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Self-rated function, self-rated health, and postmortem evidence of brain infarcts
 — findings from the Nun Study
Author(s)Philip A Greiner, David A Snowdon, Lydia H Greiner
Journal titleThe Journals of Gerontology Series B: Psychological Sciences and Social Sciences, vol 54B, no 4, July 1999
Pagespp S219-222
KeywordsCognitive processes ; Health [elderly] ; Stroke ; Postmortems ; Older women ; Ministers of religion ; Longitudinal surveys ; United States of America.
AnnotationPrevious findings suggest that self-rated function predicts future functional decline and is strongly associated with all-cause mortality. The authors hypothesised that the strength of the relationship of self-rated function to all-cause mortality was in part due to functional decline, such as would occur with brain infarcts. Self-ratings of functions and health were assessed annually for 630 participants in the Nun Study. Among those who died during the study period 31 October 1991 to 1 March 1998, neuropathological examination determined postmortem evidence of brain infarcts. Cox regression modelling with self-rated function and health and health as time dependent covariates, and stratification by assessment period were used in the analyses. Self-rated function and health ratings of good, fair and poor were significantly associated with doubling the risk of mortality, compared with ratings of very good and excellent. Self-ratings of fair or poor were associated with a threefold increase in mortality risk with brain infarcts, but self-rated function and health ratings of fair and poor were comparable in their association with all-cause mortality and mortality without brain infarcts. (RH).
Accession NumberCPA-991220214 A
ClassmarkDA: CC: CQA: JVP: BD: XR: 3J: 7T

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