Abstract:
OBJECTIVE:Independent living ability is crucial for the elderly; however, its assessment performed in China employs various scales and lacks risk factors, especially behavioural and social-psychological factors, which could be improved through health education. This study aimed to assess the independent living ability of community-dwelling elderly in urban areas of China and to identify the association with behavioral and social-psychological factors. DESIGN:A population-based study using random cluster sampling method was performed in two core cities in Liaoning Province during March-November 2012. STUDY POPULATION:3686 individuals who were >=65 years old, had no dementia and cognitive impairment, had lived in the sampled communities for >=5 years and could take part in the study were enrolled. MAIN OUTCOME MEASURES:Interviews were conducted to collect information of independent living ability, indicated by the instrumental activity of daily living (IADL), behavioural factors, social-psychological factors and confounders (demographic characteristics and health status). The Mini-Mental State Examination was used to screen for cognitive impairment. RESULTS:The independence rate was 46.3% in men and 41.1% in women. Structural equation modelling analysis showed that physical activity, drawn from taking a walk and doing exercise, had the strongest association with the IADL in both men (-0.34, SE 0.10) and women (-0.33, SE 0.11). Falling in the last year and worrying about falling were also significantly associated with IADL. The effects of regular drinking, feeling lonely and participating in entertainment were significant in men. CONCLUSION:The independent living ability of the elderly in urban areas in Liaoning Province in China was at a low level. Physical activity was one of the important roles in both men and women; whereas the role of social-psychological factors only existed in men. Gender-specific healthcare and education to avoid sedentary life should be advocated for the elderly to maintain/improve their independent living ability.
journal_name
BMJ Openjournal_title
BMJ openauthors
Wang B,Wu Y,Zhang T,Han J,Yu L,Sun Wdoi
10.1136/bmjopen-2018-023543subject
Has Abstractpub_date
2019-10-16 00:00:00pages
e023543issue
10issn
2044-6055pii
bmjopen-2018-023543journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Arthroscopic surgery is a very common orthopaedic procedure. While several trials have investigated the effect of knee arthroscopy for middle-aged and older patients with meniscal tears, there is a paucity of trials comparing meniscal surgery with non-surgical treatment for younger adults. The aim of this ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-017436
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVE:To assess the 24-month cost-effectiveness of total knee replacement (TKR) plus non-surgical treatment compared with non-surgical treatment with the option of later TKR if needed. METHODS:100 adults with moderate-to-severe knee osteoarthritis found eligible for TKR by an orthopaedic surgeon in secondary care ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033495
更新日期:2020-01-15 00:00:00
abstract:PURPOSE:Optical coherence tomography (OCT) captures retinal damage in neuromyelitis optica spectrum disorders (NMOSD). Previous studies investigating OCT in NMOSD have been limited by the rareness and heterogeneity of the disease. The goal of this study was to establish an image repository platform, which will facilita...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035397
更新日期:2020-10-29 00:00:00
abstract:OBJECTIVES:Since population-based data on prognostic factors affecting survival in patients with breast cancer with bone metastasis (BM) are currently limited, we conducted this nationwide retrospective cohort study to examine the prognostic role of disease stage at breast cancer diagnosis and length of BM-free interva...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-007702
更新日期:2015-04-29 00:00:00
abstract:OBJECTIVES:To identify emergency seizure admissions to hospital and their subsequent access to specialist outpatient services. DESIGN:Algorithmic analysis of anonymised routine hospital data over 7 years using specialist follow-up by 3 months as the target outcome. POPULATION:All adults resident in Merseyside and Che...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010100
更新日期:2016-01-20 00:00:00
abstract:OBJECTIVES:To develop and measure the effectiveness and acceptability of a pharmacy-based chlamydia screening intervention called Emergency Contraception Mediated Pharmacy Access to Chlamydia Testing (ECOMPACT). DESIGN:Selective, opportunistic and cross-sectional study targeting asymptomatic women requesting emergency...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003338
更新日期:2013-08-17 00:00:00
abstract:OBJECTIVES:The optimal method of identifying people with chronic obstructive pulmonary disease (COPD) from electronic primary care records is not known. We assessed the accuracy of different approaches using the Clinical Practice Research Datalink, a UK electronic health record database. SETTING:951 participants regis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005540
更新日期:2014-07-23 00:00:00
abstract:OBJECTIVES:To systematically assess registration details of ongoing randomised controlled trials (RCTs) targeting 10 common chronic conditions and registered at ClinicalTrials.gov and to determine the prevalence of (1) trial records excluding patients with concomitant chronic condition(s) and (2) those specifically tar...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012265
更新日期:2016-09-27 00:00:00
abstract:OBJECTIVE:Leave-on emollients form the mainstay of eczema treatment, but adherence is poor. We aimed to explore parents'/carers' views on effectiveness and acceptability of leave-on emollients for childhood eczema through secondary analysis of data from 2 qualitative data sets. SETTING:Study 1 recruited through mail-o...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2016-011887
更新日期:2016-08-19 00:00:00
abstract:OBJECTIVE:The objective was to compare the results of performance-based and self-assessed measures of health literacy (HL) and to evaluate the contribution of their joint use in assessing some HL antecedents. DESIGN:This was a cross-sectional study. SETTING:The study was conducted on the general population in Florenc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035987
更新日期:2020-10-05 00:00:00
abstract:OBJECTIVE:The objective of this study is to summarise and analyse the current literature about what progression criteria are applied in loading exercise programmes in lower limb tendinopathies and their evidence and effectiveness. DESIGN:Systematic review. METHODS:PubMed, Embase, Scopus and PEDro were searched from i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041433
更新日期:2020-11-19 00:00:00
abstract:BACKGROUND:Inhaled hypertonic saline (HTS) improves quality of life and reduces pulmonary exacerbations when given long term in patients with cystic fibrosis (CF). While increasingly being offered for acute pulmonary exacerbations, little is known about the efficacy in this setting. OBJECTIVES:The authors examined the...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000407
更新日期:2012-04-19 00:00:00
abstract:INTRODUCTION:Smell and taste of milk are not generally considered when tube feeding preterm infants. Preterm infants have rapid growth, particularly of the brain, and high caloric needs. Enteral feeding is often poorly tolerated which may lead to growth failure and long-term neurodevelopmental impairment. Smell and tas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027805
更新日期:2019-07-17 00:00:00
abstract:OBJECTIVE:To develop and evaluate the psychometric properties of a scale measuring patient safety during the intrahospital transport process for intensive care. DESIGN:The scale was developed based on a theoretical model of the work system and patient safety, and items generated from participant observations. A Delphi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038424
更新日期:2020-10-10 00:00:00
abstract:OBJECTIVE:To evaluate accuracy of content and readability level of English Wikipedia articles on cardiovascular diseases, using quality and readability tools. METHODS:Wikipedia was searched on the 6 October 2013 for articles on cardiovascular diseases. Using a modified DISCERN (DISCERN is an instrument widely used in ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008187
更新日期:2015-10-06 00:00:00
abstract:OBJECTIVES:To assess the effectiveness of a combined classroom curriculum and parental intervention (the Steps Towards Alcohol Misuse Prevention Programme (STAMPP)), compared with alcohol education as normal (EAN), in reducing self-reported heavy episodic drinking (HED) and alcohol-related harms (ARHs) in adolescents. ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-019722
更新日期:2018-03-09 00:00:00
abstract:INTRODUCTION:High rates of immigration pose challenges for the healthcare systems of many countries to offer high-quality care to diverse populations. Advancing health interventions with incorporating the cultural background of diverse populations can be helpful to overcome this challenge. First studies suggest that cu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037698
更新日期:2020-11-09 00:00:00
abstract:OBJECTIVES:To compare population-based incidence rates of new-onset depression or self-harm in patients initiating incretin-based therapies with that of sulfonylureas (SU) and other glucose-lowering agents. DESIGN:Population-based cohort study. SETTING:Patients attending primary care practices registered with the UK-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023830
更新日期:2018-10-08 00:00:00
abstract:OBJECTIVES:Despite widespread availability of evidence-based guidelines to inform rational use of medicines, considerable unwarranted variation exists in prescribing. A greater understanding of key determinants of contemporary prescribing in UK general practice could inform strategies to promote evidence-based prescrib...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041460
更新日期:2021-01-11 00:00:00
abstract:OBJECTIVES:Mortality rates in Scotland are higher, and health inequalities are greater, than in the rest of Western and Central Europe. There was a marked divergence during the 1980s and 1990s in the Scottish rates partly due to rises in alcohol-related and drug-related deaths, suicide and deaths by assault. This study...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030064
更新日期:2020-02-09 00:00:00
abstract:OBJECTIVES:To test the effects of a school-based prevention programme on students' smoking-related behaviour, attitudes and knowledge 6 months after implementation over 2 school-years has ended. DESIGN:Two-arm prospective cluster randomised controlled trial with a follow-up survey 6 months after end of programme imple...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2013-004422
更新日期:2014-01-21 00:00:00
abstract:OBJECTIVES:The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION:The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037657
更新日期:2020-10-08 00:00:00
abstract:OBJECTIVE:To explore how three indicators of social capital (ie, group membership, social support and cognitive social capital and specific types within each type) are associated with infant birth weight. STUDY DESIGN AND SETTINGS:Cross-sectional analyses of the first wave of Young Lives Survey data collected in 2002 ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024769
更新日期:2019-10-09 00:00:00
abstract:INTRODUCTION:Although cardiologists were 'late-comers' to the multidisciplinary team-contributing to the complex care of patients with Duchenne muscular dystrophy (DMD), they now recognise the importance of systematic cardiac surveillance and timely therapy to prolonged survival in patients with DMD. Empirical deployme...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022572
更新日期:2018-12-19 00:00:00
abstract:OBJECTIVES:To compare days on sick leave and assess predictors of return to work following shoulder surgery. DESIGN:A secondary analysis of a randomised controlled trial. SETTING:Orthopaedic department. PARTICIPANTS:114 patients with type II superior labral tear from anterior to posterior of the shoulder. INTERVENT...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035259
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVES:To explore participants' views of Delphi surveys in core outcome set (COS) development. STUDY DESIGN AND SETTING:Patients and health professionals (n=24) from seven recently concluded COS studies that had involved a Delphi survey took part in semistructured qualitative interviews (telephone and email exchan...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032338
更新日期:2019-11-14 00:00:00
abstract:OBJECTIVES:The aim of this study was to assess the risk of injuries among children exposed to a stressful life exposure (defined as bereavement) before conception or during fetal life. DESIGN:Population-based cohort study. SETTING:Denmark. PARTICIPANTS:All singleton births in Denmark between 1 January 1995 and 31 De...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002357
更新日期:2013-04-22 00:00:00
abstract:INTRODUCTION:Premature infants are particularly vulnerable to brain injuries with associated cognitive and behavioural deficits. The worldwide first randomised interventional multicentre trial investigating the neuroprotective effects of erythropoietin (entitled 'Does erythropoietin improve outcome in very preterm infa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022157
更新日期:2018-04-24 00:00:00
abstract:OBJECTIVE:This meta-analysis was performed to investigate the correlation between von Willebrand factor (vWF) antigen and hepatic venous pressure gradient (HVPG) and to evaluate the diagnostic performance of vWF to detect clinically significant portal hypertension (CSPH) and severe portal hypertension (SPH). DESIGN:Sy...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-025656
更新日期:2019-08-30 00:00:00
abstract:OBJECTIVES:To assess acceptability and feasibility of trial processes and the Rehabilitation Training (ReTrain) intervention including an assessment of intervention fidelity. DESIGN:A two-group, assessor-blinded, randomised controlled trial with parallel mixed methods process and economic evaluations. SETTING:Communi...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-018409
更新日期:2018-02-15 00:00:00