Impact of lifestyle risk factors on admission to nursing home care: a cohort study of 127 108 people aged 60 years and over

被引：3
作者：
Gibson, Alice A. [1 ,2 ]
Gale, Joanne [1 ,2 ]
Stamatakis, Emmanuel [2 ]
Lindley, Richard, I [3 ,4 ]
Fontana, Luigi [2 ,5 ,6 ]
Cistulli, Peter A. [2 ,7 ,8 ]
Nassar, Natasha [1 ,2 ,9 ]
机构：
[1] Univ Sydney, Fac Med & Hlth, Menzies Ctr Hlth Policy & Econ, Sch Publ Hlth, Sydney, NSW, Australia
[2] Univ Sydney, Charles Perkins Ctr, Camperdown, NSW, Australia
[3] Univ Sydney, Fac Med & Hlth, Westmead Appl Res Ctr, Sydney, NSW, Australia
[4] George Inst Global Hlth, Sydney, NSW, Australia
[5] Royal Prince Alfred Hosp, Dept Endocrinol, Camperdown, NSW, Australia
[6] Brescia Univ, Dept Clin & Expt Sci, Med Sch, Brescia, Italy
[7] Univ Sydney, Fac Med & Hlth, Charles Perkins Ctr, Sleep Res Grp, Sydney, NSW, Australia
[8] Royal North Shore Hosp, Dept Resp & Sleep Med, St Leonards, NSW, Australia
[9] Univ Sydney, Childrens Hosp, Fac Med & Hlth, Child Populat & Translat Hlth Res,Westmead Clin Sc, Sydney, NSW, Australia
来源：
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH | 2023年 / 77卷 / 11期
关键词：
LIFE STYLE; EPIDEMIOLOGY; COHORT STUDIES; PHYSICAL-ACTIVITY; HEALTH OUTCOMES; SLEEP DURATION; METAANALYSIS; MORTALITY; TIME;
D O I：
10.1136/jech-2023-220518
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
BackgroundLittle is known on how lifestyle factors, individually or in combination, may relate to nursing home admission, an outcome of great societal and economic importance with increased population ageing. The aim of this study was to determine the association of lifestyle risk factors with nursing home admission.MethodsThis prospective cohort study linked data from the 45 and Up Study, Australia, to health records. 127 108 men and women, aged >= 60 years, were recruited between 2006 and 2009. A healthy lifestyle score categorised participants into three risk groups based on five equally contributing risk factors: smoking status, physical activity, sedentary behaviour, sleep duration and diet quality. HRs for incident nursing home admission were estimated using multivariable Cox proportional hazards model.ResultsOne-quarter of participants were in the low-risk lifestyle group, 62% were in the medium-risk group and 14% in the high-risk (least healthy) group. During a median (IQR) follow-up of 11.3 years, 23 094 (18%) participants were admitted to a nursing home. Compared with those in the low-risk group, risk of nursing home admission was 43% higher among participants in the high-risk group (multivariable adjusted HR (aHR) 1.43; 95% CI 1.36 to 1.50); and participants in the medium-risk group had an intermediate 12% greater risk (aHR 1.12; 95% CI 1.08 to 1.16). Participants aged 60-64 years in the high-risk (aHR 2.15; 95% CI 1.82 to 2.54) lifestyle group had the greatest risk of nursing home admission.ConclusionAn unhealthy lifestyle was associated with a marked increased risk of admission to a nursing home in adults aged 60+ years. Interventions focused on lifestyle modifications may prevent or delay nursing home admission.
引用
收藏
页码：744 / 751
页数：8
相关论文
共 38 条
  • [1] [Anonymous], 2013, Healthy eating for adults
  • [2] Australian Bureau of Statistics, 2006, CENS REF INF 2006
  • [3] Australian Government Department of Health, 2021, Australia's Physical Activity and Sedentary Behaviour Guidelines for Adults
  • [4] Australian Institute of Health and Welfare, 2021, GEN AG CAR DAT PEOPL
  • [5] Australian Institute of Health and Welfare, 2018, OLD AUSTR GLANC CAT
  • [6] Australian Institute of Health and Welfare, 2020, INT AG CAR HLTH SYST
  • [7] Cohort profile: The 45 and up study
    Banks, Emily
    Redman, Sally
    Jorm, Louisa
    Armstrong, Bruce
    Bauman, Adrian
    Beard, John
    Beral, Valerie
    Byles, Julie
    Corbett, Stephen
    Cumming, Robert
    Harris, Mark
    Sitas, Freddy
    Smith, Wayne
    Taylor, Lee
    Wutzke, Sonia
    Lujic, Sanja
    [J]. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2008, 37 (05) : 941 - 947
  • [8] Maximising follow-up participation rates in a large scale 45 and Up Study in Australia
    Bauman A.
    Phongsavan P.
    Cowle A.
    Banks E.
    Jorm L.
    Rogers K.
    Jalaludin B.
    Grunseit A.
    [J]. Emerging Themes in Epidemiology, 13 (1):
  • [9] Pushing the Limits of Strength Training
    Burtscher, Johannes
    Millet, Gregoire P.
    Burtscher, Martin
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2023, 64 (01) : 145 - 146
  • [10] Chauhan JS, 2013, PLOS ONE, V8, DOI [10.1371/journal.pone.0067008, 10.1371/journal.pone.0080000]
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