Abstract：
BACKGROUND: Self-rated health (SRH) offers insights into the evolving health demographics of an ageing population.
OBJECTIVE: To assess change in SRH from old age to very old age and their associations with health and well-being factors, and to investigate the association between SRH and survival.
METHODS: All participants in the MONICA 1999 re-examination born before 1940 (n = 1595) were included in the Silver-MONICA baseline cohort. The Silver-MONICA follow-up started in 2016 included participants in the Silver-MONICA baseline cohort aged 80 years or older. Data on SRH was available for 1561 participants at baseline with 446 of them also participating in the follow-up. The follow-up examination included a wide variety of measurements and tests.
RESULTS: Most participants rated their health as \"Quite good\" (54.5 %) at baseline. Over the study period, 42.6 % had stable SRH, 40.6 % had declined, and 16.8 % had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p < 0.05).
CONCLUSIONS: This study demonstrates associations between changes in SRH and a multitude of health- and wellbeing-related factors, as well as a relation between survival and SRH, accentuating their relevance within the ageing population.
OBJECTIVE: To assess change in SRH from old age to very old age and their associations with health and well-being factors, and to investigate the association between SRH and survival.
METHODS: All participants in the MONICA 1999 re-examination born before 1940 (n = 1595) were included in the Silver-MONICA baseline cohort. The Silver-MONICA follow-up started in 2016 included participants in the Silver-MONICA baseline cohort aged 80 years or older. Data on SRH was available for 1561 participants at baseline with 446 of them also participating in the follow-up. The follow-up examination included a wide variety of measurements and tests.
RESULTS: Most participants rated their health as \"Quite good\" (54.5 %) at baseline. Over the study period, 42.6 % had stable SRH, 40.6 % had declined, and 16.8 % had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p < 0.05).
CONCLUSIONS: This study demonstrates associations between changes in SRH and a multitude of health- and wellbeing-related factors, as well as a relation between survival and SRH, accentuating their relevance within the ageing population.
摘要：
背景：自我评估健康（SRH）提供了对老龄化人口不断发展的健康人口统计学的见解。
目的：评估从老年到高龄的SRH的变化及其与健康和福祉因素的关系，并研究SRH与生存率之间的关系。
方法：所有1940年前出生的MONICA1999复检参与者（n=1595）均纳入Silver-MONICA基线队列。2016年开始的Silver-MONICA随访包括80岁或以上的Silver-MONICA基线队列参与者。基线时，有1561名参与者的SRH数据可用，其中446名参与者也参与了随访。后续检查包括各种测量和测试。
结果：大多数参与者在基线时将他们的健康状况评为“相当好”（54.5%）。在学习期间，42.6%有稳定的SRH，下降了40.6%，和16.8%有所改善。随访时SRH的变化与年龄显着相关，疼痛,营养,认知，助行器使用,自定步速的步态速度，下肢力量,日常生活活动的独立性，每周体育锻炼,户外活动,参加有组织的活动，拜访别人,士气,和抑郁症状。基线时的SRH与生存率显著相关(p<0.05)。
结论：这项研究表明，SRH的变化与多种健康和福祉相关因素之间存在关联。以及生存和SRH之间的关系，强调它们在人口老龄化中的相关性。
目的：评估从老年到高龄的SRH的变化及其与健康和福祉因素的关系，并研究SRH与生存率之间的关系。
方法：所有1940年前出生的MONICA1999复检参与者（n=1595）均纳入Silver-MONICA基线队列。2016年开始的Silver-MONICA随访包括80岁或以上的Silver-MONICA基线队列参与者。基线时，有1561名参与者的SRH数据可用，其中446名参与者也参与了随访。后续检查包括各种测量和测试。
结果：大多数参与者在基线时将他们的健康状况评为“相当好”（54.5%）。在学习期间，42.6%有稳定的SRH，下降了40.6%，和16.8%有所改善。随访时SRH的变化与年龄显着相关，疼痛,营养,认知，助行器使用,自定步速的步态速度，下肢力量,日常生活活动的独立性，每周体育锻炼,户外活动,参加有组织的活动，拜访别人,士气,和抑郁症状。基线时的SRH与生存率显著相关(p<0.05)。
结论：这项研究表明，SRH的变化与多种健康和福祉相关因素之间存在关联。以及生存和SRH之间的关系，强调它们在人口老龄化中的相关性。
