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2004-05 年至 2015 年期间，欧洲老年人群中认知功能良好和较差者预期寿命的发展情况。

Development in life expectancy with good and poor cognitive function in the elderly European Population from 2004-05 to 2015.

机构信息

Unit for Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, 5000, Odense, Denmark.

Interdisiciplinary Center on Population Dynamics, University of Southern Denmark, 5000, Odense, Denmark.

出版信息

Eur J Epidemiol. 2022 May;37(5):495-502. doi: 10.1007/s10654-022-00860-x. Epub 2022 Apr 8.

DOI:10.1007/s10654-022-00860-x

PMID:35394581

Abstract

BACKGROUND

Living not just longer, but also cognitively healthier, and more independent lives is essential if European countries are to cope with the financial challenges that the shifting age composition of Europe's population presents. Here we investigate the change in life expectancy (LE) spent with good and poor cognitive function among older adults across Europe.

METHODS

LE with good/poor cognitive function was estimated by the Sullivan Method. Cross-sectional data on cognitive functioning was obtained from 23,213 (wave 1, 2004-05) and 40,874 (wave 6, 2015) 50+-year-olds of the Survey of Health, Ageing and Retirement in Europe (SHARE). Information on mortality was obtained from the Eurostat Database. Results for 70+-year-olds were emphasized.

RESULTS

LE with good cognitive function increased with 1.6 years from 10.7 years (95% CI: 10.6-10.9) in 2004-05 to 12.4 years (95% CI: 12.3-12.5) in 2015 for 70+-year-olds. Disparity was observed across sex and region. In 2004-05, a 70+-year-old woman could expect to spend 30.9% (95% CI: 29.4-32.4) of her remaining LE with poor cognitive function compared to 27.7% (95% CI: 26.0 -29.4) for men. In 2015, women (24.4% (95% CI: 23.4-25.3)) had considerably caught up with men (24.8% (95% CI:23.7.25.8)), shifting the pattern in favor of women. In 2004-05 and 2015, Northern Europeans had the lowest LE with poor cognitive function while Southern Europeans had the highest, but made the most improvement during the period.

CONCLUSIONS

Overall we find that LE with poor cognitive function has been compressed in the European population of 70+-year-olds.

摘要

背景

如果欧洲国家要应对欧洲人口结构变化带来的财政挑战，就必须让人们不仅活得更长，而且还能保持认知健康和生活独立。在这里，我们研究了整个欧洲老年人的预期寿命（LE）与认知功能之间的变化。

方法

使用 Sullivan 法估计具有良好/较差认知功能的 LE。关于认知功能的横断面数据来自欧洲健康、老龄化和退休调查（SHARE）的 23213 名（第 1 波，2004-05 年）和 40874 名（第 6 波，2015 年）50 岁以上的人。死亡率信息来自 Eurostat 数据库。强调了 70 岁以上人群的结果。

结果

在 2004-05 年至 2015 年期间，70 岁以上人群的认知功能良好的 LE 增加了 1.6 年，从 10.7 年（95%CI：10.6-10.9）增加到 12.4 年（95%CI：12.3-12.5）。在性别和地区之间存在差异。在 2004-05 年，一名 70 岁以上的女性可能预计在其剩余的 LE 中，有 30.9%（95%CI：29.4-32.4）会出现认知功能下降，而男性这一比例为 27.7%（95%CI：26.0-29.4）。2015 年，女性（24.4%（95%CI：23.4-25.3））与男性（24.8%（95%CI：23.7-25.8））的差距相当大，这种模式有利于女性。在 2004-05 年和 2015 年，北欧人认知功能下降的 LE 最低，而南欧人认知功能下降的 LE 最高，但在此期间，他们的改善幅度最大。