Mortality- and Health-Related Factors in a Community-Dwelling of Oldest-Older Adults at the Age of 90: A 10-Year Follow-Up Study

Nomura, Yasuo; Shimada, Mieko; Kakuta, Erika; Okada, Ayako; Otsuka, Ryoko; Tomizawa, Yasuko; Taguchi, Chieko; Arikawa, Kazumune; Daikoku, Hideki; Satô, Tamotsu; Hanada, Nobuhiro

doi:10.3390/ijerph17249584

Cited by 5 publications

(2 citation statements)

References 115 publications

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“…13 There were more female patients included in the study, which is due to females tend to live longer but are in poorer health than males late-in-life. 14,15 In general, this is probably because the prevalence of osteoporosis is much higher in women than in men and suffers the majority of osteoporotic bone fractures. 16,17 In this study, we also found most patients had their fractures occurring at home, taking approximately three-fifths of the overall fractures.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Fall-Related Fractures in Older Adults with Cerebrovascular Disease: A Cross-Sectional Study

Guo

Zhao

et al. 2021

CIA

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Limited information exists on fall-related fractures in older adults with cerebrovascular disease. This study aimed to determine the characteristics of older adults with cerebrovascular disease who sustained fall-related fractures and identify the associated risk factors for perioperative complications. Patients and Methods: This was a cross-sectional study, which included patients with cerebrovascular disease who sustained fractures between Jan. 2017 and Dec. 2019. The collected data included demographics (age and gender), time and place of fracture occurrence, mechanism of injury, fracture location, type of cerebrovascular disease, complications, and comorbidities. Results: A total of 768 patients with 815 fractures were included; there were 253 males and 515 females, with an average age of 78.3 years. For either males or females, 80-84 years was the most commonly involved age group. Most (61.0%) patients had their fractures occurring at home and most fractures (70.7%) occurred during the daytime. Most were hip fractures and limb weakness; instability-related falls were the most common cause of fracture, making a proportion of 34.5%. Patients who suffered falls were mainly combining ischemic cerebrovascular disease. Most (85.9%) patients presented with at least one comorbid disease and the perioperative complication rate was 76.9% in total cases. Age≥80 (OR: 1.772, 95% CI: 1.236-2.540) and the number of comorbidities≥3 (OR: 1.606, 95% CI: 1.035-2.494) were found independently associated with complications, while the type of cerebrovascular disease, fracture location, and comorbidities of prior fragility fracture and respiratory disease were not significantly correlated with complications. Conclusion: Our findings highlighted that more focus on improved physical function explored in intervention setting and the importance of primary home prevention measures seems justified in China and maybe other countries as well. It is the first study that presented the epidemiological characteristics of older adults with cerebrovascular disease who later experienced a fracture.

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Section: Discussionmentioning

confidence: 99%

Characteristics of Fall-Related Fractures in Older Adults with Cerebrovascular Disease: A Cross-Sectional Study

Guo

Zhao

et al. 2021

CIA

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“…In China, the legal age for marriage is 20 for women but 22 for men, which may account for the higher marital SES-score in youth women. However, due to the longer life expectancy of women, 23 old women were more likely to lose their partner than old men. Thus, the gender gap in marital status reversed with age.…”

Section: Discussionmentioning

confidence: 99%

Distribution of socioeconomic status and its association with type 2 diabetes mellitus in China rural area: Henan Rural Cohort study

Kang¹,

Liu²,

Liao³

et al. 2021

Preprint

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Background The measures of socioeconomic status (SES) differed across divergent researches and rare of them focused on rural population. This research, thus, presented a novel measure of SES among rural population and then estimated its association with type 2 diabetes mellitus (T2DM). Methods All participants were farmer and enrolled from the Henan Rural Cohort study. SES of individual was assessed by SES-score, a composite index derived from three SES-related indicators (education level, average monthly income, and marital status). Binary logistic regression was employed to examine the independent association between SES-score and T2DM as well as the combined effects of SES and age on T2DM. To detect the gender differences, all analyses were stratified by gender. Results Among 39259 rural participants, the means (SDs) SES-score of total population, men, and women were 3.47 (1.54), 3.72 (1.49), and 3.31 (1.57), respectively. The SES-score decreased with age and men always had a higher score than women. The prevalence of T2DM decreased with increasing SES-score among women (14.87–4.47%, P trend <0.001), while an inverse trend was observed among men (6.59–9.87%, P trend <0.001). Adjusted ORs (95%CIs) for prevalent T2DM, per unit increase, were 1.07 (1.03, 1.12) in men and 0.96 (0.93, 0.99) in women. Old men with high SES and old women with low SES were vulnerable to T2DM. Conclusions Men had a higher SES-score than women in rural areas, and this gap increased with age. The association between SES and T2DM was differed by gender. Trail Registration: The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375

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Masticatory function and mortality among older adults living in long‐term care facilities in Brazil

Medeiros,

Gama,

Ferreira

et al. 2024

Gerodontology

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ObjectiveTo investigate the association between mortality and masticatory function in older adults living in long‐term care facilities (LTCFs), controlling for demographic and health covariates.BackgroundPoor oral health has been associated with mortality; however, no previous study investigated whether objective and self‐reported poor masticatory function is a predictor of early mortality in LTCFs.Materials and MethodsBaseline characteristics of 295 participants were collected, including age, sex, polypharmacy, mobility, activities of daily living, frailty, nutritional status, and objective (masticatory performance – chewing gum) and self‐reported masticatory function. The participants were followed‐up with for 4 years to record the mortality data. Cox regression models were run to analyse the data (α = .05).ResultsDuring the 4‐year follow‐up, 124 (42.0%) participants died. Older adults with poor masticatory performance (hazard ratio [HR] = 1.59, 95% confidence interval [95% CI] = 1.07–2.36) and those who self‐reported masticatory dysfunction (HR = 1.48, 95% CI = 1.01–2.16) were at higher risk of early death than those with good mastication. However, in a multivariate model including both objective and self‐reported masticatory function, only the objective measurement remained associated with early death (HR = 1.52, 95% CI = 1.02–2.27).ConclusionPoor masticatory performance seems to be associated with early death in older adults living in LTCFs, but they may have shared risk factors accumulated throughout life that were not covered by the study period.

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Mortality- and Health-Related Factors in a Community-Dwelling of Oldest-Older Adults at the Age of 90: A 10-Year Follow-Up Study

Cited by 5 publications

References 115 publications

Characteristics of Fall-Related Fractures in Older Adults with Cerebrovascular Disease: A Cross-Sectional Study

Characteristics of Fall-Related Fractures in Older Adults with Cerebrovascular Disease: A Cross-Sectional Study

Distribution of socioeconomic status and its association with type 2 diabetes mellitus in China rural area: Henan Rural Cohort study

Masticatory function and mortality among older adults living in long‐term care facilities in Brazil

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