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预测台湾高龄 80 岁健康老人的因素:一项长达 18 年的全国队列研究结果。

Predicted factors for older Taiwanese to be healthy octogenarians: Results of an 18-year national cohort study.

机构信息

Department of Radiation Oncology, Chung-Kang Branch, Cheng-Ching General Hospital, Taichung, Taiwan.

Department of Healthcare Administration, Asia University, Taichung, Taiwan.

出版信息

Geriatr Gerontol Int. 2017 Dec;17(12):2579-2585. doi: 10.1111/ggi.13112. Epub 2017 Jul 26.

Abstract

AIM

To identify factors that predict the 62-69 years old Taiwanese to be healthy octogenarians.

METHODS

We analyzed the 1989 (baseline), and 2003 and 2007 (end-point) datasets of the Taiwan Longitudinal Survey on Aging, a national cohort study. A total of 1977 participants aged 62-69 years at baseline were tracked for 14-18 years. The outcome measure was "being healthy octogenarians", defined as participants who were aged ≥80 years, free from activities of daily living dependency, depressive symptoms or cognitive impairment, and able to provide social support. A logistic regression model was used to identify the predictors.

RESULTS

The results showed that higher educational level, conjugal living, absence of smoking or betel quid chewing, moderate alcohol drinking, routine physical activity, more leisure activities, no hypertension, no diabetes, sleeping well and satisfied with economic condition were the positive predictors for becoming a healthy octogenarian.

CONCLUSIONS

Using a multidimensional criterion, the present study identified a list of factors in predicting older Taiwanese becoming healthy octogenarians. The findings highlight the need to identify potential factors for various populations. Many of the predictors are modifiable factors. The present results would be valuable for planning effective health promotion strategies to achieve healthy aging for older adults. Geriatr Gerontol Int 2017; 17: 2579-2585.

摘要

目的

确定预测台湾 62-69 岁人群成为健康 80 岁老人的因素。

方法

我们分析了 1989 年(基线)、2003 年和 2007 年(终点)台湾老龄化纵向研究的数据集,这是一项全国性队列研究。共有 1977 名 62-69 岁的参与者在基线时进行了 14-18 年的随访。结局指标为“健康 80 岁老人”,定义为年龄≥80 岁、无日常生活活动依赖、抑郁症状或认知障碍、并能提供社会支持的参与者。使用逻辑回归模型来确定预测因素。

结果

结果表明,较高的教育水平、已婚、不吸烟或嚼槟榔、适量饮酒、经常进行身体活动、有更多的休闲活动、无高血压、无糖尿病、睡眠良好和对经济状况满意是成为健康 80 岁老人的积极预测因素。

结论

本研究使用多维标准确定了预测台湾老年人成为健康 80 岁老人的一系列因素。研究结果强调了需要确定不同人群的潜在因素。许多预测因素是可改变的因素。本研究结果对于制定有效的健康促进策略以实现老年人的健康老龄化具有重要价值。老年医学与老年病学杂志 2017;17: 2579-2585。

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