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Aim: Functional status at one moment in time is a determinant of future functional status and survival. Physical deterioration tends to occur early in the disabling process; however, etiological questions remain. This study investigated the association between physical performance characteristics and functioning independently in middle‐aged and elderly men. Methods: A total of 400 independently‐living men aged 40–80 years were included in this cross‐sectional study. Preservation of function was measured using the Stanford Health Assessment Questionnaire. Physical characteristics were muscle strength and power by dynamometer, lung function, lower extremity function by physical performance score, and physical activity by Voorrips‐questionnaire. Logistic regression analysis was used to estimate the association between potential determinants and the dichotomized Health Assessment Questionnaire score. The odds ratios (OR) were adjusted for age, body mass index, education, socioeconomic status, smoking, alcohol and number of chronic diseases. Results: After adjustment for confounders, higher walking speed (OR = 2.96, 95% CI 1.31–6.72) and shorter time to carry out the chair stand test (OR = 0.84, 95% CI 0.76–0.94) were associated with a higher probability of being independent in activities of daily living (ADL). Borderline significant associations were found for higher lung function and higher leg strength with higher probability of being independent in ADL. No associations were found for grip strength, physical performance score, standing balance and physical activity. Conclusion: Lower body function and lung function were associated with a higher probability of being independent in ADL. Geriatr Gerontol Int 2013; 13: 274–280 .  相似文献   
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Is activity participation in old age important for survival independent of one's earlier history of participation? A nationally representative sample of 457 older persons was followed for 25 years with data from the Level-of-Living Survey and the SWEOLD study. Cox regressions showed that regardless of earlier activities and health, late-life leisure engagement was associated with enhanced survival, especially among men. Among women, earlier activities (study groups) also seem important, perhaps by providing social networks. Results suggest that it is worthwhile to encourage elderly people to participate in leisure activities and to facilitate their participation in the community even at high ages.  相似文献   
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The aim of this evaluation was to ascertain the perspectives of both carers of older people and residential care staff regarding the impact of a new radio program, Silver Memories, on the behavior and well-being of older listeners, as well as their opinions regarding the program's quality and appeal. Silver Memories is a unique radio service designed for the older listener that broadcasts music and programs from the 1920s to the 1950s. The program first aired in Brisbane, Australia, in April 2008. Nine carers of older people and 15 care staff from 11 residential aged care facilities in which Silver Memories had been introduced for a 3-month trial period were interviewed to obtain their views regarding the quality of the program and its impact on older listeners. The majority of respondents thought that listening to Silver Memories positively influenced the well-being, morale, and behavior of older listeners very much or greatly. Relaxation was the most frequently reported benefit and older listeners with dementia appeared to receive the greatest benefit. The friendliness and quality of the program were also rated highly. It was concluded that old-time music and programs such as those broadcast by Silver Memories appear to be beneficial for older people.  相似文献   
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The purposes of this study were to evaluate the levels of sleep quality and to examine its related factors in the elderly Korean adults. A cross‐sectional research design was used, and 157 adults, aged from 65 to 89, were recruited from five community health centres in Gyeonggi province and Seoul, Korea. All participants were informed about the purpose of the study and were asked to provide demographic characteristics, chronic conditions, self‐rated health, pain, depression, life satisfaction and sleep quality. More than 60% of the participants reported having poor sleep quality. Hierarchical multiple regression analysis showed that age, self‐rated health, pain and depression were related to poor sleep quality. The findings suggest that it is important to screen regularly for sleep quality, and attention to depression, poor self‐rated health and perceived pain were needed to improve sleep quality of older adults.  相似文献   
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