Jhon Min, Shin Min-Ho, Yoon Kyung Chul, Kim Jeong-Sun, Lee Jeonghwa, Park Kwangsung, Park Sang Chul
Department of Psychiatry, Chonnam National University Hospital, Gwangju, Korea.
Department of Preventive Medicine, Chonnam National University Medical School, Hwasun, Korea.
Aging Male. 2023 Dec;26(1):2257302. doi: 10.1080/13685538.2023.2257302. Epub 2023 Oct 9.
With the rapid increase in population longevity, more clinical attention is being paid to the overall health of long-lived people, especially centenarians. Subjective health, which is the perception of one's health status, predicts both mortality and declining physical function in older adults. The purpose of this study was to investigate the factors related to subjective health among centenarians and near-centenarians (ages ≥95) living in a rural area of South Korea.
A total of 101 participants were enrolled from four different regions (Gurye, Gokseong, Sunchang, and Damyang), known as the Longevity Belt in Korea. Variables assessing physical and mental health, including the results of blood tests, were examined. Factors associated with good subjective health were identified with logistic regression analysis.
Fifty-six participants (59.6%) were subjectively healthy among the centenarians and near-centenarians. Logistic regression analysis revealed that depressive mood was the only factor associated with subjective health and was negatively correlated. The regression model explained 39% of the variance in subjective health.
These findings emphasize the importance of mental health at very advanced ages. Because depressive mood negatively correlates with subjective health, more attention is needed to prevent and manage mood symptoms of people of advanced ages, including centenarians.
随着人口寿命的迅速增长，临床上越来越关注长寿人群尤其是百岁老人的整体健康。主观健康是对自身健康状况的感知，可预测老年人的死亡率和身体功能衰退。本研究旨在调查韩国农村地区百岁老人和接近百岁老人（年龄≥95岁）中与主观健康相关的因素。
从韩国被称为“长寿带”的四个不同地区（谷城、固城、顺昌和潭阳）招募了101名参与者。检查了评估身心健康的变量，包括血液检测结果。通过逻辑回归分析确定与良好主观健康相关的因素。
在百岁老人和接近百岁老人中，56名参与者（59.6%）主观健康。逻辑回归分析显示，抑郁情绪是与主观健康相关的唯一因素，且呈负相关。回归模型解释了主观健康差异的39%。
这些发现强调了高龄阶段心理健康的重要性。由于抑郁情绪与主观健康呈负相关，因此需要更多关注来预防和管理高龄人群（包括百岁老人）的情绪症状。
