Low Comorbidity and Male Sex in Nonagenarian Community‐dwelling People Are Associated With Better Functional and Cognitive Abilities: The Nonasantfeliu Study

Formiga, Francesç; Pujol, Ramón; Pérez‐Castejón, Juan Manel; Ferrer, Assumpta; Henríquez, Eduardo

doi:10.1111/j.1532-5415.2005.53528_4.x

Cited by 43 publications

(35 citation statements)

References 6 publications

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“…First, the non-response rate was high (39%); nevertheless, participants were representative of the whole eligible cohort (2). Second, the body mass index included in the MNA-SF was based on self-reported information of height and weight, and no objective measurement exists.…”

Section: Discussionmentioning

confidence: 99%

Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study

et al. 2007

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“…Data were taken from the NonaSantfeliu study [5] , which is a population-based study of nonagenarian inhabitants of the city of Sant Feliu de Llobregat (Barcelona, Spain). The study included all subjects 1 89 years old living in the city.…”

Section: Methodsmentioning

confidence: 99%

“…In our geographic area, previous studies of this age group predominantly involved women, who were usually widows. In addition, a large proportion of these subjects were functionally independent [4,5] . Being male and having lower comorbidity has been associated with more successful aging in nonagenarians [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Functional Decline in Nonagenarians: A One-Year Follow-Up

et al. 2007

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Background: Disability and a decline in functional capacity are common in old age. Objective: To determine predictors of functional decline in nonagenarians’ basic activities of daily living (ADL) after 1 year of follow-up. Methods: A sample of 97 nonagenarians subjects not previously severely dependent (Barthel Index >59) was evaluated. This sample included 72 women (74.2%) and the mean (SD) age was 93.4 ± 2.7 years. The following data were collected: sociodemographic data, Barthel Index (BI), Lawton-Brody Index (LI), Mental State Examination (MEC), a short version of the Mini-Nutritional Assessment, comorbidity (Charlson Index), lower-extremity function, Gait Rating Scale from the Tinetti Performance-Oriented Mobility Scale and prevalent chronic diseases. Subjects who had a 10-point or higher decline in the BI in 1 year were compared to subjects who had no decline or a maximum decline of 9 points. In addition, subjects whose total BI score fell below 60 were compared to the group of subjects who maintained scores between 60 and 100. The Student’s t test, the χ² or the Fisher’s exact test, and a multiple logistic regression analysis (with the identified risk factors of age and gender) were performed. Results: 39 nonagenarians experienced a 10-point or higher decline in the BI in 1 year. A lower LI score (p = 0.003) and visual impairment (p = 0.01) were associated with functional decline. The multiple regression analysis showed that there was a significant association with LI (odds ratio (OR) 0.74, confidence interval 95% 0.60–0.91, p < 0.005). The 18 nonagenarians who had a BI <60 had a BI >60 at baseline. Lower scores on the LI (p = 0.004) and on the MEC (p = 0.01), a history of a previous stroke (p = 0.009) and higher Charlson Index scores (p = 0.03) were associated with recently acquired, severe dependency. A multiple regression analysis showed a significant association between LI (OR 0.65, 0.47–0.89, p < 0.008) and a history of previous strokes (OR 3.39, 1.01–11.34, p < 0.04). Conclusions: According to the definition used to describe functional basic ADL decline, poor performance in instrumental ADL at baseline and a history of a stroke appear to be independent risk factors. Prevention strategies could be intensified in this subgroup of nonagenarians.

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“…This greater longevity may be associated with increased multimorbidity rates (1,2). Few studies have prospectively evaluated long-term predictors of mortality in nonagenarians (3)(4)(5)(6), and information regarding mortality among those with cognitive and/or functional impairment remains scarce (7,8).…”

Section: Introductionmentioning

confidence: 99%

Vital status after five-year follow-up of nonagenarians with functional and/or cognitive impairment at baseline: The nonasantfeliu study

Formiga

Ferrer

Molinero³

et al. 2011

The Journal of nutrition, health and aging

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Low Comorbidity and Male Sex in Nonagenarian Community‐dwelling People Are Associated With Better Functional and Cognitive Abilities: The Nonasantfeliu Study

Cited by 43 publications

References 6 publications

Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study

Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study

Risk Factors for Functional Decline in Nonagenarians: A One-Year Follow-Up

Vital status after five-year follow-up of nonagenarians with functional and/or cognitive impairment at baseline: The nonasantfeliu study

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