is an indicator of risk for future disability in ADL. Factors such as a low-economic status, living alone, multiple chronic medical conditions, and depressive feelings contribute to a negative self-perception of aging but do not explain the relationship with incident activities of daily living disability.
本研究使用瑞士洛桑队列中 1422 名参与者的数据，考察了 65-70 岁成年人自我衰老感知与不良结局易感性之间的关系。
使用包括费城老年中心情绪量表 5 个项目的“对自身老化的态度”子量表，建立对衰老的积极或消极评分。在随访的头 3 年中收集跌倒、住院和日常生活活动（ADL）基本和工具性方面的困难作为不良结局。使用多因素逻辑回归模型，调整慢性疾病、抑郁感、居住安排和社会经济特征后，评估感知与结局之间的关系。
自我衰老感知与结局之间的最强关联见于 ADL 的基本和工具性方面。与跌倒和住院的关联并非恒定不变，而是可以通过健康特征来解释。
对衰老的消极自我感知是未来 ADL 残疾的风险指标。经济地位低、独居、多种慢性疾病和抑郁感等因素会导致对衰老的消极自我感知，但不能解释与日常活动能力受损的关系。
