Successful Aging as a Predictor of Long-Term Care Among Oldest Old: The Vitality 90+ Study
Aim: The aim of the study was to investigate whether successful aging (SA) predicts entering long-term care (LTC) among nonagenarians. Methods: Data originated from the linkage of the Vitality 90+ Study surveys with register data from Finnish Population Register and Care Registers. Altogether 1,966...
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| Veröffentlicht in: | Journal of applied gerontology 2019-04, Vol.38 (4), p.553-571 |
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| container_title | Journal of applied gerontology |
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| creator | Nosraty, Lily Pulkki, Jutta Raitanen, Jani Enroth, Linda Jylhä, Marja |
| description | Aim: The aim of the study was to investigate whether successful aging (SA) predicts entering long-term care (LTC) among nonagenarians. Methods: Data originated from the linkage of the Vitality 90+ Study surveys with register data from Finnish Population Register and Care Registers. Altogether 1,966 community-dwelling individuals were followed for 2 years and 1,354 individuals for 5 years. Four models of SA were constructed by varying combinations of physical, psychological, and social components. Competing risk regression analysis was used. Findings: The incidence rate for entering LTC was lower for successful agers. Three models of SA presented a significantly decreased risk for entering LTC in the whole group and in women. The impact of SA was attenuated when living alone, needing help, and the year of participation were adjusted for, but was still significant for Model 3. Conclusion: Nonagenarians who meet the multidimensional criteria of SA are less likely to enter LTC than those aging less successfully. |
| doi_str_mv | 10.1177/0733464817716968 |
| format | Article |
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Methods: Data originated from the linkage of the Vitality 90+ Study surveys with register data from Finnish Population Register and Care Registers. Altogether 1,966 community-dwelling individuals were followed for 2 years and 1,354 individuals for 5 years. Four models of SA were constructed by varying combinations of physical, psychological, and social components. Competing risk regression analysis was used. Findings: The incidence rate for entering LTC was lower for successful agers. Three models of SA presented a significantly decreased risk for entering LTC in the whole group and in women. The impact of SA was attenuated when living alone, needing help, and the year of participation were adjusted for, but was still significant for Model 3. Conclusion: Nonagenarians who meet the multidimensional criteria of SA are less likely to enter LTC than those aging less successfully.</description><identifier>ISSN: 0733-4648</identifier><identifier>EISSN: 1552-4523</identifier><identifier>DOI: 10.1177/0733464817716968</identifier><identifier>PMID: 28671023</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Activities of Daily Living ; Age Factors ; Aged, 80 and over ; Aging ; Cause of Death ; Comorbidity ; Disability Evaluation ; Female ; Finland - epidemiology ; Geriatric Assessment ; Health Status Indicators ; Humans ; Long term health care ; Long-Term Care - statistics & numerical data ; Male ; Mobility Limitation ; Oldest old people ; Participation ; Regression Analysis ; Residence Characteristics ; Risk Assessment ; Risk Factors ; Sex Factors ; Surveys and Questionnaires ; Time Factors</subject><ispartof>Journal of applied gerontology, 2019-04, Vol.38 (4), p.553-571</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-21a35cce328d9379cdd6dbad018ea6f841a8cfa15a66354184c93679aba94c53</citedby><cites>FETCH-LOGICAL-c374t-21a35cce328d9379cdd6dbad018ea6f841a8cfa15a66354184c93679aba94c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0733464817716968$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0733464817716968$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,33751,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28671023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nosraty, Lily</creatorcontrib><creatorcontrib>Pulkki, Jutta</creatorcontrib><creatorcontrib>Raitanen, Jani</creatorcontrib><creatorcontrib>Enroth, Linda</creatorcontrib><creatorcontrib>Jylhä, Marja</creatorcontrib><title>Successful Aging as a Predictor of Long-Term Care Among Oldest Old: The Vitality 90+ Study</title><title>Journal of applied gerontology</title><addtitle>J Appl Gerontol</addtitle><description>Aim: The aim of the study was to investigate whether successful aging (SA) predicts entering long-term care (LTC) among nonagenarians. Methods: Data originated from the linkage of the Vitality 90+ Study surveys with register data from Finnish Population Register and Care Registers. Altogether 1,966 community-dwelling individuals were followed for 2 years and 1,354 individuals for 5 years. Four models of SA were constructed by varying combinations of physical, psychological, and social components. Competing risk regression analysis was used. Findings: The incidence rate for entering LTC was lower for successful agers. Three models of SA presented a significantly decreased risk for entering LTC in the whole group and in women. The impact of SA was attenuated when living alone, needing help, and the year of participation were adjusted for, but was still significant for Model 3. Conclusion: Nonagenarians who meet the multidimensional criteria of SA are less likely to enter LTC than those aging less successfully.</description><subject>Activities of Daily Living</subject><subject>Age Factors</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cause of Death</subject><subject>Comorbidity</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Geriatric Assessment</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Long term health care</subject><subject>Long-Term Care - statistics & numerical data</subject><subject>Male</subject><subject>Mobility Limitation</subject><subject>Oldest old people</subject><subject>Participation</subject><subject>Regression Analysis</subject><subject>Residence Characteristics</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>0733-4648</issn><issn>1552-4523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1UE1LwzAYDqK4Ob17koBHiSZNmg9vY_gFgwkrHryULElrR7vOpD3s35uyqSB4et6X5-N9eQC4JPiWECHusKCUcSbjTLji8giMSZomiKUJPQbjgUYDPwJnIawxxpEkp2CUSC4ITugYvC97Y1wIRV_DaVltSqgD1PDVO1uZrvWwLeC83ZQoc76BM-0dnDZxh4vautANcA-zDwffqk7XVbeDCt_AZdfb3Tk4KXQd3MUBJyB7fMhmz2i-eHqZTefIUME6lBBN0_gDTaRVVChjLbcrbTGRTvNCMqKlKTRJNec0ZUQyoygXSq-0YialE3C9j9369rOPP-XrtvebeDFPiMKKCcFxVOG9yvg2BO-KfOurRvtdTnA-dJn_7TJarg7B_apx9sfwXV4UoL0g6NL9Xv038AvOHHlJ</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Nosraty, Lily</creator><creator>Pulkki, Jutta</creator><creator>Raitanen, Jani</creator><creator>Enroth, Linda</creator><creator>Jylhä, Marja</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope></search><sort><creationdate>201904</creationdate><title>Successful Aging as a Predictor of Long-Term Care Among Oldest Old: The Vitality 90+ Study</title><author>Nosraty, Lily ; Pulkki, Jutta ; Raitanen, Jani ; Enroth, Linda ; Jylhä, Marja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-21a35cce328d9379cdd6dbad018ea6f841a8cfa15a66354184c93679aba94c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Activities of Daily Living</topic><topic>Age Factors</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cause of Death</topic><topic>Comorbidity</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Geriatric Assessment</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Long term health care</topic><topic>Long-Term Care - statistics & numerical data</topic><topic>Male</topic><topic>Mobility Limitation</topic><topic>Oldest old people</topic><topic>Participation</topic><topic>Regression Analysis</topic><topic>Residence Characteristics</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nosraty, Lily</creatorcontrib><creatorcontrib>Pulkki, Jutta</creatorcontrib><creatorcontrib>Raitanen, Jani</creatorcontrib><creatorcontrib>Enroth, Linda</creatorcontrib><creatorcontrib>Jylhä, Marja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Journal of applied gerontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nosraty, Lily</au><au>Pulkki, Jutta</au><au>Raitanen, Jani</au><au>Enroth, Linda</au><au>Jylhä, Marja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Aging as a Predictor of Long-Term Care Among Oldest Old: The Vitality 90+ Study</atitle><jtitle>Journal of applied gerontology</jtitle><addtitle>J Appl Gerontol</addtitle><date>2019-04</date><risdate>2019</risdate><volume>38</volume><issue>4</issue><spage>553</spage><epage>571</epage><pages>553-571</pages><issn>0733-4648</issn><eissn>1552-4523</eissn><abstract>Aim: The aim of the study was to investigate whether successful aging (SA) predicts entering long-term care (LTC) among nonagenarians. Methods: Data originated from the linkage of the Vitality 90+ Study surveys with register data from Finnish Population Register and Care Registers. Altogether 1,966 community-dwelling individuals were followed for 2 years and 1,354 individuals for 5 years. Four models of SA were constructed by varying combinations of physical, psychological, and social components. Competing risk regression analysis was used. Findings: The incidence rate for entering LTC was lower for successful agers. Three models of SA presented a significantly decreased risk for entering LTC in the whole group and in women. The impact of SA was attenuated when living alone, needing help, and the year of participation were adjusted for, but was still significant for Model 3. 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| subjects | Activities of Daily Living Age Factors Aged, 80 and over Aging Cause of Death Comorbidity Disability Evaluation Female Finland - epidemiology Geriatric Assessment Health Status Indicators Humans Long term health care Long-Term Care - statistics & numerical data Male Mobility Limitation Oldest old people Participation Regression Analysis Residence Characteristics Risk Assessment Risk Factors Sex Factors Surveys and Questionnaires Time Factors |
| title | Successful Aging as a Predictor of Long-Term Care Among Oldest Old: The Vitality 90+ Study |
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