Heterogeneity in the Health and Functional Capacity of Adults Aged 85+ as Risk for Mortality.
OBJECTIVES: To examine whether older adults aged 85+, with different health and functional capacities, cluster in different ways and to demonstrate whether individuals within particular clusters report differential mortality risk. DESIGN: Retrospective cohort study. SETTING: The Dynamic Analyses to...
| Publicado en: | Journal of the American Geriatrics Society Vol. 67; no. 5; pp. 1036 - 1043 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
May2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=136151016&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 136151016 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: May2019 vid: 67 iid: 5 pid: 480 pub: Wiley-Blackwell artinfo: ui: 136151016 10.1111/jgs.15780 ppf: 1036 ppct: 7 formats: tig: atl: Heterogeneity in the Health and Functional Capacity of Adults Aged 85+ as Risk for Mortality. aug: au: Burns, Richard A. French, Davina Luszcz, Mary Kendig, Hal L. Anstey, Kaarin J. affil: Centre for Research on Ageing, Health and Wellbeing, The Research School of Population Health, Australian National University, Canberra Australian Capital Territory, Australia ARC Centre of Excellence in Population Ageing Research (CEPAR), The Australian National University, Canberra Australian Capital Territory, Australia School of Psychology and Exercise Science, Murdoch University, Perth Western Australia, Australia Flinders Centre for Ageing Studies and Department of Psychology, Flinders University, Adelaide South Australia, Australia School of Psychology, University of New South Wales, Kensington New South Wales, Australia Neuroscience Research Australia, Sydney New South Wales, Australia su: Health of older people Mortality Mental health of older people Comorbidity Depression in old age sug: subj: Health of older people Mortality Mental health of older people Comorbidity Depression in old age keyword: aging comorbidity dementia depression functional status aging comorbidity dementia depression functional status ab: OBJECTIVES: To examine whether older adults aged 85+, with different health and functional capacities, cluster in different ways and to demonstrate whether individuals within particular clusters report differential mortality risk. DESIGN: Retrospective cohort study. SETTING: The Dynamic Analyses to Optimize Aging (DYNOPTA) project is a harmonization project of nine Australian longitudinal surveys of health and well‐being in adults aged 50+ between 1991 and 2006. PARTICIPANTS: Participants were 685 older adults (female = 52%) living in the community and aged 85 to 103 at baseline who were followed until death or December 31, 2006, for survivors. MEASUREMENT: Latent class analysis (LCA) analyzed self‐reported information on physical health, mental health, and functional capacity to define homogeneous classes based on probable cognitive impairment and depression status, medical conditions, and number of activities of daily living and instrumental activities of daily living. RESULTS: LCA discriminated four classes reflecting two main survival patterns. Two classes reported half the median survival days; differences between these classes were related to high vs moderate depression and extent of functional limitations. Two classes reported better survival; differences between these classes were related to functional limitations, but both had low proportions with depression and dementia. The classes with shorter survival were associated with substantively higher rates of depression and dementia. CONCLUSION: Higher rates of baseline depression and dementia were unique characteristics of those individuals in the clusters that reported shorter survival. However, a substantial proportion of very old adults experience good mental health with better survival outcomes. J Am Geriatr Soc 67:1036–1042, 2019. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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