Objective: To determine the life stages in which disability-free life expectancy is shortened before the age of 70 years.
Method: A retrospective longitudinal analysis was carried out in a cohort of 1,286 non-institutionalized people aged from 70 to 74 years old living in metropolitan areas. Disability was measured by instrumental and basic activities of daily living. Disability-free life expectancy was calculated. The Kaplan-Meier method was used to calculate survival probabilities.
Results: The incidence of basic disability increased from 50 to 54 years old and progressively accelerated until the age of 65-69 years old when the probability of instrumental disability was slightly higher among men than among women (0.23 in men versus 0.19 in women). Disability-free survival was lower among women than among men both for all types of disability (LogRank = 5.80; p = 0.016) and for basic disability (LogRank = 4.315; p = 0.038).
Conclusions: This study reveals the importance of instrumental disability for domestic tasks among older men. Women had a lower probability of disability-free survival and were more likely to be affected by any type of disability as well as by basic disability. For both genders, there is a slight decrease in disability-free survival from the age of 40 to 60 years. From this age onwards, this decrease markedly accelerates.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.gaceta.2011.12.016 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Psychometric Properties of the EuroQol 5D Five Level in Survivors of Critical Illness.
Crit Care Med
January 2025
Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Objectives: The EuroQol 5D five level (EQ-5D-5L) instrument is a standardized measure of health-related quality of life and is routinely used in survivors of critical illness. However, information on its psychometric properties and minimal clinically important difference (MCID) in this patient group is lacking.
Design: Secondary analysis of data from the previously published PREDICT (a registry in critically ill patients to determine predictors of disability-free survival) study, a prospective, multicenter cohort study.
Objectives: To assess the clinical impact on generally healthy older Australians of changing from the 2009 CKD-EPI (CKD-EPI) to the 2021 CKD-EPI (CKD-EPI) equation for calculating the estimated glomerular filtration rate (eGFR).
Study Design: Secondary analysis of data from the prospective ASPirin in Reducing events in the Elderly (ASPREE) cohort study.
Setting, Participants: Australians aged 70 years or older living in the community and without life-limiting medical conditions, recruited 1 March 2010 - 31 December 2014 for the ASPREE trial.
Modeling Disability-Free Life Expectancy With Duration Dependence: A Research Note on the Bias in the Markov Assumption.
Demography
December 2024
School of Demography, Research School of Social Sciences, College of Arts and Social Sciences, Australian National University, Acton, Australian Capital Territory, Australia.
Demographic studies on healthy life expectancy often rely on the Markov assumption, which fails to consider the duration of exposure to risk. To address this limitation, models like the duration-dependent multistate life table (DDMSLT) have been developed. However, these models cannot be directly applied to left-censored survey data, as they require knowledge of the time spent in the initial state, which is rarely known because of survey design.
View Article and Find Full Text PDFAssociation of cardiovascular disease and cardiovascular health with disability status in a nationally representative sample of US adults: CVD and CVH among Adults with Disabilities.
Am J Prev Cardiol
December 2024
Department of Epidemiology and Biostatistics, West Virginia University, Morgantown, WV, USA.
Background: A better understanding of cardiovascular disease (CVD), and cardiovascular health (CVH) among adults with disabilities is needed to address disability related health disparities.
Methods: This study analyzed National Health and Nutrition Examination Survey (NHANES) questionnaires, medical examinations, and 24-hour dietary recall data from 2013-2018 for adults age 20-79 years with and without self-reported disability. CVD was dichotomous based on self-report and CVH was assessed using American Heart Association Life's Essential 8 (LE8) comprised of four health behaviors (diet, physical activity, nicotine exposure, and sleep health) and four health factors (body mass index, blood lipids, blood glucose, and blood pressure) with higher scores indicating better CVH.
Does the Combination of Metabolic Syndrome and Low Fat-Free Mass Shorten an Individual's Disability-Free Life? A 12-Year Prospective Cohort Study of the Korean Genome and Epidemiology Study (KoGES).
Public Health Nurs
November 2024
College of Nursing, Seoul National University, Seoul, Republic of Korea.
Objective: This study aims to explore the combined risk of metabolic syndrome (MetS) and low fat-free mass (FFM) on an individual's disability-free survival (DFS). Disability is defined as a composite of dementia, physical disability, and mortality.
Methods: Using data from the Korean Genome and Epidemiology Study, we divided 3721 participants aged 40-69 years based on their MetS status and FFM index (FFMI) score.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!