ATHLOS Healthy Aging Scale score as the predictor of all-cause mortality in Poland and Czechia
Por:
Kozela M, Pajak A, Szafraniec K, Ayuso-Mateos JL, Bobak M, Lu W, Pikhart H, Polak M, Sánchez-Niubó A, Stepaniak U and Haro JM
Publicada:
16 mar 2023
Ahead of Print:
16 mar 2023
Categoría:
Public health, environmental and occupational health
Resumen:
BackgroundThe ATHLOS consortium (Aging Trajectories of Health-Longitudinal Opportunities and Synergies) used data from several aging cohorts to develop a novel scale measuring healthy aging comprehensively and globally (ATHLOS Healthy Aging Scale). In the present study, we assessed the predictive performance of the ATHLOS Healthy Aging Scale for all-cause mortality in middle-aged and older adults. MethodsData from the Polish and Czech HAPIEE (Health Alcohol and Psychosocial factors In Eastern Europe) prospective cohorts were used. There were 10,728 Poles and 8,857 Czechs recruited. The ATHLOS Healthy Aging Scale score was calculated for all participants using data from the baseline examination carried out from 2002 to 2005. The follow-up for all-cause mortality was completed over 14 years. The associations between quintiles of the ATHLOS Healthy Aging Scale and all-cause mortality were estimated using Cox proportional hazards models. ResultsA total of 9,922 Polish and 8,518 Czech participants contributed ATHLOS Healthy Aging Scale and mortality data with 1,828 and 1,700 deaths, respectively. After controlling for age, the ATHLOS Healthy Aging Scale score was strongly associated with mortality in a graded fashion for both genders and countries (hazard ratios for lowest vs. highest quintile were 2.98 and 1.96 for Czech and Polish women and 2.83 and 2.66 for Czech and Polish men, respectively). The associations were only modestly attenuated by controlling for education, economic activity, and smoking, and there was further modest attenuation after additional adjustment for self-rated health. ConclusionThe novel ATHLOS Healthy Aging Scale is a good predictor of all-cause mortality in Central European urban populations, suggesting that this comprehensive measure is a useful tool for the assessment of the future health trajectories of older persons.
Filiaciones:
Kozela M:
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
Pajak A:
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
Szafraniec K:
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
Ayuso-Mateos JL:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
Bobak M:
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Research Centre for Toxic Compounds in the Environment (RECETOX), Masaryk University, Brno, Czechia
Lu W:
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Pikhart H:
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Research Centre for Toxic Compounds in the Environment (RECETOX), Masaryk University, Brno, Czechia
Polak M:
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
Sánchez-Niubó A:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Stepaniak U:
Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
Haro JM:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
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