Health decline, aging and mortality: how are they related?

被引:49
作者
Yashin, Anatoli I. [1 ]
Arbeev, Konstantin G. [1 ]
Kulminski, Aliaksandr [1 ]
Akushevich, Igor [1 ]
Akushevich, Lucy [1 ]
Ukraintseva, Svetlana V. [1 ]
机构
[1] Duke Univ, Ctr Demog Studies, Durham, NC 27708 USA
关键词
cumulative index; mortality model; relative risk; risk function; stress resistance;
D O I
10.1007/s10522-006-9073-3
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The deterioration of human health with age is manifested in changes of thousands of physiological and biological variables. The contribution of some of such changes to the mortality risk may be small and cannot be reliably detected by existing statistical methods. A cumulative index of health/well-being disorders, which counts changes in observed variables on the way of losing health, may be an appropriate way to take the effects of such variables into account. In this paper we investigate regularities of the aging-related changes in human health/well-being/survival status described by such an index using the new version of the quadratic hazard model of human aging and mortality. We found that the shape and the location of the mortality risk, considered as a function of the introduced health-related index, changes with age reflecting the decline in stress resistance and the age-dependence of the "optimal" health/well-being status. Comparison of these results with findings from early studies using the Cox's-like model of risk function indicates that the results are likely to describe regularities of deterioration in human health during the aging process.
引用
收藏
页码:291 / 302
页数:12
相关论文
共 14 条
  • [1] Frailty index as a measure of biological age in a Chinese population
    Goggins, WB
    Woo, J
    Sham, A
    Ho, SC
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2005, 60 (08): : 1046 - 1051
  • [2] KULMINSKI A, 2006, 2006 POP ASS AM ANN, P203
  • [3] Accumulation of health disorders as a systemic measure of aging: Findings from the NLTCS data
    Kulminski, Alexander
    Yashin, Anatoli
    Ukraintseva, Svetlana
    Akushevich, Igor
    Arbeev, Konstantin
    Land, Kenneth
    Manton, Kenneth
    [J]. MECHANISMS OF AGEING AND DEVELOPMENT, 2006, 127 (11) : 840 - 848
  • [4] Decrease in the relative heterogeneity of health with age: A cross-national comparison
    Mitnitski, A
    Rockwood, K
    [J]. MECHANISMS OF AGEING AND DEVELOPMENT, 2006, 127 (01) : 70 - 72
  • [5] Relative fitness and frailty of elderly men and women in developed countries and their relationship with mortality
    Mitnitski, A
    Song, X
    Skoog, I
    Broe, GA
    Cox, JL
    Grunfeld, E
    Rockwood, K
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2005, 53 (12) : 2184 - 2189
  • [6] Mitnitski A B, 2001, ScientificWorldJournal, V1, P323
  • [7] Mitnitski Arnold B, 2002, BMC Geriatr, V2, P1
  • [8] Limits to deficit accumulation in elderly peoplet
    Rockwood, K
    Mitnitski, A
    [J]. MECHANISMS OF AGEING AND DEVELOPMENT, 2006, 127 (05) : 494 - 496
  • [9] Long-term risks of death and institutionalization of elderly people in relation to deficit accumulation at age 70
    Rockwood, Kenneth
    Mitnitski, Arnold
    Song, Xiaowei
    Steen, Bertil
    Skoog, Ingmar
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2006, 54 (06) : 975 - 979
  • [10] Stress resistance declines with age:: analysis of data from a survival experiment with Drosophila melanogaster
    Semenchenko, GV
    Khazaeli, AA
    Curtsinger, JW
    Yashin, AI
    [J]. BIOGERONTOLOGY, 2004, 5 (01) : 17 - 30