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在一项对高龄男性的队列研究——曼尼托巴随访研究中,低生活满意度预示着更高的死亡率。

Low life satisfaction predicts mortality in a cohort study of very old men-the Manitoba follow up study.

作者信息

John Philip Donald St, Tate Robert Bruce

机构信息

Section of Geriatrics, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.

Centre on Aging, University of Manitoba, Winnipeg, Canada.

出版信息

Aging Ment Health. 2025 May;29(5):928-934. doi: 10.1080/13607863.2025.2450028. Epub 2025 Jan 11.

Abstract

OBJECTIVES

(1) To determine the life satisfaction (LS) of members of a cohort study of aging men; (2) to determine if LS predicts death at various ages amongst members of a cohort study.

METHODS

We analyzed a prospective cohort study of men who qualified for air crew training in the Second World War. In 2005, 860 participants with a mean age of 85, were alive and responded to the annual questionnaire - which is sent to participants living in the community. Since 2005, LS was measured annually. Kaplan-Meier plots were constructed, and median survival times were calculated. Cox proportional hazards models were constructed comparing those with 'Poor/Bad'; 'Fair'; 'Good; and 'Very Good' to 'Excellent' LS.

RESULTS

Throughout the study period from 2005 to 2024, most men were satisfied with life. Lower LS predicted mortality throughout the course of the study, even at very old ages and even after accounting for the effect of chronic diseases.

CONCLUSIONS

LS appears relatively stable in community living old men, and predicts mortality even into advanced age.

摘要

目的

(1)确定一项老年男性队列研究中成员的生活满意度(LS);(2)确定LS是否能预测队列研究中不同年龄段成员的死亡情况。

方法

我们分析了一项对第二次世界大战期间符合空勤人员训练条件的男性进行的前瞻性队列研究。2005年,860名平均年龄为85岁的参与者在世,并对每年发送给居住在社区的参与者的问卷做出了回应。自2005年以来,每年都对LS进行测量。构建了Kaplan-Meier曲线,并计算了中位生存时间。构建了Cox比例风险模型,将“差/不良”“中等”“良好”和“非常好”的LS与“优秀”的LS进行比较。

结果

在2005年至2024年的整个研究期间,大多数男性对生活感到满意。较低的LS在整个研究过程中都能预测死亡率,即使在非常高的年龄,甚至在考虑了慢性病的影响之后也是如此。

结论

LS在社区居住的老年男性中似乎相对稳定,并且即使到高龄也能预测死亡率。

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