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Kardiologiia
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Kardiologiia
Article . 2018 . Peer-reviewed
Data sources: Crossref
Kardiologiia
Article . 2019
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Social, Demographic and Behavioral Factors and Their Impact on 5-year Survival in Subjects Aged Over 75 Years in Moscow Population

Социально-демографические и поведенческие факторы и их влияние на 5-летнюю выживаемость у лиц старше 75 лет
Authors: Yu. V. Kotovskaya; O N Tkachyeva; N M Vorobyeva;

Social, Demographic and Behavioral Factors and Their Impact on 5-year Survival in Subjects Aged Over 75 Years in Moscow Population

Abstract

to study the impact of social, demographic and behavioral factors on 5-year survival rate in persons older than 75 years living in Moscow and the Moscow region.We included in this prospective observational study 283 patients (25% men, age 75-98, mean 86.8±4.3 years) after stay at the Russian gerontological clinical research center. To study social and behavioral factors we recorded anthropometric parameters and used questionnaires. Duration of follow-up was 5 years. Endpoint was death from any cause.One hundred five patients (37.1%) died during the follow-up (median 3.8 years). Survival analysis using the Kaplan-Meier method revealed a number of parameters that affected 5-year survival: age, defcient and excessive body weight, consumption of less than 1 liter of water per day, start of the night sleep after midnight, nightime sleep duration ≥10 h, level of physical activity and history of blood donation. At multivariate analysis adjusted for age and sex the following factors were independently associated with death during follow-up: weight defciency (hazard ratio [HR] 7.36, 95% confdence interval [CI] 2.15-25.26, p=0.001), second degree obesity (HR 0.47, 95% CI 0.25-0.87, p=0.016), start of night sleep after midnight (HR 2.53, 95% CI 1.32-4.85, p=0.005), nightime sleep duration ≥10 h (HR 3.89, 95% CI 1.77-8.59, p=0.001), and history of blood donation (HR 0.24, 95% CI 0.09-0.62, p=0.003).In people older than 75 years late sleep initiation and long duration of night sleep, and weight loss increase the risk of death in the next 5 by years, 2.5, 3.9 and 7.4 times, respectively, while overweight and history of blood donation are associated with 53% and 76% reduction of the risk of death.

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Keywords

Male, выживаемость, elderly, survival, Moscow, Russia, Risk Factors, социально-демографические факторы, Humans, Prospective Studies, social factors, пожилой и старческий возраст, Aged, Demography, Proportional Hazards Models, Aged, 80 and over, Behavior, смертность, demographic factors, mortality, predictors, Female, предикторы, Follow-Up Studies

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
Green
hybrid