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Can health behaviours prolong survival and compress the period of survival with the disability? A population-based cohort study
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Hubei University of Chinese Medicine, China.
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).ORCID iD: 0000-0002-1496-1799
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Number of Authors: 62021 (English)In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 50, no 2, p. 480-487Article in journal (Refereed) Published
Abstract [en]

Background: It remains unclear whether and to what extent health behaviours may prolong survival and compress the period of survival with disability.

Objective: To identify modifiable health behaviours that are associated with later disability onset and longer disability-free survival.

Design: This population-based cohort study used data from the Swedish National Study on Ageing and Care in Kungsholmen (SNAC-K) ranging between 2001 and 2016.

Setting and subjects: A total of 3,041 disability-free adults aged >= 60 years were followed up to 15 years. Methods: Data on health behaviours were collected at baseline. Information on limitations in activities of daily living was obtained at baseline and during the follow-up. Laplace regression was used to model the median age at death and disability occurrence as a function of health behaviours.

Results: Never smoking, moderate alcohol drinking, rich social network and high leisure activity were individually related to longer survival by 1-3 years. Participants with high leisure activity lived 1.6 years (95% CI: 0.9-2.3) more without a disability. After combining lifestyle factors, social network, and leisure activities into a 4-level `health behaviour profile', people with the healthiest behaviour profile lived 2.8 years (95% CI: 1.3-4.2) longer, had disability 3.5 years (95% CI: 1.7-5.3) later and lived 0.7 years (95% CI, 0.4-1.1) more without a disability compared to those with the least healthy behaviours profile.

Conclusions: These findings suggest that health behaviours could prolong the lifespan, and leisure activities may further compress years lived with disability among older adults.

Place, publisher, year, edition, pages
2021. Vol. 50, no 2, p. 480-487
Keywords [en]
health behaviours, survival, compression of disability, population-based cohort study, older people
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:su:diva-195651DOI: 10.1093/ageing/afaa143ISI: 000649434300027PubMedID: 32706849OAI: oai:DiVA.org:su-195651DiVA, id: diva2:1588055
Available from: 2021-08-26 Created: 2021-08-26 Last updated: 2025-02-20Bibliographically approved

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