Correlates of Functional Capacity Among Centenarians

Martin, Peter; MacDonald, Maurice; Margrett, Jennifer A.; Siegler, Ilene C.; Poon, Leonard W.

doi:10.1177/0733464811420563

Cited by 20 publications

(17 citation statements)

References 49 publications

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“…The study is limited by its cross-sectional design, which prevents the examination of predictors of ADL independence over time. The accuracy of self-reported instruments may be compromised by low cognition and literacy, fatigue, and reduced sensory function (Arosio et al, 2017;Martin et al, 2018;Poon et al, 2007), although informant-based instruments addressed these limitations to some degree (Martin et al, 2013). and physical performance were also correlated with IADL.…”

Section: Discussionmentioning

confidence: 99%

“…Centenarians have long been regarded as a unique population because their longevity offers an important resource for studying healthy aging (Perls et al, 1999;Richmond, Law, & Kay-Lambkin, 2011) and the complex interactions among multiple pathological changes which concertedly affect the manifestation of clinical symptoms (Tanprasertsuk et al, 2019). While the centenarians studies are limited, the existing findings indicate that ADL independence in centenarians are affected by sensory functioning (Martin et al, 2018), race, age, education, self-reported health (Poon et al, 1992), and living arrangement (Davey et al, 2010;Mao & Han, 2018;Martin et al, 2013;Poulain & Herm, 2016). Cognition was found to affect ADL independence among centenarians in Japan (Arai et al, 2014), but others suggested that maintaining a good level of cognition was not sufficient to achieve IADL independence (Motta et al, 2008) and the prevalence of cognitive impairment in centenarians is reduced (Andersen et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Analyzing functional status and its correlates in Chinese centenarians: A cross‐sectional study

Huang

Chen

Zhou

et al. 2020

Nursing & Health Sciences

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Factors affecting independence in basic and instrumental activities of daily living have been established in older adults, but not centenarians. The purpose of this study was to examine the state and factors affecting activities of daily living independence in centenarians who resided in Guangxi Province, China. A cross‐sectional design was used. Activities of daily living, physical activity, mobility, and physical performance were measured by the Population Study of ChINese Elderly study instruments, and demographics and cognition were assessed. Of the 228 participants, 57% were independent in basic activities of daily living and 5.7% in instrumental activities of daily living. Stepwise regression showed physical activity, cognition, calf circumference, and self‐reported health were associated with basic activities of daily living. Physical activity, mobility, cognition, and physical performance were correlated with instrumental activities of daily living. In conclusion, the Chinese centenarians showed impaired instrumental activities of daily living but mostly maintained basic functioning. Physical activity and cognition were associated with activities of daily living independence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analyzing functional status and its correlates in Chinese centenarians: A cross‐sectional study

Huang

Chen

Zhou

et al. 2020

Nursing & Health Sciences

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“…Most studies of centenarians in the United States are focused on either genetic (Hadley et al 2000; Perls and Terry 2003; Zeng et al 2010; Murabito et al 2012; Sebastiani et al 2012) or psychological (Adkins et al 1996; Hagberg et al 2001; Margrett et al 2010; Martin et al 2010; Murabito et al 2012) aspects of survival to advanced ages. On the other hand, several theoretical concepts suggest that early-life events and conditions may have significant long-lasting effect on survival to advanced ages.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Exceptional Longevity: Effects of Early-Life and Midlife Conditions, and Familial Longevity

Gavrilov

Gavrilova

2015

North American Actuarial Journal

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Knowledge of strong predictors of mortality and longevity is very important for actuarial science and practice. Earlier studies found that parental characteristics as well as early-life conditions and midlife environment play a significant role in survival to advanced ages. However, little is known about the simultaneous effects of these three factors on longevity. This ongoing study attempts to fill this gap by comparing centenarians born in the United States in 1890–1891 with peers born in the same years who died at age 65. The records for centenarians and controls were taken from computerized family histories, which were then linked to 1900 and 1930 U.S. censuses. As a result of this linkage procedure, 765 records of confirmed centenarians and 783 records of controls were obtained. Analysis with multivariate logistic regression found the existence of both general and gender-specific predictors of human longevity. General predictors common for men and women are paternal and maternal longevity. Gender-specific predictors of male longevity are occupation as a farmer at age 40, Northeastern region of birth in the United States, and birth in the second half of year. A gender-specific predictor of female longevity is the availability of radio in the household according to the 1930 U.S. census. Given the importance of familial longevity as an independent predictor of survival to advanced ages, we conducted a comparative study of biological and nonbiological relatives of centenarians using a larger sample of 1,945 validated U.S. centenarians born in 1880–1895. We found that male gender of centenarian has a significant positive effect on survival of adult male relatives (brothers and fathers) but not female blood relatives. Life span of centenarian siblings-in-law is lower compared to life span of centenarian siblings and does not depend on centenarian gender. Wives of male centenarians (who share lifestyle and living conditions) have a significantly better survival compared to wives of centenarians’ brothers. This finding demonstrates an important role of shared familial environment and lifestyle in human longevity. The results of this study suggest that familial background, some early-life conditions and midlife characteristics play an important role in longevity.

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“…O mesmo autor destaca que estudos populacionais longitudinais têm encontrado resultados diferentes, sugerindo elevada morbidade (especialmente em mulheres), 5 enquanto outros autores encontraram elevados níveis de dependência funcional e declínio cognitivo sugestivo de demência. 6,7 Além do evidente predomínio feminino entre os centenários, as mulheres apresentam maior probabilidade de serem portadoras de múltiplas síndromes geriátricas e maior prevalência de doenças musculoesqueléticas e déficits sensoriais. 6,7 A prevalência de demência entre os centenários parece ser superior a 58%, enquanto 54% são portadores de artrite/artrose.…”

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“…6,7 Além do evidente predomínio feminino entre os centenários, as mulheres apresentam maior probabilidade de serem portadoras de múltiplas síndromes geriátricas e maior prevalência de doenças musculoesqueléticas e déficits sensoriais. 6,7 A prevalência de demência entre os centenários parece ser superior a 58%, enquanto 54% são portadores de artrite/artrose. 5 Os centenários procuram mais os serviços de emergência por pneumonia e quedas do que idosos não centenários, e evoluem mais frequentemente com óbito nessas unidades.…”

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A saúde pública e os centenários: adequações necessárias e um futuro incerto

Wachholz¹,

eacute²,

Boas³

2016

Geriatr., Gerontol. Aging

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RESUMOEm um cenário de envelhecimento populacional global, atingir idades superiores aos 100 anos não é mais fato isolado: no Brasil já foram contabilizados mais de 24 mil centenários, e em algumas nações esse segmento aumentará cerca de 700% até 2050, quando estimam-se aproximadamente 3 milhões de centenários no mundo. A despeito de representar um triunfo social, econômico e tecnológico, o crescimento dos centenários associa-se também a importantes desafios aos tradicionais modelos de seguridade e suporte social, bem como um gargalo para as políticas públicas de saúde. Neste manuscrito nos propusemos a apresentar nossas opiniões sobre a temática, revisar as implicações do aumento dos centenários para a saúde pública, destacando a importância de uma agenda nacional de pesquisa no Brasil envolvendo os centenários, além de discutir alternativas e modelos na reorientação das políticas públicas de saúde, com foco nesse segmento etário. PALAVRAS-CHAVE: idoso; idoso de 80 anos ou mais; saúde pública. ABSTRACTIn a global population aging scenario, achieving 100 years and older is no longer an isolated incident: in Brazil there are already more than 24 thousand centenarians, and in some countries this segment will increase about 700% till 2050, when approximately 3 million centenarians are estimated in the world. Despite being a social, economic and technological triumph, the growth of centenarians is associated with significant challenges to traditional models of security and social support, as well as a potential problem for public health policies. In this paper we propose to present our opinions about this theme, to revise the implications to public health of the exponential increase in the number of centenarians, highlighting the importance of developing a national research agenda in Brazil involving this issue. We also discussed propositions on the reorientation of public health policies models, focusing on this age group..

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Correlates of Functional Capacity Among Centenarians

Cited by 20 publications

References 49 publications

Analyzing functional status and its correlates in Chinese centenarians: A cross‐sectional study

Analyzing functional status and its correlates in Chinese centenarians: A cross‐sectional study

Predictors of Exceptional Longevity: Effects of Early-Life and Midlife Conditions, and Familial Longevity

A saúde pública e os centenários: adequações necessárias e um futuro incerto

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