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Table 3 Association of lifestyle/psychosocial factors at age 64 years with reduced competence in daily living at age 70 years (females)

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 = 80)

(n = 1123)

OR (95% CI)

P for trend

OR (95% CI)

P for trend

Mental condition

 Depressive mood

35 (43.8)

224 (18.3)

3.12 (1.96–4.97)

 

1.86 (1.09–3.18)

 

 Mental strain

  Seldom

24 (30.0)

399 (32.6)

1

0.033

1

0.628

  Sometimes

43 (53.8)

644 (52.7)

1.11 (0.66–1.86)

 

0.85 (0.49–1.49)

 

  Always

13 (16.3)

80 (6.5)

2.70 (1.32–5.53)

 

1.43 (0.63–3.24)

 

 Life satisfaction§

  Low (≤ 4)

44 (55.0)

397 (32.5)

1

< 0.001

1

0.054

  Medium (5–6)

28 (35.0)

397 (32.5)

0.64 (0.39–1.04)

 

0.98 (0.56–1.72)

 

  High (≥ 7)

8 (10.0)

329 (26.9)

0.22 (0.10–0.47)

 

0.39 (0.16–0.91)

 

 Nighttime awakening

  Seldom

12 (15.0)

237 (19.4)

1

0.044

1

0.314

  Once

33 (41.3)

516 (42.2)

1.26 (0.64–2.49)

 

1.35 (0.67–2.71)

 

  ≥ 2 times

35 (43.8)

370 (30.3)

1.87 (0.95–3.67)

 

1.46 (0.72–2.96)

 

Daily habit

 Smoking

  Never

75 (93.8)

1031 (84.3)

1

0.602

  

  Past

3 (3.8)

59 (4.8)

0.70 (0.21–2.28)

   

  Current

2 (2.5)

33 (2.7)

0.83 (0.20–3.54)

   

 Daily ethanol intake

  Seldom

69 (86.3)

885 (72.4)

1

0.092

  

  < 23 g

11 (13.8)

226 (18.5)

0.62 (0.32–1.20)

   

  ≥ 23 g

0 (0.0)

12 (1.0)

1

   

 Regular exercise

  Seldom

44 (55.0)

439 (35.9)

1

0.001

1

0.093

  < 1/week

9 (11.3)

89 (7.3)

1.01 (0.48–2.14)

 

1.30 (0.59–2.86)

 

  ≥ 1/week

27 (33.8)

595 (48.7)

0.45 (0.28–0.74)

 

0.63 (0.38–1.07)

 

 Daily walking time

  < 30 min

8 (10.0)

88 (7.2)

1

0.147

  

  30 min to 1 h

25 (31.3)

280 (22.9)

0.98 (0.43–2.26)

   

  ≥ 1 h

47 (58.8)

755 (61.7)

0.68 (0.31–1.50)

   

 Gait speed

  Slowly

16 (20.0)

139 (11.4)

1

0.005

1

0.196

  Medium

60 (75.0)

824 (67.4)

0.63 (0.35–1.13)

 

0.92 (0.50–1.71)

 

  Faster

4 (5.0)

160 (13.1)

0.22 (0.07–0.66)

 

0.41 (0.13–1.30)

 

 Daily sleeping hours

  < 6 h

16 (20.0)

138 (11.3)

1.90 (1.05–3.45)

0.409

1.58 (0.84–2.98)

0.753

  6–8 h

48 (60.0)

788 (64.4)

1

 

1

 

  ≥ 8 h

16 (20.0)

197 (16.1)

1.33 (0.74–2.40)

 

1.37 (0.74–2.55)

 

Social activities

 Current worker

19 (23.8)

290 (23.7)

0.89 (0.53–1.52)

   

 Participation in community activities

55 (68.8)

966 (79.0)

0.36 (0.22–0.59)

 

0.50 (0.29–0.86)

 

Environment

 Final educational status

  Junior high school

38 (47.5)

346 (28.3)

1

0.029

1

0.63

  Senior high school

29 (36.3)

588 (48.1)

0.45 (0.27–0.74)

 

0.64 (0.38–1.09)

 

  Junior college or higher

13 (16.3)

189 (15.5)

0.63 (0.33–1.20)

 

1.04 (0.52–2.10)

 

 Marital status

  Never, widowed, or divorced

14 (17.5)

182 (14.9)

1

   

  Presently married

66 (82.5)

941 (76.9)

0.91 (0.50–1.66)

   

 Number of family members living together

  0

5 (6.3)

69 (5.6)

1.02 (0.39–2.67)

0.979

  

  1

43 (53.8)

608 (49.7)

1

   

  ≥ 2

32 (40.0)

466 (38.1)

0.89 (0.63–1.63)

   
  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
  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