Limits...
The State of Health in Older Adults in Japan: Trends in Disability, Chronic Medical Conditions and Mortality.

Ishii S, Ogawa S, Akishita M - PLoS ONE (2015)

Bottom Line: Disability rates declined significantly in both sexes.Both total mortality rate and cause-specific mortality rates decreased in both sexes.We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan.

View Article: PubMed Central - PubMed

Affiliation: Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

ABSTRACT
Both life expectancy and healthy life expectancy in Japan have been increasing and are among the highest in the world, but the gap between them has also been widening. To examine the recent trends in old age disability, chronic medical conditions and mortality in Japan, we retrospectively analyzed three nationally representative datasets: Comprehensive Survey of Living Conditions (2001-2013), Patient Survey (1996-2011) and Vital Statistics (1995-2010). We obtained the sex- and age-stratified trends in disability rate, treatment rates of nine selected chronic medical conditions (cerebrovascular diseases, joint disorders, fractures, osteoporosis, ischemic heart disease, diabetes mellitus, hypertension, pneumonia and malignant neoplasms), total mortality rate and mortality rates from specific causes (cerebrovascular diseases, heart diseases, pneumonia and malignant neoplasms) in both sexes in four age strata (65-69, 70-74, 75-79, 80-84 years). Disability rates declined significantly in both sexes. Treatment rates of all selected medical conditions also decreased significantly, except for fractures in women and pneumonia. Both total mortality rate and cause-specific mortality rates decreased in both sexes. We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan. Nonetheless, considering the increase in the number of older adults, the absolute number of older adults with disability or chronic medical conditions will continue to increase and challenge medical and long-term care systems.

No MeSH data available.


Related in: MedlinePlus

Trends in disability rate in men and women from 2001 to 2013.(a) men. (b) women. The disability rate is the rate of persons certified for long-term care under the Long-Term Care Insurance System per 100,000 population. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4592221&req=5

pone.0139639.g001: Trends in disability rate in men and women from 2001 to 2013.(a) men. (b) women. The disability rate is the rate of persons certified for long-term care under the Long-Term Care Insurance System per 100,000 population. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.

Mentions: The trends in the disability rates from 2001 to 2013 are displayed in Fig 1 (Tabulated data available in S2 Table). The overall trend was downward and statistically significant in each sex. The trend in each age stratum was also statistically significant except for men aged 70–74 and 80–84 years.


The State of Health in Older Adults in Japan: Trends in Disability, Chronic Medical Conditions and Mortality.

Ishii S, Ogawa S, Akishita M - PLoS ONE (2015)

Trends in disability rate in men and women from 2001 to 2013.(a) men. (b) women. The disability rate is the rate of persons certified for long-term care under the Long-Term Care Insurance System per 100,000 population. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592221&req=5

pone.0139639.g001: Trends in disability rate in men and women from 2001 to 2013.(a) men. (b) women. The disability rate is the rate of persons certified for long-term care under the Long-Term Care Insurance System per 100,000 population. The black line represents those aged 80–84 years, the blue line represents those aged 75–79 years, the green line represents those aged 70–74 years and the red line represents those aged 65–69 years. The p values signify statistical significance for the trends in each age stratum.
Mentions: The trends in the disability rates from 2001 to 2013 are displayed in Fig 1 (Tabulated data available in S2 Table). The overall trend was downward and statistically significant in each sex. The trend in each age stratum was also statistically significant except for men aged 70–74 and 80–84 years.

Bottom Line: Disability rates declined significantly in both sexes.Both total mortality rate and cause-specific mortality rates decreased in both sexes.We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan.

View Article: PubMed Central - PubMed

Affiliation: Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

ABSTRACT
Both life expectancy and healthy life expectancy in Japan have been increasing and are among the highest in the world, but the gap between them has also been widening. To examine the recent trends in old age disability, chronic medical conditions and mortality in Japan, we retrospectively analyzed three nationally representative datasets: Comprehensive Survey of Living Conditions (2001-2013), Patient Survey (1996-2011) and Vital Statistics (1995-2010). We obtained the sex- and age-stratified trends in disability rate, treatment rates of nine selected chronic medical conditions (cerebrovascular diseases, joint disorders, fractures, osteoporosis, ischemic heart disease, diabetes mellitus, hypertension, pneumonia and malignant neoplasms), total mortality rate and mortality rates from specific causes (cerebrovascular diseases, heart diseases, pneumonia and malignant neoplasms) in both sexes in four age strata (65-69, 70-74, 75-79, 80-84 years). Disability rates declined significantly in both sexes. Treatment rates of all selected medical conditions also decreased significantly, except for fractures in women and pneumonia. Both total mortality rate and cause-specific mortality rates decreased in both sexes. We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan. Nonetheless, considering the increase in the number of older adults, the absolute number of older adults with disability or chronic medical conditions will continue to increase and challenge medical and long-term care systems.

No MeSH data available.


Related in: MedlinePlus