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首页> 外文期刊>BMC Geriatrics >Physical, cognitive, social and mental health in near-centenarians and centenarians living in New York City: findings from the Fordham Centenarian Study
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Physical, cognitive, social and mental health in near-centenarians and centenarians living in New York City: findings from the Fordham Centenarian Study

机译：近居住在纽约市的近百岁生物，社会和心理健康的身体，认知，社会和心理健康：来自福特汉·百年教研究的调查结果

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Despite their strong increase, the population of the very old, including near-centenarians and centenarians, represent an unstudied and underserved population. Available studies mostly concentrate on predictors of exceptional longevity, but rarely extend their focus to other areas of functioning. Also, little is known about what contributes to experiencing a quality life in very old age. The present population-based study aims at providing a comprehensive picture of key domain of functioning, including physical, cognitive, social and mental function in very old individuals and to determine predictors of mental health indicators. A total of 119 individuals aged 95 to 107 living in private dwellings and residential care facilities were recruited based on the New York City Voters Registry. Participants answered questions regarding their health and activities of daily living. Their cognitive functioning was determined using the Mini-Mental State Examination and the Global Deterioration Scale. Social resources were measured with number of children and the Lubben Scale. Mental health was assessed with the Geriatric Depression Scale and the Satisfaction with Life Scale. An unexpectedly large proportion of the sample lived in the community. On average, cognitive functioning was high. Although five diseases were reported on average, participants reported good health. Functional status was reduced. Most participants had at least one person for communication/social support. On average, depression was below cut-off, and most participants reported high life satisfaction. Regression analyses indicated that individual differences in depression were associated with subjective health, IADL and relatives support. For life satisfaction, subjective health, ADL and number of children were most important. Demographic characteristics, number of illnesses or cognitive status were not significant. Despite reduced levels of physical functioning and social resources, very old participants were in good mental health suggesting high resilience and ability to adapt to age-associated challenges. That a large proportion of them lived in the community further highlights their desire for leading an autonomous life, which may have been facilitated by New York service culture. More research is necessary to provide guidance for the development of well-suited services for this very old population.
机译：尽管他们强劲增长，但古老的人口，包括近百岁的人和百岁老人，代表了不存在的人口不足。可用的研究主要集中在卓越寿命的预测因子，但很少将他们的焦点扩展到其他功能领域。此外，很少是众所周知，有助于在老年人中经历质量生活。本群体的研究旨在提供功能的全面形象，包括在非常旧的个人身上的身体，认知，社会和心理功能，并确定心理健康指标的预测因素。招募了119岁的人，居住在私人住宅和住宅护理设施中居住在私人住宅和住宅护理设施中，基于纽约市选民登记处招聘。参与者对他们的健康和日常生活活动回答了问题。他们的认知功能是使用迷你精神状态检查和全球恶化规模确定的。社会资源与儿童数量和鲁宾规模衡量。用老年人抑郁症评估心理健康，并与寿命规模的满意度。意外的大部分样本在社区中生活。平均而言，认知功能很高。虽然平均报告了五种疾病，但参与者报告了健康。功能状态降低。大多数参与者至少有一个人进行沟通/社会支持。平均而言，抑郁症低于截止，大多数参与者报告了高生活满意度。回归分析表明，抑郁症的个体差异与主观健康，IADL和亲属支持有关。对于生活满意度，主观健康，ADL和儿童人数最为重要。人口特征，疾病或认知状态的数量并不重要。尽管物理运作和社会资源减少了较低，但非常古老的参与者处于良好的心理健康，旨在适应年龄相关挑战的高恢复力和能力。他们在社区中生活的大部分进一步强调了他们对引领自治生活的渴望，这可能被纽约服务文化所促进。更多的研究是为这一非常古老的人口制定适合良好的服务的发展提供指导。

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