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Poor self-rated health predicts the incidence of functional disability in elderly community dwellers in Japan: a prospective cohort study.
Takahashi, Shuko; Tanno, Kozo; Yonekura, Yuki; Ohsawa, Masaki; Kuribayashi, Toru; Ishibashi, Yasuhiro; Omama, Shinichi; Tanaka, Fumitaka; Sasaki, Ryohei; Tsubota-Utsugi, Megumi; Takusari, Eri; Koshiyama, Makoto; Onoda, Toshiyuki; Sakata, Kiyomi; Itai, Kazuyoshi; Okayama, Akira.
Afiliación
  • Takahashi S; Division of Medical Education, Iwate Medical University, Idaidori 1-1-1, Yahaba-Cho, Shiwa-gun, Iwate, 028-3694, Japan. shutakahashi-iwt@umin.ac.jp.
  • Tanno K; Department of Health and Welfare, Iwate Prefecture, Morioka, Iwate, Japan. shutakahashi-iwt@umin.ac.jp.
  • Yonekura Y; Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA. shutakahashi-iwt@umin.ac.jp.
  • Ohsawa M; Department of Hygiene and Preventive Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Kuribayashi T; St. Luke's International University, Tokyo, Japan.
  • Ishibashi Y; Morioka Tsunagi Onsen Hospital, Morioka, Iwate, Japan.
  • Omama S; Faculty of Humanities and Social Sciences, Iwate University, Morioka, Iwate, Japan.
  • Tanaka F; Department of Neurology and Gerontology, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Sasaki R; Department of Neurosurgery, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Tsubota-Utsugi M; Division of Nephrology and Hypertension, Department of Internal Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Takusari E; Department of Hygiene and Preventive Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Koshiyama M; Department of Hygiene and Preventive Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Onoda T; Department of Hygiene and Preventive Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
  • Sakata K; Iwate Health Service Association, Morioka, Iwate, Japan.
  • Itai K; Health Service Center, Iwate University, Morioka, Japan.
  • Okayama A; Department of Hygiene and Preventive Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
BMC Geriatr ; 20(1): 328, 2020 09 07.
Article en En | MEDLINE | ID: mdl-32894047
BACKGROUND: Although previous large population studies showed elderly with poor self-rated health (SRH) to be at a high risk of functional disability in Western countries, there have been few studies in which the association between SRH and functional disability was investigated in Japanese community dwellers. The association between SRH and functional disability, defined as certification of the long-term care insurance (LTCI) system, in Japanese elderly community dwellers was examined in this study. METHODS: A total of 10,690 individuals (39.5% men, mean age of 71.4 years) who were 65 years of age or more who did not have a history of cardiovascular disease or LTCI certification were followed in this prospective study for 10.5 years. SRH was classified into four categories: good, rather good, neither good nor poor, and poor. A Cox proportional-hazards model was used to determine the hazard ratios (HRs) for the incidence of functional disability among the SRH groups for each sex. RESULTS: The number of individuals with functional disability was 3377. Men who rated poor for SRH scored significantly higher for functional disability (HR [95% confidence interval]: poor = 1.74 [1.42, 2.14]) while women who rated rather good, neither good nor poor, and poor scored significantly higher for functional disability (rather good =1.12 [1.00, 1.25], neither good nor poor = 1.29 [1.13, 1.48], poor = 1.92 [1.65, 2.24]: p for trend < 0.001 in both sexes). CONCLUSION: Self-rated health, therefore, might be a useful predictor of functional disability in elderly people.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado de Salud Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: BMC Geriatr Asunto de la revista: GERIATRIA Año: 2020 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado de Salud Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: BMC Geriatr Asunto de la revista: GERIATRIA Año: 2020 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido