Center for Economic and Social Research, University of Southern California, USA.
Institute for Advanced Research, Shanghai University of Finance and Economics, Shanghai 200433, China; Key Laboratory of Mathematical Economics (SUFE), Ministry of Education, Shanghai 200433, China.
Econ Hum Biol. 2020 May;37:100863. doi: 10.1016/j.ehb.2020.100863. Epub 2020 Feb 21.
In this paper, we analyze the correlates of height shrinkage and the association of height shrinkage and late-life health among mid-aged and older adults from the Indonesian Family Life Survey. We first document the extent of height shrinkage based on measured height over 17 years. Height shrinkage is higher among older age groups, taller individuals, and women. Socioeconomic and initial health correlates of shrinkage are found to be different for men and women. Higher education, marital status, household consumption, urban birth and poor self-reported health in adulthood and childhood are found to be significant correlates for men. Ethnicity, working in the agricultural sector and availability of local health infrastructure are key correlates of height shrinkage for women. Height shrinkage of 1 cm is associated with a 0.02 s.d. decrease in cognition scores for Indonesian men and a 0.01 s.d. decrease for women, and 4% increase in index of mobility difficulties for both men and women. Extreme height loss, defined as height loss greater than 3 cm is associated with 8-10 percent lower lung function and grip strength among both men and women. Extreme height loss among Indonesian older women is also associated with a 7-percentage-point increase in the likelihood of death in the most recent wave. Our results emphasize the importance of taking into account age related height loss as a significant covariate for health and mortality of older adults, independent of baseline height and health.
在本文中，我们分析了身高缩减的相关因素以及身高缩减与印度尼西亚家庭生活调查中年和老年人晚年健康之间的关联。我们首先根据 17 年来的测量身高记录了身高缩减的程度。身高缩减在年龄较大的群体、较高的个体和女性中更高。男女的身高缩减与社会经济和初始健康因素有关。更高的教育程度、婚姻状况、家庭消费、城市出生和成年期和儿童期较差的自我报告健康状况被发现是男性身高缩减的重要相关因素。种族、在农业部门工作以及当地卫生基础设施的可用性是女性身高缩减的关键相关因素。身高缩减 1 厘米与印度尼西亚男性的认知评分下降 0.02 标准差相关，女性下降 0.01 标准差，男性和女性的行动困难指数分别增加 4%。极端身高损失（定义为身高损失大于 3 厘米）与男性和女性的肺功能和握力分别降低 8-10%相关。极端身高损失在印度尼西亚老年女性中也与最近一次调查中死亡几率增加 7 个百分点相关。我们的研究结果强调了考虑与年龄相关的身高损失作为老年人健康和死亡率的重要协变量的重要性，这与基线身高和健康状况无关。
