Abstract
INTRODUCTION: In general, factors such as old age, male and other illnesses have shown to be associated with an increased risk of mortality among elderly population. However, limited information is available from longitudinal studies regarding the incidence and predictors of mortality in older Malaysian adults. Thus, a community based longitudinal study was conducted to determine the incidence and predictors of mortality among older adults in Malaysia. METHODS: Subjects were chosen using multi-stage random sampling METHODS: from four states in Malaysia (Perak, Selangor, Kelantan and Johor). Analysis of data obtained from the Towards Useful Aging (TUA) study (2014-2016), wave 1 (baseline) and wave 2 (1? years of follow-up) was conducted. Parameters investigated were cognition, lifestyle, nutrient intake, physical performance and medical conditions. For the baseline, comprehensive interview-based questionnaires were administered to 2,322 subjects (?60 years old). The study then performed a logistic regression analysis to examine the effect of each possible predictor of mortality. Binary logistic analyses followed hereafter. RESULTS: During the follow-up after 1? years, 55 of the 2,322 subjects have died. The incidence rates of mortality were 1.6 per 100 person-years. Low physical performance (chair stand test) (OR: 0.826; 95%CI: 0.746, 0.913) and multimorbidity (OR: 3.076; 95%CI: 1.541, 6.138) were predictors of mortality. Conclusion: Low physical performance and multimorbidity were possible predictors in the incidence of mortality. There is a need to formulate effective preventive management strategies to decelerate mortality among older adults through healthy lifestyle and optimal fitness level.
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@proceedings{APCPH-2019-191,
title = {Incidence and Predictors of Mortality Among Elderly Population in Malaysia: A Community-Based Longitudinal Study},
author = {Norlela Mohd Hussin and Suzana Shahar and Hanis Mastura Yahya and Normah Che Din and Chin Ai-Vyrn and Devinder Kaur Ajit Singh and Mohd Azahadi Omar and Arimi Fitri},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: In general, factors such as old age, male and other illnesses have shown to be associated with an increased risk of mortality among elderly population. However, limited information is available from longitudinal studies regarding the incidence and predictors of mortality in older Malaysian adults. Thus, a community based longitudinal study was conducted to determine the incidence and predictors of mortality among older adults in Malaysia. METHODS: Subjects were chosen using multi-stage random sampling METHODS: from four states in Malaysia (Perak, Selangor, Kelantan and Johor). Analysis of data obtained from the Towards Useful Aging (TUA) study (2014-2016), wave 1 (baseline) and wave 2 (1? years of follow-up) was conducted. Parameters investigated were cognition, lifestyle, nutrient intake, physical performance and medical conditions. For the baseline, comprehensive interview-based questionnaires were administered to 2,322 subjects (?60 years old). The study then performed a logistic regression analysis to examine the effect of each possible predictor of mortality. Binary logistic analyses followed hereafter. RESULTS: During the follow-up after 1? years, 55 of the 2,322 subjects have died. The incidence rates of mortality were 1.6 per 100 person-years. Low physical performance (chair stand test) (OR: 0.826; 95%CI: 0.746, 0.913) and multimorbidity (OR: 3.076; 95%CI: 1.541, 6.138) were predictors of mortality. Conclusion: Low physical performance and multimorbidity were possible predictors in the incidence of mortality. There is a need to formulate effective preventive management strategies to decelerate mortality among older adults through healthy lifestyle and optimal fitness level.},
note = {Type: POSTER PRESENTATION; Organisation: Putrajaya Health Office, Health Department of Federal Territory Kuala Lumpur \& Putrajaya, Ministry of Health, Malaysia, Centre of Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia, Centre of Rehabilitation Science, Faculty of Health Sciences, UKM, Kuala Lumpur, Malaysia, Ageing and Age-Associated Disorders Research Group, Division of Geriatric Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, Institute of Public Health, Ministry of Health, Kuala Lumpur, Malaysia, Faculty of Health Sciences, Center of Diagnostic and Applied Science, UKM, Kuala Lumpur, Malaysia},
keywords = {incidence, mortality, Older adults, predictors},
pubstate = {published},
tppubtype = {proceedings}
}