Among nonagenarians, congruence between self-rated and proxy-rated health was low but both predicted mortality

Vuorisalmi, Merja; Sarkeala, Tytti; Hervonen, Antti; Jylhä, Marja

doi:10.1016/j.jclinepi.2011.11.001

Cited by 22 publications

(21 citation statements)

References 29 publications

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“…The same may be true for reporting by proxy. However, previous research with data from the Vitality 90+ study indicated that for disability and disease proxy answers are sufficiently reliable [9,21].…”

Section: Discussionmentioning

confidence: 93%

Sex differences in healthy life expectancy among nonagenarians: A multistate survival model using data from the Vitality 90+ study

Hoogendijk

Noordt

Deeg

et al. 2019

Experimental Gerontology

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Objectives: Little is known about sex differences in healthy life expectancy among the oldest old, the fastest growing segment of the older population. This study examines sex differences in total, healthy and unhealthy life expectancy among nonagenarians. Methods: Longitudinal data of 884 older adults aged 90 and over participating in the Vitality 90+ study (Tampere, Finland) were used, including 2,501 observations (health or death states) from 5 measurement waves between 2001 and 2014. Using the MSM and ELECT packages in R, multistate survival models were performed to estimate the transition probabilities of older adults through the different health states and to calculate life expectancies. The analyses were done separately for two health indicators (disability and multimorbidity) to see whether patterns were consistent. Results: Women had higher total life expectancies than men (about 8 months), but also higher unhealthy life expectancies. Men had a higher disability-free life expectancy between the age of 90 and 95 compared to women. For multimorbidity, no sex differences in healthy life expectancy were found. Conclusions: This study showed that the male-female health-survival paradox remains at very old age. Women aged 90+ live longer than men, and spend more time in poor health.

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Section: Discussionmentioning

confidence: 93%

Sex differences in healthy life expectancy among nonagenarians: A multistate survival model using data from the Vitality 90+ study

Hoogendijk

Noordt

Deeg

et al. 2019

Experimental Gerontology

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“…Another strength was the high response rate and a low amount of missing data. According to Vuorisalmi et al [19], self-rated health has been recognized as a valid and reliable measure of health among older adults. The World Health Organization [11] has recommended this indictor to verify health in population-based studies of older adults.…”

Section: Methods Discussionmentioning

confidence: 99%

“…Bleeding gums 533 (9) 518 (9) .686 41 (4) 60 (5) .081 Loss of teeth 533 (9) 460 (8) .327 114 (11) 109 (9) .220 Chewing 415 (7) 415 (7) .822 124 (12) 133 (11) .491 Sensitive teeth necks 889 (15) 1,439 (25) .000 93 (9) 230 (19) .000…”

Section: Problems Withmentioning

confidence: 99%

Older adults' self-rated health and differences by age and gender: A quantitative study

Josefsson¹,

Andersson²,

Erikstedt³

2016

har

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Background:The older adult population is expected to grow, presenting potential challenges for individuals and society. Maintenance of older adults' health will be an important factor for healthy aging. It will also be a challenge for health professionals who work to promote health and care equity. To promote healthy aging and equal care, an overview of older adults' self-rated health is needed. The aim of this study was to describe selfrated health among older adults' living at home describe age group and gender-based health differences.

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“…Here, only answers provided by the respondent himself or herself are included. Our recent analyses imply that SRH reported by nonagenarians themselves and that reported by proxy for the nonagenarians show only a modest congruence, although both are predictive of mortality (Vuorisalmi, Sarkeala, Hervonen, & Jylhä, 2012). Because SRH is known to capture symptoms and sensations only available to the person himself or herself and is supposed to represent a genuinely subjective view, we decided to exclude proxy answers.…”

Section: Figure 146mentioning

confidence: 99%

Trends of Functioning and Health in Nonagenarians: The Vitality 90+ Study

Jylhä¹,

Enroth²,

Luukkaala³

2013

Annual Review of Gerontology and Geriatrics

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Mortality in the very old is rapidly declining in many countries, but development and change in health and functioning in this age group is poorly understood. In the Vitality 901 Study, we investigated functional status, multimorbidity, and self-rated health (SRH) in nonagenarians in 2001, 2003, 2007, and 2010 in one geographic area of Finland. At each time, all inhabitants aged 90 years and older were included, and the response rate was high. We found minor improvement over time in independence in performing activities of daily living (ADL), no change in mobility or chronic conditions, and declining SRH. During the study period, both survival until the age of 90 years and the life expectancy at the age of 90 years clearly increased. Longer lives in very old age are likely to include both healthy and disabled years, and the number of those in need of help will grow. Studies of the oldest old are challenging because of poor health, cognitive problems, and a high rate of institutionalization; but more information on their health trends is urgently needed. ANNUAL REVIEW OF GERONTOLOGY AND GERIATRICS

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Among nonagenarians, congruence between self-rated and proxy-rated health was low but both predicted mortality

Cited by 22 publications

References 29 publications

Sex differences in healthy life expectancy among nonagenarians: A multistate survival model using data from the Vitality 90+ study

Sex differences in healthy life expectancy among nonagenarians: A multistate survival model using data from the Vitality 90+ study

Older adults' self-rated health and differences by age and gender: A quantitative study

Trends of Functioning and Health in Nonagenarians: The Vitality 90+ Study

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