New Disability in a Cohort Study of Older Men-The Manitoba Follow-Up Study.

IF 1.6 Q4 GERIATRICS & GERONTOLOGY

Canadian Geriatrics Journal Pub Date : 2024-12-01 DOI:10.5770/cgj.27.771

Philip D St John, Scott Nowicki, Robert B Tate

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引用次数: 0

Abstract

Background: There is a large literature on the prevalence of disability in older men, but less data on the incidence of new disability.

Objectives: 1. To determine the incidence of moderate-to-severe disability in a prospective cohort study of aging men; and 2. To determine predisposing risk factors for new moderate to severe disability.

Design & setting: The Manitoba Follow-up Study is a closed cohort study. In 1948, the initial sample was 3,983 men who qualified for air crew training in the Royal Canadian Air Force. In 2004, there were 796 men who were still alive and responded to the annual questionnaire with no missing data, and who did not have disability. The mean age at that time was 84.

Methods: We calculated the incidence of new moderate-to-severe disability from 2004 to 2017, calculated the time to disability, and constructed survival analysis models to determine factors which predicted disability.

Results: The incidence of disability increased with the aging of the cohort and ranged from 4% to 12% per year. In unadjusted models, poor self-rated health (SRH), low life satisfaction, a low score on the Physical Component Score (PCS) of the Short Form-36, and the number of chronic conditions were all associated with new disability. In adjusted models, SRH, the PCS, and the number of chronic conditions were associated with new disability.

Conclusions: Global measures of well-being, as well as multimorbidity, predict new disability.

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老年男性队列研究中的新残疾——马尼托巴随访研究。

背景：关于老年男性残疾患病率的文献大量，但关于新残疾发生率的数据较少。目的:1。在一项老龄男性前瞻性队列研究中确定中度至重度残疾的发生率；和2。确定新发中度至重度残疾的易感危险因素。设计与设置：曼尼托巴随访研究是一项封闭队列研究。1948年，最初的样本是3983名有资格参加加拿大皇家空军空勤人员培训的男子。2004年，共有796名男性在世，他们在年度调查问卷中没有遗漏数据，而且没有残疾。当时的平均年龄是84岁。方法：计算2004 - 2017年新发中重度残疾发生率，计算致残时间，构建生存分析模型，确定预测致残的因素。结果：残疾发生率随着队列年龄的增长而增加，每年从4%到12%不等。在未调整的模型中，较差的自评健康（SRH）、较低的生活满意度、较低的短表36物理成分评分（PCS）和慢性病的数量都与新的残疾有关。在调整后的模型中，SRH、PCS和慢性病的数量与新的残疾有关。结论：福祉的全球测量，以及多病，预测新的残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Geriatrics Journal Nursing-Gerontology

CiteScore

5.20

自引率

0.00%

发文量

期刊介绍： The Canadian Geriatrics Journal (CGJ) is a peer-reviewed publication that is a home for innovative aging research of a high quality aimed at improving the health and the care provided to older persons residing in Canada and outside our borders. While we gratefully accept submissions from researchers outside our country, we are committed to encouraging aging research by Canadians. The CGJ is targeted to family physicians with training or an interest in the care of older persons, specialists in geriatric medicine, geriatric psychiatrists, and members of other health disciplines with a focus on gerontology.