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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Decline in health for older adults: Five-year change in 13 key measures of standardized health
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Decline in health for older adults: Five-year change in 13 key measures of standardized health

机译：老年人健康状况下降：13年标准化健康关键指标的五年变化

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Background.The health of older adults declines over time, but there are many ways of measuring health. It is unclear whether all health measures decline at the same rate or whether some aspects of health are less sensitive to aging than others.Methods.We compared the decline in 13 measures of physical, mental, and functional health from the Cardiovascular Health Study: hospitalization, bed days, cognition, extremity strength, feelings about life as a whole, satisfaction with the purpose of life, self-rated health, depression, digit symbol substitution test, grip strength, activities of daily living, instrumental activities of daily living, and gait speed. Each measure was standardized against self-rated health. We compared the 5-year change to see which of the 13 measures declined the fastest and the slowest.Results. The 5-year change in standardized health varied from a decline of 12 points (out of 100) for hospitalization to a decline of 17 points for gait speed. In most comparisons, standardized health from hospitalization and bed days declined the least, whereas health measured by activities of daily living, instrumental activities of daily living, and gait speed declined the most. These rankings were independent of age, sex, mortality patterns, and the method of standardization.Conclusions.All of the health variables declined, on average, with advancing age, but at significantly different rates. Standardized measures of mental health, cognition, quality of life, and hospital utilization did not decline as fast as gait speed, activities of daily living, and instrumental activities of daily living. Public health interventions to address problems with gait speed, activities of daily living, and instrumental activities of daily living may help older adults to remain healthier in all dimensions.
机译：背景：随着时间的流逝，老年人的健康状况会下降，但是有许多测量健康状况的方法。目前尚不清楚所有健康指标是否都以相同的速度下降，或者某些健康指标对衰老的敏感性低于其他方面。方法：我们比较了《心血管健康研究》中住院，身心健康和功能保健方面13项指标的下降，就寝天数，认知，四肢力量，整体生活感觉，对生活目标的满意度，自我评估的健康状况，抑郁，数字符号替代测试，握力，日常活动，日常工具活动以及步态速度。每种措施均针对自我评估的健康状况进行了标准化。我们比较了5年的变化，以查看13项措施中哪项下降最快和最慢。标准化医疗的5年变化范围从住院下降12点（满分为100）到步态速度下降17点。在大多数比较中，住院和就寝日的标准健康下降最少，而以日常生活活动，日常生活工具活动和步态速度衡量的健康状况下降最多。这些排名与年龄，性别，死亡率模式和标准化方法无关。结论：随着年龄的增长，所有健康变量平均下降，但比率却有显着差异。心理健康，认知，生活质量和医院利用率的标准化衡量指标没有以步态速度，日常生活活动和日常生活工具活动的速度下降。解决步态速度，日常生活活动和日常生活工具活动的公共卫生干预措施可以帮助老年人在各个方面保持健康。

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