This article aims to investigate risk factors associated with mortality in young (< 80 years) and long-lived (≥ 80 years) older adults in Florianópolis. A longitudinal population-based study of 1702 older adults participants of the EpiFloripa Ageing Study. Deaths were identified through searches in the Mortality Information System. The probability of survival was estimated using the Kaplan-Meier and Log-Rank methods. The effect of risk factors for mortality was evaluated using Cox Regression models, adjusted for gender, family income, leisure physical activity, depressive symptoms, functional disability, falls, smoking, cardiovascular disease, stroke, and diabetes mellitus. The overall survival probability was 89.9% and 52.6% for the young and long-lived older adults, respectively. For younger older adults, the risk of death was higher for males, ex-smokers and those with moderate/severe disability. For the long-lived older adults, only those with depressive symptoms had a higher risk of death. These results reveal different risk profiles of death among younger and older adults and the need for a differentiated look in the health care of this population.

译文

:本文旨在调查与弗洛里亚诺波利斯的年轻(<80岁)和长寿(≥80岁)老年人死亡率相关的危险因素。 EpiFloripa衰老研究的1702位年龄较大的成年人参加了一项基于人口的纵向研究。通过在死亡率信息系统中进行搜索来识别死亡。使用Kaplan-Meier和Log-Rank方法估算生存率。使用Cox回归模型评估了死亡风险因素的影响,并针对性别,家庭收入,休闲体育活动,抑郁症状,功能障碍,跌倒,吸烟,心血管疾病,中风和糖尿病进行了调整。年轻人和长寿老年人的总生存率分别为89.9%和52.6%。对于较年轻的成年人,男性,前吸烟者和中度/重度残疾者的死亡风险较高。对于长寿的老年人,只有那些具有抑郁症状的人才有更高的死亡风险。这些结果揭示了年轻人和老年人中不同的死亡风险特征,并且需要对该人群的医疗保健加以区别对待。

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