Temporal Trends of Functional Dependence and Survival Among Older Adults From 1991 to 2010 in Sweden: Toward a Healthier Aging

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Angleman, Sara B.Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden / Stockholm Gerontology Research Center, Sweden (author)

Temporal Trends of Functional Dependence and Survival Among Older Adults From 1991 to 2010 in Sweden : Toward a Healthier Aging

Article/chapterEnglish2015

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2014-11-13
Oxford University Press (OUP),2015
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:su-119756
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-119756URI
https://doi.org/10.1093/gerona/glu206DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1376URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:131631728URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background. Declines in functional dependence among older adults were observed before the 1990s, but there is uncertainty about subsequent trends. Our study aimed to verify the temporal trends in disability during 1991-2010 in an older Swedish population and to estimate the associated changes in survival. Methods. Functional status in octogenarians and nonagenarians was assessed at seven occasions with intervals of 2-3 years. Sample size varied at each assessment with an average of 646 (range 212-1096). Disability was defined as difficulty in one or more of personal activities of daily living. We compared prevalence and incidence, as well as mortality, and survival associated with disability over the 20-year period. Results. Sex-standardized prevalence of disability remained steady over time with a tendency toward a gradual decline, and a statistically significant decrease was present among nonagenarians. Sex-standardized cumulative incidence also remained steady. The proportion of people with prevalent disability who died <3 years remained stable, as did the survival time of people with incident disability. In contrast, among nondisabled persons, 3-year mortality decreased significantly, and for octogenarians median survival time was 1.3 years longer at the more recent assessment than a decade earlier. Conclusions. Both prevalence and incidence of disability remained stable over the last two decades in this urban Swedish population, with a trend toward a slow decline. Mortality remained steady among disabled persons but decreased among persons without disability, suggesting that increased life expectancy during the last two decades may be essentially driven by longer lives of functionally independent people.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Gerontologi, medicinsk/hälsovetenskaplig inriktning hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences hsv//eng
Disability
Activities of daily living
Temporal trends
Swedish National Study of Aging and Care-Kungsholmen (SNAC-K)
Kungsholmen Project

Added entries (persons, corporate bodies, meetings, titles ...)

Santoni, GiolaKarolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden (author)
Von Strauss, EvaKarolinska Institutet,Röda Korsets Högskola,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),The Swedish Red Cross University College, Sweden,Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden(Swepub:rkh)vone (author)
Fratiglioni, LauraKarolinska Institutet,Röda Korsets Högskola,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),The Swedish Red Cross University College, Sweden,Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden (author)
Stockholms universitetCentrum för forskning om äldre och åldrande (ARC), (tills m KI) (creator_code:org_t)

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In:The journals of gerontology. Series A, Biological sciences and medical sciences: Oxford University Press (OUP)70:6, s. 746-7521079-50061758-535X

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