Predictors of mortality in men and women aged 90 and older: a nine-year follow-up study in the Vitality 90+ study.


BACKGROUND:information about the predictors of mortality among the oldest-old is limited. Also possible gender differences are poorly known. OBJECTIVE:to examine the predictors of mortality among individuals aged 90 and older, focusing on differences between men and women. We also analysed gender differences in survival at different levels of mobility and activities in daily living (ADL). DESIGN:this 9-year follow-up study is part of the Vitality 90+ study, a population-based study of people aged 90 and older. SUBJECTS:all inhabitants aged 90 and older in the area of Tampere, Finland were contacted, irrespective of health or dwelling place. The study population consisted of 171 men and 717 women. METHODS:data were collected with a mailed questionnaire asking questions concerning ADL and mobility, self-rated health, chronic conditions and socio-economic factors. The participation rate was 79%. Cox regression enter models were used for the analysis. RESULTS:older age, male gender, disability in ADL and mobility, poor self-rated health and institutionalisation increased the risk of mortality in the total study group. In age-adjusted Cox regression models, ADL and mobility were stronger predictors in men than in women (gender interactions, P < 0.001). Among those who were partly but not totally dependent in ADL or mobility women survived longer than men. CONCLUSION:the same health indicators that are important at younger old age also predict mortality in the oldest-old. Disability increases the likelihood of death more in men than women. At a very old age, women survive longer with moderate disability than do men.


Age Ageing


Age and ageing


Tiainen K,Luukkaala T,Hervonen A,Jylhä M




Has Abstract


2013-07-01 00:00:00














  • Prevention of NSAID gastropathy in elderly patients. An observational study in general practice and nursing homes.

    abstract:OBJECTIVES:The objectives of this study were to (i) survey the risk factors for NSAID gastropathy in outpatients (elderly patients in the community), compared to those living in old people's homes or nursing homes, (ii) study the prescription of medication prophylaxis during use of NSAIDs conform the current national g...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: van Leen MW,van der Eijk I,Schols JM

    更新日期:2007-07-01 00:00:00

  • The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool.

    abstract:BACKGROUND:the Falls Risk for Older People in the Community assessment (FROP-Com) tool was designed for use in targeted multi-factorial falls prevention programmes. It fills the gap between the short screening tools and the longer assessment tools, e.g. the physiological profile assessment (PPA). The aim of this study ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Russell MA,Hill KD,Blackberry I,Day LM,Dharmage SC

    更新日期:2008-11-01 00:00:00

  • Person-centred dementia services are feasible, but can they be sustained?

    abstract:BACKGROUND:we evaluated a specialist community-based dementia service to establish whether high quality care was being delivered and the conditions for doing so. The service was in an urban part of Rushcliffe Primary Care Trust, Nottinghamshire, United Kingdom. The service comprised an assessment team of an occupationa...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Gladman JR,Jones RG,Radford K,Walker E,Rothera I

    更新日期:2007-03-01 00:00:00

  • Tobacco smoking, ageing and health among the elderly: a longitudinal population study of 70-year-old men and an age cohort comparison.

    abstract::In the population study Seventy-year-old People in Göteborg, 449 70-year-old men were examined in 1971/72. Out of these, 331 were re-examined in 1976/77 at age 75, together with a cohort-comparison group of 474 70-year-old men. Cohort differences and a lower smoking prevalence at higher ages were observed. The loss of...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Mellström D,Rundgren A,Jagenburg R,Steen B,Svanborg A

    更新日期:1982-02-01 00:00:00

  • A prediction model for one- and three-year mortality in dementia: results from a nationwide hospital-based cohort of 50,993 patients in the Netherlands.

    abstract:OBJECTIVE:to develop a model to predict one- and three-year mortality in patients with dementia attending a hospital, through hospital admission or day/memory clinic. DESIGN:we constructed a cohort of dementia patients through data linkage of three Dutch national registers: the hospital discharge register (HDR), the p...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: van de Vorst IE,Golüke NMS,Vaartjes I,Bots ML,Koek HL

    更新日期:2020-04-27 00:00:00

  • Age and the rate of induction of aryl hydrocarbon hydroxylase in isolated peripheral blood monocytes.

    abstract::We have measured the rate of induction of the microsomal monooxygenase enzyme aryl hydrocarbon hydroxylase (AHH) in isolated peripheral blood monocytes from young and elderly donors. There was no effect of age on rate of induction. The mechanisms underlying impaired induction of drug metabolism in elderly people remai...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: George G,Wynne H,Woodhouse K

    更新日期:1991-11-01 00:00:00

  • Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): a multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation.

    abstract:Background:older patients admitted to hospitals are at risk for hospital-acquired morbidity related to immobility. The aim of this study was to implement and evaluate an evidence-based intervention targeting staff to promote early mobilisation in older patients admitted to general medical inpatient units. Methods:the ...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究


    authors: Liu B,Moore JE,Almaawiy U,Chan WH,Khan S,Ewusie J,Hamid JS,Straus SE,MOVE ON Collaboration.

    更新日期:2018-01-01 00:00:00

  • Prevention of adverse drug reactions in hospitalized older patients with multi-morbidity and polypharmacy: the SENATOR* randomized controlled clinical trial.

    abstract:BACKGROUND:Multi-morbidity and polypharmacy increase the risk of non-trivial adverse drug reactions (ADRs) in older people during hospitalization. Despite this, there are no established interventions for hospital-acquired ADR prevention. METHODS:We undertook a pragmatic, multi-national, parallel arm prospective random...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: O'Mahony D,Gudmundsson A,Soiza RL,Petrovic M,Jose Cruz-Jentoft A,Cherubini A,Fordham R,Byrne S,Dahly D,Gallagher P,Lavan A,Curtin D,Dalton K,Cullinan S,Flanagan E,Shiely F,Samuelsson O,Sverrisdottir A,Subbarayan S,V

    更新日期:2020-07-01 00:00:00

  • Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey.

    abstract:BACKGROUND:Eating by oneself may be a risk factor for mental illness among older adults, but may be influenced by cohabitation status. We examined the association between eating alone and depression in the context of cohabitation status in older adults in Japan. DESIGN:A longitudinal, population-based study. SETTING:...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Tani Y,Sasaki Y,Haseda M,Kondo K,Kondo N

    更新日期:2015-11-01 00:00:00

  • Variability of response to thyroid-releasing hormone in normal elderly.

    abstract::The present study was undertaken to define the hormonal response to thyroid-releasing hormone (TRH) further in a large, healthy, ambulatory elderly group. Seventy-seven subjects over 60 years old, 30 males (MA) and 47 females (FA), and control subjects, 22 males (MC) and 42 females (FC) were studied. No difference in ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Kaiser FE

    更新日期:1987-11-01 00:00:00

  • Long-term effect of community-based continence promotion on urinary symptoms, falls and healthy active life expectancy among older women: cluster randomised trial.

    abstract:BACKGROUND:The long-term effectiveness of group continence promotion delivered via community organisations on female urinary incontinence, falls and healthy life expectancy remains unknown. METHODS:A pragmatic cluster randomised trial was conducted among 909 women aged 65-98 years with urinary incontinence, recruited ...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Tannenbaum C,Fritel X,Halme A,van den Heuvel E,Jutai J,Wagg A

    更新日期:2019-07-01 00:00:00

  • Left ventricular performance in atrial fibrillation in the elderly.

    abstract::Ejection fraction was measured directly by a radionuclide method, and indirectly from systolic time intervals, in elderly patients in atrial fibrillation. Both methods show that the ejection fraction averages approximately 55% at mean ventricular rates of 50-70 beats/min and falls to 20% or below as mean rate increase...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Caird FI,Williams BO

    更新日期:1981-11-01 00:00:00

  • Frequency, intensity and localization of pain as risk factors for frailty in older adults.

    abstract:Background:the association between pain characteristics and frailty risk is uncertain. Objective:to investigate the separate impact of the frequency, intensity and location of pain on frailty risk and its possible mechanisms. Methods:prospective cohort of 1505 individuals ≥63 years followed between 2012 and 2015 in S...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Rodríguez-Sánchez I,García-Esquinas E,Mesas AE,Martín-Moreno JM,Rodríguez-Mañas L,Rodríguez-Artalejo F

    更新日期:2019-01-01 00:00:00

  • The discharge of elderly patients from an accident and emergency department: functional changes and risk of readmission.

    abstract::Four hundred and fifty patients aged 75 years or older were followed up after discharge from an accident and emergency department. Forty-three per cent of all patients experienced some loss of functional independence. A small number, 5.6%, were readmitted to hospital within 14 days. This group were significantly less ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Rowland K,Maitra AK,Richardson DA,Hudson K,Woodhouse KW

    更新日期:1990-11-01 00:00:00

  • Cognitive impairment in the elderly--a community survey.

    abstract::Previous studies have suggested that up to a fifth of people over the age of 80 years may suffer severe dementia-like illnesses. This total population survey of over a thousand people over the age of 75 suggests that the prevalence of marked cognitive impairment is much less than expected. However, differences in the ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Clarke M,Lowry R,Clarke S

    更新日期:1986-09-01 00:00:00

  • New horizons in falls prevention.

    abstract::Falls pose a major threat to the well-being and quality of life of older people. Falls can result in fractures and other injuries, disability and fear and can trigger a decline in physical function and loss of autonomy. This article synthesises recent published findings on fall risk and mobility assessments and fall p...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审


    authors: Lord SR,Close JCT

    更新日期:2018-07-01 00:00:00

  • A general population survey of rest cramps.

    abstract::Two hundred and eighteen subjects, out of 250 individuals taken from a general practice register, returned completed questionnaires giving details about rest cramps, and a further 15 were contacted by telephone. The overall prevalence of rest cramps in the survey population was 37%. The symptom was more prevalent in o...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Naylor JR,Young JB

    更新日期:1994-09-01 00:00:00

  • Effect of the COVID-19 Lockdown on Disease Recognition and Utilization of Healthcare Services in the Older Population in German: A Cross-sectional Study.

    abstract:BACKGROUND:There is little evidence about the utilization of healthcare services and disease recognition in the older population, which was urged to self-isolate during the COVID-19 lockdowns. OBJECTIVES:We aimed to describe the utilization of physician consultations, specialist referrals, hospital admissions, and the...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Michalowsky B,Hoffmann W,Bohlken J,Kostev K

    更新日期:2020-11-17 00:00:00

  • Impact of endovascular reperfusion therapy in nonagenarians with anterior circulation large-vessel ischaemic stroke.

    abstract:BACKGROUND AND PURPOSE:The benefit of endovascular thrombectomy (EVT) among nonagenarians (90 years or older) is poorly documented. We aimed to investigate the clinical and imaging factors associated with good outcomes and mortality at 90 days in nonagenarians undergoing EVT for acute ischemic stroke (AIS). METHODS:Da...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Derraz I,Benali A,Ahmed R,Cagnazzo F,Dargazanli C,Gascou G,Riquelme C,Corti L,Lefevre PH,Bonafe A,Arquizan C,Costalat V

    更新日期:2020-11-17 00:00:00

  • High normal plasma triglycerides are associated with preserved cognitive function in Chinese oldest-old.

    abstract:OBJECTIVE:to explore the relationship between blood lipids/lipoproteins and cognitive function in the Chinese oldest-old. DESIGN:multivariate statistical analysis using cross-sectional data. SETTING:community-based setting in longevity areas in China. SUBJECTS:eight hundred and thirty-six subjects aged 80 and older ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Yin ZX,Shi XM,Kraus VB,Fitzgerald SM,Qian HZ,Xu JW,Zhai Y,Sereny MD,Zeng Y

    更新日期:2012-09-01 00:00:00

  • Low-molecular-weight heparin-associated fat necrosis of the breast.

    abstract::Fat necrosis of the breast is a well-recognised complication of unfractionated heparin. The following is a case of fat necrosis due to low-molecular-weight heparin in a 91-year-old woman admitted to hospital with unstable angina. ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Das AK

    更新日期:2005-03-01 00:00:00

  • Death: a foe to be conquered? Questioning the paradigm.

    abstract::There are few certainties in life-death is one of them. Yet death is often thought of today as the 'loss of the battle' against illness, where in traditional societies it was the natural, meaningful, end to life. Medical knowledge and technologies have extended the possibilities of medical care and increased our life ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Gellie A,Mills A,Levinson M,Stephenson G,Flynn E

    更新日期:2015-01-01 00:00:00

  • Reproductive longevity and increased life expectancy.

    abstract:BACKGROUND:Female life expectancy in developed countries has increased by 30 years in the twentieth century. AIM:To determine if there has been an increase in reproductive longevity. METHODS:We analysed age-specific fertility data from birth statistics for the USA, Canada, Japan, France, Sweden, the UK and Australia....

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Brody JA,Grant MD,Frateschi LJ,Miller SC,Zhang H

    更新日期:2000-01-01 00:00:00

  • Comparative effectiveness of sitagliptin vs sulphonylureas in older people.

    abstract:BACKGROUND:two common anti-diabetic treatments used are sitagliptin and sulphonylureas however evidence examining their comparative effectiveness in older people is limited. OBJECTIVE:to evaluate effectiveness of sitagliptin vs sulphonylureas when added to metformin in older (aged ≥75) vs younger people (18-75). DESI...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究


    authors: Sharma M,Nazareth I,Petersen I

    更新日期:2019-09-01 00:00:00

  • Evaluation of a simulation training programme for geriatric medicine.

    abstract:BACKGROUND:geriatrics encompasses diverse medical, social and ethical challenges requiring a multidimensional, interdisciplinary approach. Recent reports have highlighted failings in the care of older people. It is therefore vital that trainees in geriatrics are afforded opportunities to develop skills in managing this...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究


    authors: Braude P,Reedy G,Dasgupta D,Dimmock V,Jaye P,Birns J

    更新日期:2015-07-01 00:00:00

  • Aluminium in antacids and cooking pots and the risk of hip fractures in elderly people.

    abstract::The relationship between hip fractures and aluminium in antacids and cooking pots was examined in an epidemiological study in Sydney, Australia. A population-based case-control study was conducted and 416 men and women aged 65 years and over were recruited (209 cases and 207 controls). There was a significantly (p < 0...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Cumming RG,Klineberg RJ

    更新日期:1994-11-01 00:00:00

  • Thiamine and the elderly orthopaedic patient.

    abstract::An assessment of thiamine status was made in two groups of elderly orthopaedic patients. None of the 30 men and women presenting for elective total hip replacement was malnourished before operation but there was a significant fall in the thiamine status 48 hours later, which had returned to normal by 14 days. In contr...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Older MW,Dickerson JW

    更新日期:1982-05-01 00:00:00

  • Geriatric medicine in Sweden: a study of the organisation, staffing and care production in 2000-2001.

    abstract:OBJECTIVE:the organisation of long-term medicine and geriatric medicine has undergone many changes during the last 15 years. The aim of this study is to gain an overall perspective of the present organisation of geriatric medicine in Sweden. DESIGN:questionnaire survey. METHODS:The Swedish Society for Geriatric Medic...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Akner G

    更新日期:2004-07-01 00:00:00

  • Metabolic syndrome and insulin resistance are associated with frailty in older adults: a prospective cohort study.

    abstract:Background:diabetes increases the risk of frailty that is a leading cause of disability and premature mortality in older people. Metabolic syndrome (MS) and insulin resistance (IR) are strong risk factors for diabetes and could, thus, lead to frailty. However, the association between MS or IR and frailty has barely bee...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Pérez-Tasigchana RF,León-Muñoz LM,Lopez-Garcia E,Gutierrez-Fisac JL,Laclaustra M,Rodríguez-Artalejo F,Guallar-Castillón P

    更新日期:2017-09-01 00:00:00

  • Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments.

    abstract:OBJECTIVES:To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. METHODS:A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealan...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Kelly AM,Keijzers G,Klim S,Craig S,Kuan WS,Holdgate A,Graham CA,Jones P,Laribi S

    更新日期:2021-01-08 00:00:00