Liu Dianrong, Tan Jiping, Guo Yuhe, Ye Guanghua, Zhu Linqi, Zhang Jun, Li Yinghao, Deng Yucheng, Wang Guichen, Wang Luning
Department of Geriatric Neurology, Chinese PLA General Hospital, Beijing 100853, China. Email:
Zhonghua Nei Ke Za Zhi. 2014 Oct;53(10):772-7.
To compare the risk factors on the functional dependence between the oldest-old and elderly veterans.
A cross-sectional survey was conducted among veterans ( ≥ 60 years of age) lived in 44 veterans' communities in Beijing. The socio-demographic information and history of non-communicable chronic diseases were collected via face-to-face interviews, and the functional status was assessed by the 20-item version of the Activities of Daily Living Scale.
The risk factors associated with increased hazard of the functional dependence in the oldest-old ( ≥ 80 years old) were cognitive impairment, extrapyramidal diseases, cerebral infarction, transient ischemic attack, sleep disorders, hypnotics, osteoarthrosis, hypertension and fall with the odds ratio (OR) of 1.241-2.962 (all P < 0.05). Stroke, depression, cognitive impairment, extrapyramidal diseases, sleep disorders, hypnotics, fall, cardiovascular diseases, osteoarthrosis and hearing loss were the risk factors for that in the elderly subjects (aged 60-79 years). The OR was 1.232-5.790 (all P < 0.05). However, avocational activities such as social activity, physical exercise, photography, reading and games, decreased the risk of functional dependence in both the oldest-old and elderly people.
Neuropsychiatric disorders are the leading causes contributed to the functional dependence among oldest-old and elderly population. Neurodegenerative diseases in the oldest-old, stroke and depression in elderly people should be the priorities in ameliorating disability. Healthy lifestyle and avocational activities could improve the functional status of the oldest-old and elderly population.
比较高龄退伍军人与老年退伍军人功能依赖的危险因素。
对居住在北京44个退伍军人社区的退伍军人（≥60岁）进行横断面调查。通过面对面访谈收集社会人口学信息和非传染性慢性病病史，并采用日常生活活动能力量表20项版本评估功能状态。
高龄（≥80岁）人群中与功能依赖风险增加相关的危险因素为认知障碍、锥体外系疾病、脑梗死、短暂性脑缺血发作、睡眠障碍、催眠药、骨关节炎、高血压和跌倒，比值比（OR）为1.241 - 2.962（均P < 0.05）。中风、抑郁、认知障碍、锥体外系疾病、睡眠障碍、催眠药、跌倒、心血管疾病、骨关节炎和听力损失是老年受试者（60 - 79岁）功能依赖的危险因素，OR为1.232 - 5.790（均P < 0.05）。然而，社交活动、体育锻炼、摄影、阅读和游戏等业余活动可降低高龄和老年人功能依赖的风险。
神经精神障碍是导致高龄和老年人群功能依赖的主要原因。高龄人群的神经退行性疾病、老年人的中风和抑郁应作为改善残疾状况的重点。健康的生活方式和业余活动可改善高龄和老年人群的功能状态。
