RISK FACTORS FOR REQUIRING LONG-TERM CARE AMONG MIDDLE-AGED AND ELDERLY PEOPLE

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  • 長期要介護のリスク要因に関する疫学研究 基本健康診査受診者の追跡調査から
  • チョウキ ヨウ カイゴ ノ リスク ヨウイン ニ カンスル エキガク ケンキュウ キホン ケンコウシンサジュシンシャ ノ ツイセキ チョウサ カラ

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Abstract

Objective The purpose of this study is to clarify risk factors for requiring long-term care and all-cause mortality among middle- aged and elderly people.<br/>Methods The subjects were 2292 residents (759 males and 1,533 females) living in rural areas and attending health checkups during 1989-1993.<br/> Using the data obtained, we examined risk factors for long-term care needs and all-cause mortality. The observation period was from health checkups to March 2002 for all-cause mortality and to September 2002 for long-term care. The Cox' proportional hazards model was used to assess for both outcomes.<br/>Results Although all-cause mortality was two and a half times as high among males as among females, there were no differences between the sexes in the rate for requiring long-term care.<br/> In thirty five percent of cases needing long-term care, this was attributable to cerebrovascular diseases, in 24% to dementia, and in 9% to fracture.<br/> Risk factors significantly associated with higher all-cause mortality were age, low BMI, low total cholesterol, liver dysfunction, and smoking among males and females, as well as urine sugar among males and anemia among females.<br/> Risk factors significantly associated with requiring long-term care were age, hypertension and urine sugar among males, and age, anemia and urine sugar among females.<br/>Conclusions This study shows that control of hypertension and diabetes mellitus is important for avoiding necessity for long-term care.

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