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- Title
Association of Activities of Daily Living and Indices of Mental Status with Subsequent 20-year All-Cause Mortality in an Elderly Japanese Population.
- Authors
Kushiro, Wakako; Yokoyama, Tetsuji; Date, Chigusa; Yoshiike, Nobuo; Tanaka, Heizo
- Abstract
Purpose: To examine the associations of activities of daily living (ADL) and indices of mental status with the risk of subsequent mortality in an elderly Japanese population. Design: Prospective cohort study. Participants: 725 men and 984 women aged 65 years or older at time of baseline examination in 1976–1977. Measurements: Demographic data, levels of disability in ADL, and indices of mental status including self-rated health (SRH), dementia, and depression. Main outcome measures: The subsequent 20-year all-cause mortality. Results: (1) Disability in ADL and several indices of mental status (i.e. bad SRH, high dementia score, decreased pleasure, low morale, and prone to tears) were significantly associated with an increased risk of subsequent 20-year all-cause mortality. (2) The risk of all-cause mortality among people who had no disability in ADL with either of bad SRH, decreased pleasure, high dementia score, or low morale was similar to that among people who had some disability in ADL with either good SRH, increased pleasure, low dementia score, or high morale, respectively. Conclusion: There were strong associations among the levels of disability in ADL and several indices of mental status with subsequent mortality. It was concluded that good mental status may improve longevity even when elderly people have some disability in ADL.
- Subjects
JAPAN; SOUTH Korea; SEOUL (Korea); KOREA; OLDER people; MENTAL health; CONFERENCES &; conventions
- Publication
Nursing & Health Sciences, 2002, Vol 4, Issue 3, pA5
- ISSN
1441-0745
- Publication type
Abstract
- DOI
10.1046/j.1442-2018.2002.01140_12.x