You, Yee Xing and Rivan, Nurul Fatin Malek and Singh, Devinder Kaur Ajit and Rajab, Nor Fadilah and Ludin, Arimi Fitri Mat and Din, Normah Che and Chin, Ai-Vyrn and Fenech, Michael and Kamaruddin, Mohd Zul Amin and Shahar, Suzana (2022) Incidence and predictors of mortality among community-dwelling older adults in Malaysia: A 5 years longitudinal study. International Journal of Environmental Research and Public Health, 19 (15). ISSN 1660-4601, DOI https://doi.org/10.3390/ijerph19158943.
Full text not available from this repository.Abstract
With older adults accounting for 10.7% of the Malaysian population, determining the predictors of mortality has now become crucial. Thus, this community-based longitudinal study aimed to investigate the predictors for mortality among community-dwelling older adults using a wide range of factors, including clinical or subclinical. A total of 2322 older adults were interviewed and assessed by trained fieldworkers using validated structured questionnaires. The questionnaire consisted of information on socio-demographic characteristics, health status, neuropsychological and psychosocial functions, lifestyle, dietary intake and biophysical measures. The incidence rate of mortality was 2.9 per 100 person-years. Cox regression analysis indicated that advancing age (Adjusted Hazard Ratio, Adj HR = 1.044, 95% CI: 1.024-1.064), male (Adj HR = 1.937, 95% CI: 1.402-2.675), non-married status (Adj HR = 1.410, 95% CI: 1.078-1.843), smoking (Adj HR = 1.314, 95% CI: 1.004-1.721), a higher fasting blood sugar (Adj HR = 1.075, 95% CI: 1.029-1.166), a lower serum albumin (Adj HR = 0.947, 95% CI: 0.905-0.990), a longer time to complete the TUG test (Adj HR = 1.059, 95% CI: 1.022-1.098), and a lower intake of total dietary fibre (Adj HR = 0.911, 95% CI: 0.873-0.980) were the predictors of mortality in this study. These findings provide an estimated rate of multiethnic mortality in middle-income countries and diet is one of the predictors. These predictors of mortality could be a reference in identifying new public health strategies to ensure longer healthier life spans with lower disability rate among community-dwelling older adults in Malaysia.
| Item Type: | Article |
|---|---|
| Funders: | Ministry of Education, Malaysia LRGS/1/2019/UM-UKM/1/4, LRGS/BU/2012/UKMUKM/K/01, Universiti Kebangsaan Malaysia DCP-2017-002/1, DCP-2017-002/2 |
| Uncontrolled Keywords: | Community; Incidence; Mortality; Predictors; Older adults |
| Subjects: | H Social Sciences > HT Communities. Classes. Races |
| Divisions: | Faculty of Medicine > Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 15 Oct 2023 12:27 |
| Last Modified: | 15 Oct 2023 12:27 |
| URI: | http://eprints.um.edu.my/id/eprint/41585 |
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