High-Level Functional Capacity and 4-Year Mortality in an 80-Year-Old Population

Abstract

Background: Little is known about the relationship between high-level functional capacity and mortality in elderly people. Objective: To evaluate the relationship between high-level functional capacity, such as intellectual activity and social role, and 4-year mortality in a population of 80-year-old community residents. Methods: Participating in the study were 697 individuals (277 males and 420 females) out of 1,282 80-year-old individuals residing in Fukuoka Prefecture, Japan. To measure high-level functional capacity, the daily activities of 656 of the 697 participants were examined through questionnaires, accompanied by physical and laboratory blood examinations. The 697 participants were followed up for 4 years after the baseline examination. For subjects who died during that period, the date and cause of death were recorded from resident registration cards and official death certificates. Results: The relative risk for all-cause mortality decreased with an increase in intellectual activity or total functional capacity, whereas no association was found between total mortality and either the ability to perform instrumental self-maintenance or the ability to maintain a social role. Similarly, the relative mortality risk due to cardiovascular diseases decreased with an increase in intellectual activity or total functional capacity. Mortality due to pneumonia also decreased with an increase in intellectual activity. Conclusion: In a population of 80-year-old community residents, levels of intellectual activity and total functional capacity may be associated with all-cause, cardiovascular, and pneumonia mortality, and may be strong predictors of survival.

Effects of Whey Protein Supplementation Pre- or Post-Resistance Training on Muscle Mass, Muscular Strength, and Functional Capacity in Pre-Conditioned Older Women: A Randomized Clinical Trial

“…We observed improvements in functional capacity, specifically for the 10 WM-test, across the groups, with large increases in the protein groups when compared with the placebo. Improvements in functional capacity are of important clinical relevance and reduce the risk of institutionalization and mortality [ 47 ]. It could be speculated that such improvements in functional capacity in the WP-PLA and PLA-WP are due to improvements in SMM (which influences muscle quality) and neuromuscular action [ 9 , 48 ], and also due to improvements in muscular strength [ 49 ].…”

Global cognition and 8‐year survival among Japanese community‐dwelling older adults

“…Cognitive performance among older adults is prone to be affected by physical health status (Tombaugh and McIntyre, 1992), such as functional disability, hearing loss, and chronic disease, which are all closely related to mortality (Korten et al, 1999;Ostbye et al, 1999;Kattainen et al, 2004;Spiers et al, 2005;Takata et al, 2007;Lee et al, 2008). Cognitive performance among older adults is prone to be affected by physical health status (Tombaugh and McIntyre, 1992), such as functional disability, hearing loss, and chronic disease, which are all closely related to mortality (Korten et al, 1999;Ostbye et al, 1999;Kattainen et al, 2004;Spiers et al, 2005;Takata et al, 2007;Lee et al, 2008).…”

“…The third possible reason is physical health status. Cognitive performance among older adults is prone to be affected by physical health status (Tombaugh and McIntyre, 1992), such as functional disability, hearing loss, and chronic disease, which are all closely related to mortality (Korten et al, 1999;Ostbye et al, 1999;Kattainen et al, 2004;Spiers et al, 2005;Takata et al, 2007;Lee et al, 2008). Thus, individuals who exhibited a mild deficit in global cognition (MMSE scores of 24-27) may be likely to have poor physical health, and consequently, they may be more likely to have shorter lives as well.…”

IgA Level Is Associated with Risk for Mortality in an Eighty-Year-Old Population

“…SBP is a risk factor for cardiovascular disease [20] . ADL is associated with overall survival and pneumonia [21] . We also classified the complication diseases according to ICD-10.…”