scholarly journals Psychiatric hospitalisation and suicide among the very old in Denmark: Population-based register study

2005 ◽  
Vol 187 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Annette Erlangsen ◽  
Preben Bo Mortensen ◽  
Werner Vach ◽  
Bernard Jeune
Keyword(s):  
Psychiatric Disorders ◽  
Event History Analysis ◽  
Strong Association ◽  
Fold Increase ◽  
Population Based ◽  
Middle Aged ◽  
Old People ◽  
Psychiatric Hospitalisation ◽  
Very Old ◽  
Individual Level

BackgroundVery old people have higher suicide rates than the younger elderly population. Psychiatric disorders are known to have a strong association with suicide among elderly people.AimsTo analyse the suicide risk associated with psychiatric hospitalisation among the very old (⩾80 years) compared with the middle-aged (50–64 years) and old (65–79 years) populations.MethodIndividual-level data on the entire Danish population aged 50 years or over were analysed for the period 1994–1998. Relative suicide risks were calculated using event-history analysis.ResultsAmong 1 978 527 persons, 2323 died by suicide. Although the very old group exhibited a four-fold to five-fold increase in risk of suicide for those previously hospitalised, we noted an inverse interaction effect: the increase is distinctly smaller compared with that in the middle-aged and old groups.ConclusionsThe association between suicide and psychiatric hospitalisation is much weaker for the very old than for the old. Psychiatric disorders among very old people may be interacting with other disorders, may be underdiagnosed or treated in other healthcare settings.

Falls in very old people: The population-based Umeå 85+ Study in Sweden

2009 ◽  
Vol 49 (3) ◽  
pp. 390-396 ◽  
Author(s):  
Petra von Heideken Wågert ◽  
Yngve Gustafson ◽  
Kristina Kallin ◽  
Jane Jensen ◽  
Lillemor Lundin-Olsson
Keyword(s):  
Population Based ◽  
Old People ◽  
Very Old

scholarly journals Risk factors for hip fracture in very old people: a population-based study

2015 ◽  
Vol 27 (3) ◽  
pp. 923-931 ◽  
Author(s):  
R. Wiklund ◽  
A. Toots ◽  
M. Conradsson ◽  
B. Olofsson ◽  
H. Holmberg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hip Fracture ◽  
Population Based ◽  
Old People ◽  
Population Based Study ◽  
Very Old

Usual Gait Speed Independently Predicts Mortality in Very Old People: A Population-Based Study

2013 ◽  
Vol 14 (7) ◽  
pp. 529.e1-529.e6 ◽  
Author(s):  
Annika Toots ◽  
Erik Rosendahl ◽  
Lillemor Lundin-Olsson ◽  
Peter Nordström ◽  
Yngve Gustafson ◽  
...  
Keyword(s):  
Gait Speed ◽  
Population Based ◽  
Old People ◽  
Population Based Study ◽  
Very Old ◽  
Usual Gait Speed

scholarly journals MAILED SURVEYS WITH NONAGENARIANS - CHALLENGES AND LESSONS FROM THE VITALITY 90+ STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S868-S868
Author(s):  
Marja Jylha ◽  
Jani Raitanen ◽  
Kristina Tiainen ◽  
Pauliina Halonen ◽  
Linda Enroth
Keyword(s):  
Quality Of Life ◽  
Data Collection ◽  
Oldest Old ◽  
Population Based ◽  
Old People ◽  
Very Old ◽  
Health Functioning ◽  
The Impact ◽  
Base Data

Abstract Reliable population-based data on health, functioning and quality of life among very old people are scarce because only during the last decades this age group has grown to be an important segment of population, and because data collection among the oldest old is challenging. Due to poor health, problems in hearing and vision, cognitive decline, and institutionalization, very old individuals may not be able to participate in research studies, or, the information they give may not be reliable. In the Vitality 90+ Study, the whole population aged 90+ in the Tampere area, Finland, has been investigated six times since 2001. Mailed surveys have been conducted in years 1995, 1996, 1998, 2001, 2003, 2007, 2010, 2014, and 2018. In each data collection, the response rate has been ca 80%. The questionnaires and the wording of the questions have been identical in each survey round, which provides data for investigating time trends in health, functioning, and quality of life. Linkages with national population and care registers are used for studying mortality and care use. In this poster, we analyze the impact of 1) exhaustive base data, 2) the questionnaire, 3) including institutionalized individuals and proxy answers, on the findings and on the quality and reliability of the data. We conclude that mailed surveys can be a feasible method of data collection among very old people, but only in favorable local circumstances and with great efforts from the research group.

scholarly journals Association of fasting glucose with lifetime risk of incident heart failure: the Lifetime Risk Pooling Project

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Arjun Sinha ◽  
Hongyan Ning ◽  
Faraz S. Ahmad ◽  
Michael P. Bancks ◽  
Mercedes R. Carnethon ◽  
...  
Keyword(s):  
Heart Failure ◽  
Black Women ◽  
Population Based ◽  
Lifetime Risk ◽  
Middle Aged ◽  
Cox Models ◽  
Individual Level ◽  
Risk Of Death ◽  
Kaplan Meier ◽  
White Adults

Abstract Background Given the rising prevalence of dysglycemia and disparities in heart failure (HF) burden, we determined race- and sex-specific lifetime risk of HF across the spectrum of fasting plasma glucose (FPG). Methods Individual-level data from adults without baseline HF was pooled from 6 population-based cohorts. Modified Kaplan–Meier analysis, Cox models adjusted for the competing risk of death, and Irwin’s restricted mean were used to estimate the lifetime risk, adjusted hazard ratio (aHR), and years lived free from HF in middle-aged (40–59 years) and older (60–79 years) adults with FPG < 100 mg/dL, prediabetes (FPG 100–125 mg/dL) and diabetes (FPG ≥ 126 mg/dL or on antihyperglycemic agents) across race-sex groups. Results In 40,117 participants with 638,910 person-years of follow-up, 4846 cases of incident HF occurred. The lifetime risk of HF was significantly higher among middle-aged White adults and Black women with prediabetes (range: 6.1% [95% CI 4.8%, 7.4%] to 10.8% [95% CI 8.3%, 13.4%]) compared with normoglycemic adults (range: 3.5% [95% CI 3.0%, 4.1%] to 6.5% [95% CI 4.9%, 8.1%]). Middle-aged Black women with diabetes had the highest lifetime risk (32.4% [95% CI 26.0%, 38.7%]) and aHR (4.0 [95% CI 3.0, 5.4]) for HF across race-sex groups. Middle-aged adults with prediabetes and diabetes lived on average 0.9–1.6 and 4.1–6.0 fewer years free from HF, respectively. Findings were similar in older adults except older Black women with prediabetes did not have a higher lifetime risk of HF. Conclusions Prediabetes was associated with higher lifetime risk of HF in middle-aged White adults and Black women, with the association attenuating in older Black women. Black women with diabetes had the highest lifetime risk of HF compared with other race-sex groups.

Risk factors for hip fractures in very old people: a population-based study

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e891-e892
Author(s):  
R. Wiklund ◽  
M. Conradsson ◽  
Y. Gustafson ◽  
H. Littbrand ◽  
B. Olofsson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hip Fractures ◽  
Population Based ◽  
Old People ◽  
Population Based Study ◽  
Very Old

Abstract 16177: Race and Sex-specific Long-term Risk of Incident Heart Failure in Adults Stratified by Fasting Glucose Level: Lifetime Risk Pooling Project

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Arjun Sinha ◽  
Hongyan Ning ◽  
Faraz S Ahmad ◽  
Michael Bancks ◽  
Mercedes R Carnethon ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Black Women ◽  
Population Based ◽  
Middle Aged ◽  
Individual Level ◽  
Kaplan Meier ◽  
Level Data ◽  
The Life Course

Introduction: While the association of diabetes with heart failure (HF) is well-established, the long-term risk (LR) of incident HF with prediabetes across the life course is not known. Furthermore, race-sex disparities in LR of HF across categories of fasting plasma glucose (FPG) has not been described. To inform HF preventive strategies, we compared the race- and sex-specific LR of HF across categories of FPG in adults. Methods: Individual-level data from adults free of baseline HF was pooled from 6 population-based cohorts stratified by baseline age (40-59, 60-79 years) and race-sex groups. We defined FPG status as normal (<100 mg/dL), prediabetes (FPG 100-125 mg/dL) and diabetes (FPG ≥126 mg/dL or use of antihyperglycemic agents). Modified Kaplan-Meier analysis was performed by FPG strata to estimate the LR of HF (30-year in middle-aged and 20-year in older adults) adjusted for the competing risk of non-HF death. We estimated adjusted hazard ratios (aHR) for HF in each FPG strata using Cox proportional regression models. Results: Of the 40,117 participants, 24% were black and 56% were women. During 638,910 person-years of follow-up, there were 4,846 cases of incident HF. In middle-aged adults, the LR of HF was significantly higher among individuals with prediabetes (6.1 [4.8, 7.4] to 14.4 [9.6, 19.2]%) compared with normal FPG (3.5 [3.0, 4.1] to 11.7 [9.1, 14.3]%). In older adults with prediabetes compared with normal FPG, LR of HF was significantly higher in white men (13.5 [12.0, 14.9]% vs 10.4 [9.2, 11.6]%) and women (12.2 [10.8, 13.6]% vs 7.8 [6.9, 8.7]%) but not in black men (12.2 [9.0, 15.3]% vs 14.6 [11.6, 17.6]%) or women (13.5 [10.1, 16.8]% vs 11.7 [9.4, 14.0]%). Race-sex specific aHR for HF across FPG strata are shown in the table. Conclusions: Compared with normal FPG, prediabetes was associated with significantly greater LR of HF in middle-aged but not in older adults. Of all groups, black women with diabetes qualitatively had a disproportionately higher LR of HF.

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