ArticleBMC geriatrics2021
Sex differences in the association between latent class of lifestyle and disability among older adults in China.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Trajectories of physical functioning and its implication for all-cause mortality in Chinese older people: a large-scale national longitudinal study.Journal of global health · 2025Article
- Association between all-cause mortality and trajectories across quality and duration of sleep and cognitive function: based on Group-Based Multivariate Trajectory modeling.BMC geriatrics · 2023Article
- A latent class analysis of community-based rehabilitation needs among Chinese older adults: a mixed study protocol.Frontiers in public health · 2023Article
- Article
- Novel physical performance-based models for activities of daily living disability prediction among Chinese older community population: a nationally representative survey in China.BMC geriatrics · 2022Article
- Trends and biopsychosocial correlates of physical disabilities among older men and women in Taiwan: examination based on ADL, IADL, mobility, and frailty.BMC geriatrics · 2022Article
- Trajectories of physical functioning and its predictors in older adults: A 12-year longitudinal study in China.Frontiers in public health · 2022Article
- Long-Term Changes in Older Adults' Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study.International journal of environmental research and public health · 2021Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundA healthy lifestyle may prevent disability for older adults. But research to date is limited to a single lifestyle behavior and ignore sex difference in the lifestyle-disability association. This study aimed at identifying sex-specific latent classes of lifestyle and their relationship with disability among older Chinese adults.
methodsData were obtained from adults aged 65 years or above in the 2018 Chinese Longitudinal Healthy Longevity Survey, a nationally representative sample of older adults in China. We used latent class analysis to categorize participants into subgroups based on three dimensions of lifestyle factors: health behaviors, psychological wellbeing, and social engagement. Disability was assessed by the activities of daily living (ADL). Multivariable logistic regression was used to evaluate the associations between the latent lifestyle classes and disability.
resultsA total of 15,771 older adults were included in this analysis, of whom 56% were women and 66% aged 80 years or above. We identified four latent lifestyle classes among older women: "Health Promoting" (28%), "Isolated and Health Harming" (34%), "Restless and Dismal" (21%), and "Restless" (17%). A different set of four lifestyle classes were identified in older men: "Health Promoting" (21%), "Isolated and Health Harming" (26%), "Restless and Dismal" (20%), and "Discordant" (33%). Compared with the "Health Promoting" class, the "Isolated and Health Harming" class (OR = 1.88, 95% CI: 1.46-2.43) and the "Restless and Dismal" class (OR = 1.67, 95% CI: 1.27-2.20) had higher risk of disability in women. The "Discordant" class had lower risk of disability in men (OR = 0.52, 95% CI: 0.37-0.72).
conclusionsOur analyses revealed different lifestyle patterns for older women and men in China. Sex differences in the associations between lifestyle and disability need to be considered when formulating interventions to prevent disability.
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