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711.
Jeremy M. Jacobs MBBS Aliza Hammerman‐Rozenberg MA Jochanan Stessman MD 《Journal of the American Geriatrics Society》2018,66(1):106-112
Objectives
To determine the association between frequency of leaving the house and mortality.Design
Prospective follow‐up of an age‐homogenous, representative, community‐dwelling birth cohort (born 1920–21) from the Jerusalem Longitudinal Study (1990–2015).Setting
Home.Participants
Individuals aged 70 (n = 593), 78 (n = 973), 85 (n = 1164), and 90 (n = 645), examined in 1990, 1998, 2005, and 2010, respectively.Measurements
Frequency of leaving the house, defined as daily (6–7/week), often (2–5/week), and rarely (≤1/week); geriatric assessment; all‐cause mortality (2010–15). Kaplan‐Meier survival charts and proportional hazards models adjusted for social (sex, marital status, financial status, loneliness), functional (sex, self‐rated health, fatigue, depression, physical activity, activity of daily living difficulty), and medical (sex, chronic pain, visual impairment, hearing impairment, diabetes mellitus, hypertension, ischemic heart disease, chronic kidney disease) covariates.Results
At ages 70, 78, 85, and 90, frequency of going out daily was 87.0%, 80.6%, 65.6%, and 48.4%; often was 6.4%, 9.5%, 17.4%, and 11.3%; and rarely was 6.6%, 10.0%, 17.0%, and 40.3% respectively. Decreasing frequency of going out was associated with negative social, functional, and medical characteristics. Survival rates were lowest among those leaving rarely and highest among those going out daily throughout follow‐up. Similarly, compared with rarely leaving the house, unadjusted mortality hazard ratios (HRs) were lowest among subjects leaving daily and remained significant after adjustment for social, functional and medical covariates. Among subjects leaving often, unadjusted HRs showed a similar effect of smaller magnitude, with attenuation of significance after adjustment in certain models. Findings were unchanged after excluding subjects dying within 6 months of follow‐up.Conclusion
In community‐dwelling elderly adults aged 70 to 90, leaving the house daily was associated with lower mortality risk, independent of social, functional, or medical status. 相似文献712.
Joseph Azuri MD Ariel Hammerman PhD Enis Aboalhasan BA Ben Sluckis MD Ronen Arbel PhD 《Diabetes, obesity & metabolism》2023,25(4):961-964