Subjective State of Health and Survival in Elderly Adults

Kaplan, Giora; Barell, Vita; Lusky, Ayala

doi:10.1093/geronj/43.4.s114

Cited by 237 publications

(109 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…47 Moreover, there is evidence that the presence of some difficulty in performing ADL leads to an over two-fold rise in risk of death. 48 Not only does this shed new light on the enormous impact that excess weight could exert upon the health of Spain's elderly population, but should serve as a spur to implement the necessary control measures.…”

Section: Discussionmentioning

confidence: 99%

Relation between body weight and health-related quality of life among the elderly in Spain

et al. 2003

View full text Add to dashboard Cite

OBJECTIVE: This study examines the relation between body weight and the physical and mental components of health-related quality of life (HRQL) in the population aged 60 y and over in Spain. RESEARCH METHODS AND PROCEDURES: Cross-sectional study covering 3605 subjects, representative of the noninstitutionalised Spanish population aged 60 y and over. Information was collected through home-based personal interview and measurement of blood pressure and anthropometric variables. Logistic regression was used to examine the relation of suboptimal HRQL (scoreo100) on each SF-36 questionnaire scale with body mass index (BMI) and waist circumference. Separate regression models were constructed for each sex and adjusted for sociodemographic variables, tobacco and alcohol consumption, physical activity, arterial hypertension and diagnosed chronic disease. RESULTS: Mean age of the study population was 70.9 y for men and 72.2 y for women. The percentage of overweight subjects was 48.5% in men and 39.8% in women, and of obese subjects, 31.9 and 41.1% respectively. Men registered a better HRQL than women on most of the SF-36 scales. Compared to normal-weight subjects (BMI: 18.5-24.9 kg/m 2 ), frequency of suboptimal physical functioning was higher among obese subjects (BMIZ30 kg/m 2 ), both male (OR: 1.91; 95% CI: 1.22-3.00) and female (OR: 2.58; 95% CI: 1.59-4.19). The aspects of physical functioning most affected were bending, kneeling or stooping, climbing stairs and strenuous effort. Male, though not female, obesity was nonetheless associated with a better HRQL on the SF-36 mental scales. Frequencies of suboptimal scores for overweight persons (BMI: 25-29.9 kg/m 2 ) were similar to those for normal-weight subjects on most of the SF-36 scales. Results proved similar for subjects in both the 60-74 and 75-and-over age groups, and also when waist circumference was used as the measure of obesity (4102 cm in men and 488 cm in women). CONCLUSIONS: Obese men and women showed worse physical functioning than normal-weight persons. This occurred irrespective of whether subjects were over or under 74 y of age, or whether obesity was measured by BMI or waist circumference, and was not explained by unhealthy lifestyles or obesity-related chronic disease.

show abstract

Section: Discussionmentioning

confidence: 99%

Relation between body weight and health-related quality of life among the elderly in Spain

et al. 2003

View full text Add to dashboard Cite

show abstract

“…The validity of self-rated health as a predictor of mortality (Benyamini and Idler 1999;Idler and Angel 1990;Idler and Benyamini 1997;Kaplan, Barell, and Lusky 1988), morbidity (Ferraro, Farmer, and Wybraniec 1997), subsequent disability (Idler and Kasl 1995;Kaplan, Strawbridge, Camacho, and Cohen 1993) and health care utilization (Andersen 1987;Malmstrom, Sundquist, and Johansson 1999) has been widely documented. Furthermore, self-assessed health is a stronger predictor of mortality than is physician-assessed health (Mossey & Shapiro, 1982).…”

Section: Dependent Measurementioning

confidence: 99%

Moving beyond Poverty: Neighborhood Structure, Social Processes, and Health

Browning¹,

Cagney²

2003

Journal of Health and Social Behavior

221

165

View full text Add to dashboard Cite

552Research on the contribution of neighborhood characteristics to individual health has progressed rapidly over the last decade. Mounting empirical evidence of neighborhood socioeconomic structure (SES) effects on a range of adult outcomes including mortality (Haan, Kaplan, and Camacho 1987), heart disease (LeClere, Rogers, and Peters 1998), number of chronic conditions (Robert 1998), and self-rated health (Malmstrom, Sundquist, and Johansson 1999) has fueled calls for continued research on the health effects of multiple dimensions of community SES and the mechanisms that may account for the community structure-health link (Robert 1999). Despite these efforts, neighborhood effects research on health has typically focused on only one dimension of neighborhood structure-the prevalence of economic deprivation-and has yet to explore competing hypotheses regarding the community level mediators of structural effects on health.We draw on social disorganization and collective efficacy theory (Shaw & McKay 1969;Sampson, Raudenbush, and Earls 1997), Wilson's theory of neighborhood decline (Wilson 1987;, and research exploring the health effects of neighborhood context to elaborate and test two sets of hypotheses. First, we extend the typical focus on the health consequences of neighborhood poverty to include a range of other structural characteristics of neighborhoods including the concentration of affluence, residential stability, and ethnic heterogeneity. Our focus on the role of affluence, in particular, builds on recent theory and research highlighting the potentially important role of middle and upper-middle class residents in anchoring community institutions and providing organizational and economic resources with which to promote a healthy environment (Cagney, Browning, and Wen 2002; Robert 1998). Wilson's theory of social

show abstract

“…The response to this question has been shown to be predictive of mortality and future disability, even after control for standard demographic, socioeconomic, and health risk variables. [22][23][24][25][26][27] A recent study found that respondent-assessed health may be less predictive of mortality for less-acculturated persons 28 ; nevertheless, the response to this question is an important overall summary measure of health and functional status.…”

Section: General Health and Functional Statusmentioning

confidence: 99%

Health Status, Health Insurance, and Health Care Utilization Patterns of Immigrant Black Men

2003

View full text Add to dashboard Cite

Objectives. This study sought to describe the health status, health insurance, and health care utilization patterns of the growing population of immigrant Black men. Methods. We used data from the 1997–2000 National Health Interview Survey to examine and then compare health variables of foreign-born Black men with those of US-born Black and White men. Logistic regression analyses were used to examine health outcomes. Results. Foreign-born Black men were in better overall health than their US-born Black counterparts and were much less likely than either US-born Black or White men to report adverse health behaviors. Despite these health advantages, foreign-born Black men were more likely than either US-born Black or White men to be uninsured. Conclusions. In the long term, immigrant Black men who are in poor health may be adversely affected by lack of health care coverage.

show abstract

Subjective State of Health and Survival in Elderly Adults

Cited by 237 publications

References 0 publications

Relation between body weight and health-related quality of life among the elderly in Spain

Relation between body weight and health-related quality of life among the elderly in Spain

Moving beyond Poverty: Neighborhood Structure, Social Processes, and Health

Health Status, Health Insurance, and Health Care Utilization Patterns of Immigrant Black Men

Contact Info

Product

Resources

About