The influence of participation on mortality in very old age among community-living people in Sweden.
Activities of daily living
Leisure activity
Longitudinal design
Physical activity
Social engagement
Journal
Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
20
12
2017
accepted:
06
04
2018
pubmed:
22
4
2018
medline:
29
3
2019
entrez:
22
4
2018
Statut:
ppublish
Résumé
Participation in everyday life and society is generally seen as essential for health-related outcomes and acknowledged to affect older people's well-being. To investigate if aspects of performance- and togetherness-related participation influence on mortality among very old single living people in Sweden. ENABLE-AGE Survey Study data involving single-living participants in Sweden (N = 314, aged 81-91 years), followed over 10 years were used. Multivariate Cox regression models adjusted for demographic and health-related variables were used to analyse specific items influencing mortality. Participation in performance- or togetherness-oriented activities was found to significantly influence mortality [HR 0.62 (0.44-0.88), P value 0.006, and HR 0.72 (0.53-0.97), P value 0.031, respectively]. Talking to neighbours and following local politics had a protective effect on mortality, speaking to relatives on the phone (CI 1.10-2.02) and performing leisure activities together with others (CI 1.10-2.00) had the opposite influence. That is, those performing the latter activities were significantly more likely to die earlier. The main contribution of this study is the facet of the results showing that aspects of performance- and togetherness-related participation have a protective effect on mortality in very old age. This is important knowledge for designing health promotion and preventive efforts for the ageing population. Moreover, it constitutes a contribution to the development of instruments capturing aspects of participation influencing on mortality. In the development of health promotion and preventive efforts the inclusion of participation facets could be considered in favour of potential positive influences on longevity.
Sections du résumé
BACKGROUND
BACKGROUND
Participation in everyday life and society is generally seen as essential for health-related outcomes and acknowledged to affect older people's well-being.
AIMS
OBJECTIVE
To investigate if aspects of performance- and togetherness-related participation influence on mortality among very old single living people in Sweden.
METHODS
METHODS
ENABLE-AGE Survey Study data involving single-living participants in Sweden (N = 314, aged 81-91 years), followed over 10 years were used. Multivariate Cox regression models adjusted for demographic and health-related variables were used to analyse specific items influencing mortality.
RESULTS
RESULTS
Participation in performance- or togetherness-oriented activities was found to significantly influence mortality [HR 0.62 (0.44-0.88), P value 0.006, and HR 0.72 (0.53-0.97), P value 0.031, respectively]. Talking to neighbours and following local politics had a protective effect on mortality, speaking to relatives on the phone (CI 1.10-2.02) and performing leisure activities together with others (CI 1.10-2.00) had the opposite influence. That is, those performing the latter activities were significantly more likely to die earlier.
DISCUSSION
CONCLUSIONS
The main contribution of this study is the facet of the results showing that aspects of performance- and togetherness-related participation have a protective effect on mortality in very old age. This is important knowledge for designing health promotion and preventive efforts for the ageing population. Moreover, it constitutes a contribution to the development of instruments capturing aspects of participation influencing on mortality.
CONCLUSION
CONCLUSIONS
In the development of health promotion and preventive efforts the inclusion of participation facets could be considered in favour of potential positive influences on longevity.
Identifiants
pubmed: 29679295
doi: 10.1007/s40520-018-0947-4
pii: 10.1007/s40520-018-0947-4
pmc: PMC6373378
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-271Références
Int J Health Serv. 2012;42(2):277-91
pubmed: 22611655
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Soc Sci Med. 2012 Oct;75(7):1288-95
pubmed: 22748478
Proc Natl Acad Sci U S A. 2013 Apr 9;110(15):5797-801
pubmed: 23530191
Arch Phys Med Rehabil. 2006 Feb;87(2):189-97
pubmed: 16442971
Scand J Prim Health Care. 1990 Mar;8(1):9-17
pubmed: 2356375
Clin Rehabil. 1999 Oct;13(5):411-9
pubmed: 10498348
Soc Sci Med. 2010 Dec;71(12):2141-9
pubmed: 21044812
Am J Occup Ther. 2008 Jan-Feb;62(1):77-86
pubmed: 18254434
J Gerontol B Psychol Sci Soc Sci. 2001 Nov;56(6):S335-42
pubmed: 11682594
Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
Scand J Rehabil Med. 1991;23(4):193-202
pubmed: 1785028
Aging Male. 2002 Mar;5(1):1-37
pubmed: 12040973
Scand J Caring Sci. 2015 Dec;29(4):824-33
pubmed: 25856656
BMJ. 1998 Sep 19;317(7161):802-8
pubmed: 9740574
Disabil Rehabil. 2011;33(25-26):2656-61
pubmed: 21561231
Age Ageing. 2009 Jan;38(1):51-5
pubmed: 18974236
BMJ. 2012 Aug 29;345:e5568
pubmed: 22936786
Disabil Rehabil. 2004 Mar 18;26(6):346-52
pubmed: 15204486