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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Changes in combined lifestyle risks and disability transition in older adults: Korean Longitudinal Study of Aging, 2006-2008
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Changes in combined lifestyle risks and disability transition in older adults: Korean Longitudinal Study of Aging, 2006-2008

机译：老年人的综合生活方式风险和残疾过渡的变化：韩国纵向老龄化研究，2006-2008年

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Objective: This study examined associations between changes in lifestyle risks and disability in late life. Methods: A national sample of Koreans aged ≥. 65. years was surveyed at baseline (2006) and 2-year follow-up (n = 3511). Disability transition was categorized as disability-free, improved, maintained, and declined, based on activities of daily living (ADL) and instrumental ADL (IADL) scales. Lifestyle risk factors included current smoking, heavy alcohol consumption, low physical activity, and unhealthy weight. Changes in lifestyle risks were categorized as risk-free, positive (decreased risk), stable, and negative (increased risk). Multinomial logistic regression models examined the influence of changes in lifestyle risks on disability transition. Results: A higher percentage (82.9%) of respondents who were risk-free remained disability-free than those who exhibited positive (71.8%), stable (64.9%), or negative (63.8%) change (p. <. 0.001). Sustaining no lifestyle risks, compared with negative change, was associated with a higher likelihood of remaining disability-free than decline (odds ratio = 2.68, 95% confidence interval (CI): 1.32-5.42), adjusting for covariates. Among individual lifestyle factors, physical activity was predictive of not only functional independence but also improvement and maintenance. Conclusions: Older adults adopting more healthy lifestyles are more likely to maintain functional independence than decline. Making healthy lifestyle choices may delay disability progression in later life.
机译：目的：本研究检查了生活方式风险的变化与晚年残疾之间的关联。方法：对年龄≥的韩国人进行全国抽样调查。在基线（2006年）和2年随访（n = 3511）时调查了65.岁。根据日常生活（ADL）和工具性ADL（IADL）量表，将残疾过渡划分为无残疾，改善，维持和下降。生活方式风险因素包括当前吸烟，大量饮酒，运动量少和体重不健康。生活方式风险的变化分为无风险，积极（风险降低），稳定和消极（风险增加）。多项逻辑回归模型检验了生活方式风险的变化对残疾过渡的影响。结果：无风险的受访者中，无风险的人保持无残障的百分比高于发生积极变化（71.8％），稳定变化（64.9％）或消极变化（63.8％）的人（p。<。0.001） 。与负性变化相比，保持无生活方式风险与保持无残障而不是下降的可能性更高（优势比= 2.68，95％置信区间（CI）：1.32-5.42），并调整了协变量。在个人生活方式因素中，体育锻炼不仅可以预测功能独立性，还可以预测其改善和维持情况。结论：采用更健康的生活方式的老年人更有可能保持功能独立性而不是下降。做出健康的生活方式选择可能会延迟残疾的发展。

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