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Table 2 Association of lifestyle/psychosocial factors at age 64 years with reduced competence in daily living at age 70 years (males)

From: Lifestyle and psychosocial factors and a decline in competence in daily living among Japanese early elderly people: from an age-specified community-based cohort study (NISSIN project)

 

Decline in competence in daily living

Univariable analysis

Multivariable analysis

+

(n = 110)

(n = 1003)

OR (95% CI)

P for trend

OR (95% CI)

P for trend

Mental condition

 Depressive mood

26 (23.6)

146 (14.6)

1.82 (1.13–2.92)

 

1.14 (0.83–1.96)

 

 Mental strain

  Seldom

64 (58.2)

552 (55.0)

1

0.962

  

  Sometimes

39 (35.5)

416 (41.5)

0.81 (0.53–1.23)

   

  Always

7 (6.4)

35 (3.5)

1.73 (0.74–4.04)

   

 Life satisfaction§

  Low (≤ 4)

54 (49.1)

338 (33.7)

1

0.003

1

0.239

  Medium (5–6)

35 (31.8)

390 (38.9)

0.56 (0.36–0.88)

 

0.73 (0.45–1.20)

 

  High (≥ 7)

21 (19.1)

275 (27.4)

0.48 (0.28–0.81)

 

0.73 (0.40–1.32)

 

 Nighttime awakening

  Seldom

18 (16.4)

232 (23.1)

1

0.003

1

0.005

  Once

37 (33.6)

426 (42.5)

1.12 (0.62–2.01)

 

1.22 (0.66–2.24)

 

  ≥ 2 times

55 (50.0)

345 (34.4)

2.05 (1.18–3.59)

 

2.14 (1.19–3.86)

 

Daily habit

 Smoking

  Never

24 (21.8)

200 (19.9)

1

0.179

  

  Past

41 (37.3)

507 (50.5)

0.67 (0.40–1.14)

   

  Current

45 (40.9)

296 (29.5)

1.27 (0.75–2.15)

   

 Daily ethanol intake

  Seldom

42 (38.2)

299 (29.8)

1

0.231

1

0.328

  ≤ 23 g

42 (38.2)

462 (46.1)

0.64 (0.41–1.02)

 

0.75 (0.46–1.22)

 

  > 23 g

26 (23.6)

242 (24.1)

0.76 (0.46–1.28)

 

0.78 (0.45–1.35)

 

 Regular exercise

  Seldom

53 (48.2)

347 (34.6)

1

0.007

1

0.122

  < 1/week

9 (8.2)

99 (9.9)

0.60 (0.28–1.25)

 

0.85 (0.39–1.83)

 

  ≥ 1/week

48 (43.6)

557 (55.5)

0.56 (0.37–0.85)

 

0.70 (0.45–1.10)

 

 Daily walking time

  < 30 min

19 (17.3)

163 (16.3)

1

0.756

  

  30 min to 1 h

39 (35.5)

353 (35.2)

0.95 (0.53–1.69)

   

  ≥ 1 h

52 (47.3)

487 (48.6)

0.92 (0.53–1.59)

   

 Gait speed

  Slowly

21 (19.1)

76 (7.6)

1

< 0.001

1

< 0.001

  Medium

83 (75.5)

790 (78.8)

0.38 (0.22–0.65)

 

0.37 (0.21–0.67)

 

  Faster

6 (5.5)

137 (13.7)

0.16 (0.06–0.41)

 

0.21 (0.08–0.58)

 

 Daily sleeping hours

  < 6 h

11 (10.0)

58 (5.8)

1.77 (0.89–3.54)

0.216

  

  6–8 h

69 (62.7)

645 (64.3)

1

   

  ≥ 8 h

30 (27.3)

300 (29.9)

0.93 (0.60–1.47)

   

Social activities

 Current worker

64 (58.2)

589 (58.7)

0.98 (0.66–1.46)

   

 Participation in community activities

88 (80.0)

816 (81.4)

0.92 (0.56–1.50)

   

Environment

 Final educational status

  Junior high school

52 (47.3)

230 (22.9)

1

< 0.001

1

0.001

  Senior high school

29 (26.4)

425 (42.4)

0.30 (0.19–0.49)

 

0.32 (0.19–0.53)

 

  Junior college or higher

29 (26.4)

348 (34.7)

0.37 (0.23–0.60)

 

0.43 (0.25–0.72)

 

 Marital status

  Never, widowed, or divorced

8 (7.3)

34 (3.4)

1

   

  Presently married

102 (92.7)

969 (96.6)

0.45 (0.20–0.99)

   

 Number of family members living together

  0

4 (3.6)

9 (0.9)

4.61 (1.37–15.5)

0.905

4.68 (1.22–18.0)

0.665

  1

49 (44.5)

508 (50.6)

1

 

1

 

  ≥ 2

57 (51.8)

486 (48.5)

1.22 (0.81–1.82)

 

1.09 (0.71–1.67)

 
  1. OR, 95% CI, and P for trend were calculated by using imputation to provide the missing data. Multivariable analysis: adjusted for year of participation and history of hypertension or cerebrovascular disease
  2. OR odds ratio, CI confidence interval
  3. Reduced score on the Tokyo Metropolitan Institute of Gerontology Index of Competence of ≥ 2 from 64 years of age
  4. Geriatric Depression Scale ≥ 6
  5. §Life satisfaction index-K
  6. Mean daily ethanol intake was calculated from the type, amount, and frequency of alcoholic beverages