Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life
Objective: This study aimed to investigate the distribution of ideal cardiovascular health (ICH) indicators among the oldest-old and centenarians and explore their relationships with disability and health-related quality of life of this population.Methods: One thousand two centenarians from China Ha...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2021.603877/full |
| _version_ | 1819096634110246912 |
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| author | Miao Liu Fuyin Kou Shanshan Yang Shengshu Wang Yao He Wuping Zhang |
| author_facet | Miao Liu Fuyin Kou Shanshan Yang Shengshu Wang Yao He Wuping Zhang |
| author_sort | Miao Liu |
| collection | DOAJ |
| description | Objective: This study aimed to investigate the distribution of ideal cardiovascular health (ICH) indicators among the oldest-old and centenarians and explore their relationships with disability and health-related quality of life of this population.Methods: One thousand two centenarians from China Hainan Centenarian Cohort Study and 798 oldest-old from the China Hainan Oldest-old Cohort study were the target subjects in this analysis. ICH status, disability, and health-related quality of life of study subjects were assessed.Findings: The median value of ICH indicators among centenarians and the oldest-old is 4 (4–5) and 3 (3–5), respectively. The ICH indicators with the highest percentage of ideal level/status are fasting plasm glucose (FPG) (90.2% of study subjects are at the ideal level), BMI (89.8% of study subjects are at the ideal level), and smoking (89.4% of study subjects are at the ideal status). The disability rates of basic activities of daily living (BADL) and instrumental activities of daily living (IADL) decrease with the increasing number of ICH indicators. The EQ VAS and EQ-5D score show an increasing trend along with the increasing number of ICH indicators (p < 0.05). After adjusting related covariates, the risk of disability and lower health-related quality of life decreased gradually as the number of ICH metrics increased (p < 0.05).Interpretation: The ICH metrics of centenarians and oldest-old were at a relatively good level, and there was a strong and independent relationship between the number of ICH indicators and disability as well as the lower health-related quality of life. |
| first_indexed | 2024-12-22T00:02:18Z |
| format | Article |
| id | doaj.art-63f61e1a44a646a6b4bbb0be310c78d8 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-22T00:02:18Z |
| publishDate | 2021-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-63f61e1a44a646a6b4bbb0be310c78d82022-12-21T18:45:40ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-08-01810.3389/fcvm.2021.603877603877Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of LifeMiao Liu0Fuyin Kou1Shanshan Yang2Shengshu Wang3Yao He4Wuping Zhang5Department of Statistics and Epidemiology, Graduate School of Chinese People's Liberation Army General Hospital, Beijing, ChinaHealth Service Department, Chinese People's Liberation Army General Hospital, Beijing, ChinaThe 1st Medical Center, Department of Disease Prevention and Control, Chinese People's Liberation Army General Hospital, Beijing, ChinaNational Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Aging and Geriatrics, State Key Laboratory of Kidney Diseases, Institute of Geriatrics, Second Medical Center of Chinese People's Liberation Army General Hospital, Beijing, ChinaNational Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Aging and Geriatrics, State Key Laboratory of Kidney Diseases, Institute of Geriatrics, Second Medical Center of Chinese People's Liberation Army General Hospital, Beijing, ChinaForeign Language Department, Graduate School, Graduate School of Chinese People's Liberation Army General Hospital, Beijing, ChinaObjective: This study aimed to investigate the distribution of ideal cardiovascular health (ICH) indicators among the oldest-old and centenarians and explore their relationships with disability and health-related quality of life of this population.Methods: One thousand two centenarians from China Hainan Centenarian Cohort Study and 798 oldest-old from the China Hainan Oldest-old Cohort study were the target subjects in this analysis. ICH status, disability, and health-related quality of life of study subjects were assessed.Findings: The median value of ICH indicators among centenarians and the oldest-old is 4 (4–5) and 3 (3–5), respectively. The ICH indicators with the highest percentage of ideal level/status are fasting plasm glucose (FPG) (90.2% of study subjects are at the ideal level), BMI (89.8% of study subjects are at the ideal level), and smoking (89.4% of study subjects are at the ideal status). The disability rates of basic activities of daily living (BADL) and instrumental activities of daily living (IADL) decrease with the increasing number of ICH indicators. The EQ VAS and EQ-5D score show an increasing trend along with the increasing number of ICH indicators (p < 0.05). After adjusting related covariates, the risk of disability and lower health-related quality of life decreased gradually as the number of ICH metrics increased (p < 0.05).Interpretation: The ICH metrics of centenarians and oldest-old were at a relatively good level, and there was a strong and independent relationship between the number of ICH indicators and disability as well as the lower health-related quality of life.https://www.frontiersin.org/articles/10.3389/fcvm.2021.603877/fullideal cardiovascular healthdisabilityquality of lifecentenarianepidemiology |
| spellingShingle | Miao Liu Fuyin Kou Shanshan Yang Shengshu Wang Yao He Wuping Zhang Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life Frontiers in Cardiovascular Medicine ideal cardiovascular health disability quality of life centenarian epidemiology |
| title | Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life |
| title_full | Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life |
| title_fullStr | Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life |
| title_full_unstemmed | Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life |
| title_short | Ideal Cardiovascular Health in the Oldest-Old and Centenarians and Its Association With Disability and Health-Related Quality of Life |
| title_sort | ideal cardiovascular health in the oldest old and centenarians and its association with disability and health related quality of life |
| topic | ideal cardiovascular health disability quality of life centenarian epidemiology |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2021.603877/full |
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