Mangen Marie-Josée J, Bolkenbaas Marieke, Huijts Susanne M, van Werkhoven Cornelis H, Bonten Marc J M, de Wit G Ardine
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Str 6.131 room 7.115, Heidelberglaan 100, Utrecht, 3584, CX, The Netherlands.
Department of Respiratory Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Health Qual Life Outcomes. 2017 Jan 6;15(1):3. doi: 10.1186/s12955-016-0577-5.
We aimed to evaluate health status and associated factors in community-dwelling elderly in the Netherlands.
Participants from a placebo-controlled double-blind randomized controlled trial conducted in the Netherlands were invited at the time of enrolment to participate in this study. Data were collected on comorbidities, socio-demographic background and health status, using EQ-5D-3L instrument. EQ-5D-3L summary index values (EQ-5D-indices) was derived using Dutch tariff. Regression analysis was conducted to identify factors associated with EQ-5D-indices and visual analogue scale (EQ-VAS).
48,634 elderly (≥65 years) were included. The most frequently reported complaint was pain/discomfort (29.4%), but for the elder elderly (i.e. ≥85 years) it was mobility (52.9%). The proportion of persons reporting (multiple) problems increased with age from 31.5% for 65-69 years old subjects to 65.9% for elder elderly. The mean EQ-5D-indices and EQ-VAS decreased with age from 0.94 and 84, respectively in those 65 to 69 years old to 0.86 and 76, respectively, in ≥85 years old subjects. Increasing age, female gender, low education, geographic factors and comorbidities were associated with impaired health status.
Within community-dwelling elderly large differences in health status exist. Impairment increases rapidly with age, but health status is also associated with socio-demographic variables and comorbidities.
ClinicalTrials.gov, NCT00812084 .
我们旨在评估荷兰社区老年人的健康状况及相关因素。
邀请了在荷兰进行的一项安慰剂对照双盲随机对照试验的参与者在入组时参加本研究。使用EQ-5D-3L工具收集了合并症、社会人口学背景和健康状况的数据。EQ-5D-3L汇总指数值（EQ-5D指数）采用荷兰关税得出。进行回归分析以确定与EQ-5D指数和视觉模拟量表（EQ-VAS）相关的因素。
纳入了48,634名老年人（≥65岁）。最常报告的症状是疼痛/不适（29.4%），但对于高龄老年人（即≥85岁）来说是行动能力问题（52.9%）。报告（多种）问题的人群比例随年龄增长从65 - 69岁受试者的31.5%增至高龄老年人的65.9%。平均EQ-5D指数和EQ-VAS随年龄下降，65至69岁人群中分别为0.94和84，≥85岁受试者中分别为0.86和76。年龄增加、女性、低教育水平、地理因素和合并症与健康状况受损相关。
在社区居住的老年人中，健康状况存在很大差异。健康损害随年龄迅速增加，但健康状况也与社会人口学变量和合并症有关。
ClinicalTrials.gov，NCT00812084 。
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