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Self-rated health is associated with subsequent functional decline among older adults in Japan

Published online by Cambridge University Press:  31 May 2017

Mayumi Hirosaki ,
Kiyohito Okumiya ,
Taizo Wada ,
Masayuki Ishine ,
Ryota Sakamoto ,
Yasuko Ishimoto ,
Yoriko Kasahara ,
Yumi Kimura ,
Eriko Fukutomi  and
Wen Ling Chen
...Show all authors
Mayumi Hirosaki*
Affiliation:
Department of Field Medicine, Graduate School of Public Health, Kyoto University, Kyoto, Japan
Kiyohito Okumiya
Affiliation:
Research Institute of Humanity and Nature, Kyoto, Japan
Taizo Wada
Affiliation:
Center for Southeast Asian Studies, Kyoto University, Kyoto, Japan
Masayuki Ishine
Affiliation:
Center for Southeast Asian Studies, Kyoto University, Kyoto, Japan
Ryota Sakamoto
Affiliation:
Research Institute of Humanity and Nature, Kyoto, Japan
Yasuko Ishimoto
Affiliation:
Department of Field Medicine, Graduate School of Public Health, Kyoto University, Kyoto, Japan
Yoriko Kasahara
Affiliation:
Department of Field Medicine, Graduate School of Public Health, Kyoto University, Kyoto, Japan
Yumi Kimura
Affiliation:
Department of Field Medicine, Graduate School of Public Health, Kyoto University, Kyoto, Japan
Eriko Fukutomi
Affiliation:
Department of Field Medicine, Graduate School of Public Health, Kyoto University, Kyoto, Japan
Wen Ling Chen
Affiliation:
Department of Field Medicine, Graduate School of Public Health, Kyoto University, Kyoto, Japan
Masahiro Nakatsuka
Affiliation:
Human Brain Research Center, Kyoto University, Kyoto, Japan
Michiko Fujisawa
Affiliation:
Center for Southeast Asian Studies, Kyoto University, Kyoto, Japan
Kuniaki Otsuka
Affiliation:
Department of Medicine, Tokyo Women's Medical University, Medical Center East, Tokyo, Japan
Kozo Matsubayashi
Affiliation:
Center for Southeast Asian Studies, Kyoto University, Kyoto, Japan
*
Correspondence should be addressed to: Mayumi Hirosaki, Department of Epidemiology, Fukushima Medical University, 1 Hikarigaoka, Fukushima city, Fukushima, 960-1295, Japan. Phone: +81-24-547-1345; Fax: +81-24-547-1346. Email: [email protected].
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Abstract

Background:

Previous studies have reported that self-rated health (SRH) predicts subsequent mortality. However, less is known about the association between SRH and functional ability. The aim of this study was to examine whether SRH predicts decline in basic activities of daily living (ADL), even after adjustment for depression, among community-dwelling older adults in Japan.

Methods:

A three-year prospective cohort study was conducted among 654 residents aged 65 years and older without disability in performing basic ADL at baseline. SRH was assessed using a visual analogue scale (range; 0–100), and dichotomized into low and high groups. Information on functional ability, sociodemographic factors, depressive symptoms, and medical conditions were obtained using a self-administered questionnaire. Logistic regression analysis was used to examine the association between baseline SRH and functional decline three years later.

Results:

One hundred and eight (16.5%) participants reported a decline in basic ADL at the three-year follow-up. Multiple logistic regression analysis showed that the low SRH group had a higher risk for functional decline compared to the high SRH group, even after controlling for potential confounding factors (odds ratio (OR) = 2.4; 95% confidence interval (CI) = 1.3–4.4). Furthermore, a 10-point difference in SRH score was associated with subsequent functional decline (OR = 1.37; 95% CI = 1.16–1.61).

Conclusions:

SRH was an independent predictor of functional decline. SRH could be a simple assessment tool for predicting the loss or maintenance of functional ability in community-dwelling older adults. Positive self-evaluation might be useful to maintain an active lifestyle and stay healthy.

Keywords

self-rated healthbasic activities of daily livingcommunity-dwelling elderlydepressionprospective studyJapan
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 9 , September 2017 , pp. 1475 - 1483
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

Ashburner, J. M., Cauley, J. A., Cawthon, P., Ensrud, K. E., Hochberg, M. C. and Fredman, L. (2011). Self-ratings of health and change in walking speed over 2 years: results from the caregiver-study of osteoporotic fractures. American Journal of Epidemiology, 173, 882–889.Google Scholar
Assari, S. and Lankarani, M. M. (2015). Does multi-morbidity mediate the effect of socioeconomics on self-rated health? Cross-country differences. International Journal of Preventive Medicine, 6, 85.Google Scholar
Bean, J. F., Olveczky, D. D., Kiely, D. K., LaRose, S. I. and Jette, A. M. (2011). Performance-based versus patient-reported physical function: what are the underlying predictors? Physical Therapy, 91, 1804–1811.Google Scholar
Benyamini, Y., Idler, E. L., Leventhal, H. and Leventhal, E. A. (2000a). Positive affect and function as influences on self-assessments of health: expanding our view beyond illness and disability. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55, P107–P116.Google Scholar
Benyamini, Y., Leventhal, E. A. and Leventhal, H. (2000b). Gender differences in processing information for making self-assessments of health. Psychosomatic Medicine, 62, 354–364.Google Scholar
Bopp, M., Braun, J., Gutzwiller, F. and Faeh, D. (2012). Health risk or resource? Gradual and independent association between self-rated health and mortality persists over 30 years. PLoS One, 7, e30795.CrossRefGoogle ScholarPubMed
Brenowitz, W. D., Hubbard, R. A., Crane, P. K., Gray, S. L., Zaslavsky, O. and Larson, E. B. (2014). Longitudinal associations between self-rated health and performance-based physical function in a population-based cohort of older adults. PLoS One, 9, e111761.CrossRefGoogle Scholar
Brooks, R. (1996). EuroQol: the current state of play. Health Policy, 37, 53–72.Google Scholar
Cavrini, G., Broccoli, S., Puccini, A. and Zoli, M. (2012). EQ-5D as a predictor of mortality and hospitalization in elderly people. Quality of Life Research, 21, 269–280.Google Scholar
Chida, Y. and Steptoe, A. (2008). Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosomatic Medicine, 70, 741–756.Google Scholar
DeSalvo, K. B., Bloser, N., Reynolds, K., He, J. and Muntner, P. (2006). Mortality prediction with a single general self-rated health question. A meta-analysis. Journal of General Internal Medicine, 21, 267–275.Google Scholar
Grant, M. D., Piotrowski, Z. H. and Chappell, R. (1995). Self-reported health and survival in the Longitudinal Study of Aging, 1984–1986. Journal of Clinical Epidemiology, 48, 375–387.Google Scholar
Haga, H. et al. (1995). Self-rated health as a predictor of active life in the community elderly. Japanese Journal of Epidemiology, 5, 11–15.Google Scholar
Hirosaki, M. et al. (2010). Self-rated health and comprehensive geriatric functions in community-living older adults in Japan. Journal of the American Geriatrics Society, 58, 207–209.Google Scholar
Hirosaki, M. et al. (2013). Positive affect as a predictor of lower risk of functional decline in community-dwelling elderly in Japan. Geriatrics & Gerontology International, 13, 1051–1058.Google Scholar
Idler, E. L., Russell, L. B. and Davis, D. (2000). Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. American Journal of Epidemiology, 152, 874–883.Google Scholar
Jylha, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69, 307–316.Google Scholar
Koyano, W., Shibata, H., Nakazato, K., Haga, H. and Suyama, Y. (1991). Measurement of competence: reliability and validity of the TMIG Index of Competence. Archives of Gerontology and Geriatrics, 13, 103–116.Google Scholar
Kristenson, M., Olsson, A. G. and Kucinskiene, Z. (2005). Good self-rated health is related to psychosocial resources and a strong cortisol response to acute stress: the LiVicordia study of middle-aged men. International Journal of Behavioral Medicine, 12, 153–160.Google Scholar
Larsson, D., Hemmingsson, T., Allebeck, P. and Lundberg, I. (2002). Self-rated health and mortality among young men: what is the relation and how may it be explained? Scandinavian Journal of Public Health, 30, 259–266.Google Scholar
Lee, Y. (2000). The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Journal of Epidemiology and Community Health, 54, 123–129.CrossRefGoogle ScholarPubMed
Levy, B. R. and Myers, L. M. (2004). Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine, 39, 625–629.Google Scholar
Levy, B. R., Slade, M. D., Kunkel, S. R. and Kasl, S. V. (2002). Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83, 261–270.Google Scholar
Martinez, D. J., Kasl, S. V., Gill, T. M. and Barry, L. C. (2010). Longitudinal association between self-rated health and timed gait among older persons. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65, 715–719.Google Scholar
Matsubayashi, K., Okumiya, K., Osaki, Y., Fujisawa, M. and Doi, Y. (1999). Frailty in elderly Japanese. Lancet, 353, 1445.Google Scholar
Mora, P. A., DiBonaventura, M. D., Idler, E., Leventhal, E. A. and Leventhal, H. (2008). Psychological factors influencing self-assessments of health: toward an understanding of the mechanisms underlying how people rate their own health. Annals of Behavioral Medicine, 36, 292–303.Google Scholar
Nishi, A., Kawachi, I., Shirai, K., Hirai, H., Jeong, S. and Kondo, K. (2012). Sex/gender and socioeconomic differences in the predictive ability of self-rated health for mortality. PLoS One, 7, e30179.Google Scholar
Perneger, T. V., Gayet-Ageron, A., Courvoisier, D. S., Agoritsas, T. and Cullati, S. (2013). Self-rated health: analysis of distances and transitions between response options. Quality of Life Research, 22, 2761–2768.Google Scholar
Pietilainen, O., Laaksonen, M., Rahkonen, O. and Lahelma, E. (2011). Self-rated health as a predictor of disability retirement–the contribution of ill-health and working conditions. PLoS One, 6, e25004.Google Scholar
Sheikh, J. I. and Yesavage, J. A. (1986). Geriatric depression scale (GDS); recent evidence and development of a shorter version. In Brink, T. L. (ed.), Clinical Gerontology : A Guide to Assessment and Intervention (pp. 165–173). New York: Haworth Press.Google Scholar
Spiers, N., Jagger, C., Clarke, M. and Arthur, A. (2003). Are gender differences in the relationship between self-rated health and mortality enduring? Results from three birth cohorts in Melton Mowbray, United Kingdom. Gerontologist, 43, 406–411; discussion 372–405.Google Scholar