Can health behaviours prolong survival and compress the period of survival with the disability? A population-based cohort study.
Age Ageing
; 50(2): 480-487, 2021 02 26.
Article
em En
| MEDLINE
| ID: mdl-32706849
ABSTRACT
BACKGROUND:
It remains unclear whether and to what extent health behaviours may prolong survival and compress the period of survival with disability.OBJECTIVE:
To identify modifiable health behaviours that are associated with later disability onset and longer disability-free survival.DESIGN:
This population-based cohort study used data from the Swedish National Study on Ageing and Care in Kungsholmen (SNAC-K) ranging between 2001 and 2016. SETTING ANDSUBJECTS:
A total of 3,041 disability-free adults aged ≥60 years were followed up to 15 years.METHODS:
Data on health behaviours were collected at baseline. Information on limitations in activities of daily living was obtained at baseline and during the follow-up. Laplace regression was used to model the median age at death and disability occurrence as a function of health behaviours.RESULTS:
Never smoking, moderate alcohol drinking, rich social network and high leisure activity were individually related to longer survival by 1-3 years. Participants with high leisure activity lived 1.6 years (95% CI 0.9-2.3) more without a disability. After combining lifestyle factors, social network, and leisure activities into a 4-level 'health behaviour profile', people with the healthiest behaviour profile lived 2.8 years (95% CI 1.3-4.2) longer, had disability 3.5 years (95% CI 1.7-5.3) later and lived 0.7 years (95% CI, 0.4-1.1) more without a disability compared to those with the least healthy behaviours profile.CONCLUSIONS:
These findings suggest that health behaviours could prolong the lifespan, and leisure activities may further compress years lived with disability among older adults.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atividades Cotidianas
/
Pessoas com Deficiência
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Age Ageing
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
China