Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People

Puvill, Thomas; Lindenberg, Jolanda; Gussekloo, Jacobijn; Craen, Anton J. M. de; Slaets, Joris P. J.; Westendorp, Rudi G. J.

doi:10.1371/journal.pone.0163499

Cited by 14 publications

(13 citation statements)

References 26 publications

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“…As verified with very old individuals [e.g., ( 10 , 14 , 17 , 39 )], it seems that also centenarians hold a weaker emphasis on their physical and functional status in the appraisal of their health condition. Previous studies that have shown discordance between objective and subjective health measures have associated it with the contribution of external and internal resources as optimism and perceived control ( 18 , 40 ). A positive SRH may reflect the greater importance of psychological adaptation in very advanced age.…”

Section: Discussionmentioning

confidence: 99%

Objective vs. Subjective Health in Very Advanced Ages: Looking for Discordance in Centenarians

et al. 2018

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Background: Living beyond 100 years of age is associated with several functional and health constraints but their impact depends on one's perception of the situation. Associations between self-rated health (SRH) with sociodemographic and psychosocial variables have been explored in several studies, revealing that one's health appraisal depends of factors beyond the objective health condition. There is a large body of literature concerning SRH in later life but lack of evidence about centenarians' perception of health and its associated factors, which could increase the available knowledge on the strengths and resources individuals in very advanced ages have for facing daily life limitations.Objective and Methods: This study aims to analyse the relationship between subjective and objective health status in a sample of centenarians (n = 127). Subjective health was assessed by a single-item health measure, and objective health by considering the number of reported diseases and a functional capacity scale (BADL and IADL). Main health characteristics are described as well as examined the association between objective and subjective health.Results: 46.5% of the sample has a good, very good, or excellent appraisal of their own health. SRH was associated (p < 0.05) with BADL and IADL scores and with the total number of diagnosis; when analyzing SRH according to the level of functional capacity, results revealed that most individuals with severe and moderate dependence have a reasonable to excellent SRH (p > 0.05).Conclusion: Having diseases and functional dependence at 100 years old may not mean to have a bad SRH. The high variability in SRH and the discordance between objective and subjective measures are a proof of centenarian's capacity of adaptation and the existence of individual resources, which may be decisive for one' perception and handling of health situation at such an advanced age.

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Section: Discussionmentioning

confidence: 99%

Objective vs. Subjective Health in Very Advanced Ages: Looking for Discordance in Centenarians

et al. 2018

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“…yapmış olduğu çalışmada cinsiyet ile özbakım gücü arasında istatis- tiksel olarak anlamlı fark olduğu belirlenmiştir. [16] Bayan yaşlılarda özbakım gücü daha yüksek bulunmuştur. Genellikle bayanların gençlik döneminde de erkeklere oranla bakımlarında daha düşkün olmaları ve bakımlarını kendilerinin yapmaları yaşlılık döneminde de bayanların özbakımın yüksek olmasının nedeni olabilir.…”

Section: Discussionunclassified

The Power of Self Care in Elderly and Life Satisfaction Hope Levels Effect

Budak¹

2017

Psi Hem Derg

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Objectives:This study aimed to examine the effect of self-care ability and life satisfaction on the levels of hope in elderly people. Methods:This study was conducted at three family health care centers in Malatya between November 20, 2014, and January 1, 2015. The study population consisted of 4181 people older than 65 years of age who were selected from 3 out of 10 family health care centers in Malatya, which were determined by lot. The sample size was determined to be 320 elderly people with 0.05 margin of error at 0.95 confidence interval, and each family health care center was accepted as a cluster. Çarmuzu Family Healthcare Center hosted 1653 elderly people, Özalper 1939 elderly people, and Tevfik Ünsalan 589 elderly people. Population weighting was performed for these clusters, and 127 elderly people were selected from Çarmuzu, 148 from Özalper, and 45 from Tevfik Ünsalan using the simple random sampling method. The data were collected using introductory information form, Self-Care Ability Scale, Life Satisfaction Scale, and Hope Scale.Results: A statistically positive relationship was observed between selfcare ability and life satisfaction, and self-care ability and hope. However, no statistically significant relationship was found between life satisfaction and hope. This indicated that the elderly people with good self-care ability looked to the future with hope. Conclusion:Elderly people needed the help of other people in meeting their daily self-care needs. Social support and educational programs should be developed to promote caring of the elderly people at home.

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“…Gait disorders affect a significant number of communitydwelling older adults and have recently been highlighted as a potential indicator of later cognitive decline. Gait disorders are believed to affect up to one third of older adults aged > 70 years and may be divided based on the particular sensorimotor deficit involved: (i) lower level gait disorders such as osteoarthritis, (ii) mid-level gait disorders which result from a focal neurological lesion such as that seen in Parkinson's Disease and (iii) higher level gait disorders with no demonstrable deficits in the pyramidal/extrapyramidal/sensory or cerebellar systems (and may be particularly related to cerebrovascular disease) [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Gait speed, cognition and falls in people living with mild-to-moderate Alzheimer disease: data from NILVAD

2020

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Background: Previous evidence suggests that slower gait speed is longitudinally associated with cognitive impairment, dementia and falls in older adults. Despite this, the longitudinal relationship between gait speed, cognition and falls in those with a diagnosis of dementia remains poorly explored. We sought to assess this longitudinal relationship in a cohort of older adults with mild to-moderate Alzheimer Disease (AD). Methods: Analysis of data from NILVAD, an 18-month randomised-controlled trial of Nilvadipine in mild to moderate AD. We examined: (i) the cross-sectional (baseline) association between slow gait speed and cognitive function, (ii) the relationship between baseline slow gait speed and cognitive function at 18 months (Alzheimer Disease Assessment Scale, Cognitive Subsection: ADAS-Cog), (iii) the relationship between baseline cognitive function and incident slow gait speed at 18 months and finally (iv) the relationship of baseline slow gait speed and incident falls over the study period. Results: Overall, one-tenth (10.03%, N = 37/369) of participants with mild-to-moderate AD met criteria for slow gait speed at baseline and a further 14.09% (N = 52/369) developed incident slow gait speed at 18 months. At baseline, there was a significant association between poorer cognition and slow gait speed (OR 1.05, 95% CI 1.01-1.09, p = 0.025). Whilst there was no association between baseline slow gait speed and change in ADAS-Cog score at 18 months, a greater cognitive severity at baseline predicted incident slow gait speed over 18 months (OR 1.04, 1.01-1.08, p = 0.011). Further, slow gait speed at baseline was associated with a significant risk of incident falls over the study period, which persisted after covariate adjustment (IRR 3.48, 2.05-5.92, p < 0.001). Conclusions: Poorer baseline cognition was associated with both baseline and incident slow gait speed. Slow gait speed was associated with a significantly increased risk of falls over the study period. Our study adds further evidence to the complex relationship between gait and cognition in this vulnerable group and highlights increased falls risk in older adults with AD and slow gait speed. Trial registration: Secondary analysis of the NILVAD trial (Clincaltrials.gov NCT02017340; EudraCT number 2012-002764-27). First registered: 20/12/2013.

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Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People

Cited by 14 publications

References 26 publications

Objective vs. Subjective Health in Very Advanced Ages: Looking for Discordance in Centenarians

Objective vs. Subjective Health in Very Advanced Ages: Looking for Discordance in Centenarians

The Power of Self Care in Elderly and Life Satisfaction Hope Levels Effect

Gait speed, cognition and falls in people living with mild-to-moderate Alzheimer disease: data from NILVAD

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