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Lifestyle-Related Risk Factors and Risk of Future Nursing Home Admission

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TypeOfResource
Text
TitleInfo
Title
Lifestyle-Related Risk Factors and Risk of Future Nursing Home Admission
Name (type = personal)
NamePart (type = family)
Valiyeva
NamePart (type = given)
Elmira
Affiliation
Economics (New Brunswick), Rutgers University
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = personal)
NamePart (type = family)
Russell
NamePart (type = given)
Louise B.
Affiliation
Institute for Health, Health Care Policy and Aging Research (IHHCPAR), Rutgers University
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = personal); (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (valueURI = http://orcid.org/0000-0003-3584-0846)
NamePart (type = family)
Miller
NamePart (type = given)
Jane E.
Affiliation
Institute for Health, Health Care Policy and Aging Research (IHHCPAR), Rutgers University
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = personal)
NamePart (type = family)
Safford
NamePart (type = given)
Monika M.
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = corporate); (authority = RutgersOrg-Department)
NamePart
Economics (New Brunswick)
Name (type = corporate); (authority = RutgersOrg-School)
NamePart
School of Arts and Sciences (SAS) (New Brunswick)
Name (type = corporate); (authority = RutgersOrg-School)
NamePart
Institute for Health, Health Care Policy and Aging Research (IHHCPAR)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Version of Record (VoR)
Note (type = peerReview)
Peer reviewed
OriginInfo
DateIssued (encoding = w3cdtf); (keyDate = yes)
2006
Abstract (type = Abstract)
While risks of disease, hospitalization, and death attributable to lifestyle-related factors such as smoking, inactivity, and obesity have been well studied, their associations with nursing home admission are less well known. These risk factors are usually established by middle age, but nothing is known about how they relate to long-term risk of nursing home admission in this age group.
Cox proportional hazards regressions were used to analyze risk of nursing home admission over 2 decades of follow-up (1971-1975 to 1992) in a nationally representative, longitudinal survey of community-dwelling adults aged 45 to 74 years at baseline. Middle-aged (45-64 years at baseline) and elderly persons (aged 65-74 years at baseline) were analyzed separately: 230 (6.5%) of 3526 middle-aged respondents and 728 (24.7%) of 2936 elderly ones had 1 or more nursing home admissions. Baseline risk factors included smoking, inactivity, obesity, elevated blood pressure, elevated total cholesterol level, and diabetes mellitus, which were defined according to national guidelines. All lifestyle-related factors, except total cholesterol level, were associated with higher risk of nursing home admission during follow-up in one or both age groups. Risk ratios were higher in middle-aged than in elderly persons. In those aged 45 to 64 years at baseline, diabetes more than tripled the risk of nursing home admission (relative risk, 3.25; 95% confidence interval, 2.04-5.19); smoking, inactivity, and elevated systolic blood pressure had relative risks of 1.56, 1.40, and 1.35, respectively. Obesity was a risk factor for those aged 65 to 74 years at baseline, but not for the middle-aged subjects. Persons with 2 lifestyle-related factors were at greatly increased risk, especially if 1 was diabetes. Lifestyle factors are important contributors to the long-term risk of nursing home admission. Modifying lifestyle, especially in middle age, may reduce the risk of admission.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
6 p.
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2006
AssociatedObject
Name
Archives of Internal Medicine
Type
Journal
Relationship
Has part
Detail
985-990
Identifier (type = volume and issue)
166(9)
Reference (type = url)
http://dx.doi.org/10.1001/archinte.166.9.985
Extension
DescriptiveEvent
Type
Grant award
AssociatedEntity
Role
Funder
Name
Agency for Healthcare Research and Quality
AssociatedObject
Type
Grant number
Name
HS 11477
Subject (authority = local)
Topic
Mortality
Subject (authority = local)
Topic
Obesity
Subject (authority = local)
Topic
Care
Subject (authority = MESH)
Topic
Institutionalization
Subject (authority = MESH)
Topic
Multivariate analysis
Subject (authority = MESH)
Topic
Patient admission
Subject (authority = MESH)
Topic
Risk assessment
Subject (authority = MESH)
Topic
Proportional hazards models
RelatedItem (type = host)
TitleInfo
Title
Miller, Jane E.
Identifier (type = local)
rucore30207600001
RelatedItem (type = host)
TitleInfo
Title
Russell, Louise B.
Identifier (type = local)
rucore30207700001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T37W6F9X
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RightsDeclaration (AUTHORITY = FS); (ID = rulibRdec0004)
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Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
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RightsEvent
Type
Permission research
DateTime (encoding = w3cdtf)
2016-07-22
AssociatedEntity
Role
Librarian
Name
Jane Otto
Detail
Permission is granted only for manuscripts reporting research funded by not-for-profit organizations to be deposited in not-for-profit, publicly available repositories" (AM or VoR), with 12-month embargo, etc. http://archinte.jamanetwork.com/public/instructionsForAuthors.aspx)
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1.5
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Qt 5.3.0
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2016-07-06T14:30:04
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2016-06-29T11:31:13
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