Health Status of Centenarians: A Case Study of Khon Kaen Province
Main Article Content
Abstract
This descriptive study aimed to describe the health status of centenarians, persons who were one hundred years old or older. The principle of comprehensive geriatric assessment was used as a conceptual framework. A sample of 34 older persons was recruited from a list of population census of people aged 100 years or older and living in Khonkaen Province, the northeast region of Thailand. The data were collected using questionnaires about personal and health data, interviews, and physical examination, and then, were analysed using descriptive statistics. The results revealed that the participants’ age ranged from 100 to 108 years with a mean of 102 years. From the interview, most participants were female and had acute illnesses in the past month, whereas one-third had chronic illnesses. They had some extent of cognitive impairment
assessed by a cognitive test, but could still communicate understandably. Almost half of the participants thought that their overall health was not healthy, but they perceived that they had better health conditions than others at the same age and gender. Moreover, most of them reported that their well-being was at the moderate to high level; they could perform basic and extended activities of daily living, except for the use of public transportation. From the physical examination, almost half of the participants had a low body mass index. Most of them had a normal range of waist circumference, respiratory rate, and heart rate, but had high blood pressure. All participants had hand grip strength at a very low level. The results of this study about health status among centenarians could be used as fundamental information for healthcare providers to further develop the appropriate health promotion program specifically for the group of long-lived population.
Article Details
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
Office of the National Economics and Social Development Council. The Seventh National Economic and Social
Development Plan (2012-2016). Office of the National Economic and Social Development Council; 2011. (in Thai)
Siripanich B. Elder manual (complete version). Bangkok:Moh-Chao-Ban; 2010. (in Thai)
Institute for Population and Social Research Mahidol University. Situation of the Thai elderly 2017. Bangkok:
Institute for Population and Social Research; 2017. (inThai)
Prasartkul P, Gray R, Vapattanawong P, Holumyong C,Chuanwan S, Thianlai K, et al. The study of centenarians
in Thailand. Bangkok: Institute for Population and Social Research Mahidol University; 2016. (in Thai)
Brandao D, Ribeiro O, Afonso RM, Paul C. Escaping most common lethal diseases in old age: morbidity profiles of Portuguese centenarians. Eur Geriatr Med. 2017;8(4):310-4.
Ward K, Reuben D. [internet]. Comprehensive geriatric assessment; 2016 [cited 2016 Oct26]. Available from:
https://www.uptodate.com/contents/Comprehensive geriatricassessment
Selim AJ1, Fincke G, Berlowitz DR, Miller DR, Qian SX,Lee A, et al. Comprehensive health status assessment of
centenarians: results from the 1999 large health survey of veteran enrollees. J Gerontol A Biol Sci Med Sci.
;60(4):515-9.
Prasartkul P. Situation of the Thai elderly 2014. Bangkok:Amarin Printing and Publishing; 2015. (in Thai)
Volpato S, Guralnik JM. The different domains of the comprehensive geriatric assessment. In Pilotto A, Martin
FC (Eds.). Comprehensive geriatric assessment, practical issues in geriatrics [internet]. Springer; 2018 [cited 2018
Sep 20]. Available from: https://www.doi.org/10.1007/978-3-319-62503-4_2
Khon Kaen Provincial Public Health Office. Statistics of Khon Kaen Provincial Public Health Office 2015-2016.
Khon Kaen: Khon Kaen Provincial Public Health Office;2016. (in Thai)
Srisa-ard B. Basic research. 8thed. Bangkok: Suwiriyasarn;2010. p. 33-6. (in Thai)
World Health Organization. The Asia-Pacific perspective:redefining obesity and its treatment. Australia: Health Communications Australia; 2000.
Eliopoulos C. Gerontological nursing. 8th ed. Philadelphia,PA: Lippincott Williams & Wilkins; 2014.
Chobanian AV, Bakris GL, Black HR, Cushman WC,Green LA, Roccella EJ. Seventh report of the joint national
committee on prevention, detection, evaluation, and treatme of high blood pressure. Hypertension.
;42(6):1206-52.
Sport Science. Physical fitness test of Thai standard.Bangkok: Sports Authority; 2000. (in Thai)
Jitapunkul S, Kamolratanakul P, Ebrahim S. The meaning of activities of daily living in a Thai elderly population:development of a new index. Age Ageing. 1994;23: 97-101.
Brooke P, Bullock R. Validation of a 6 item cognitive impairment test with a view to primary care usage. Int J
Geriatr Psychiatry. 1999;14(1): 936-40.
Malathum P. The Six Item Cognitive Impairment Test:6CIT. Unpublished document. Ramathibodi School of
Nursing, Faculty of Medicine Ramathibodi Hospital,Mahidol University; 2017. (in Thai)
Nugate B. Self care behavior and well-being of hypertensive elderly. [thesis]. Chiang Mai: Chiang Mai
University; 1998. (in Thai)
Chaoum W, Intarasombat P, Putwatana P, Care burden and general well-being in family caregiver of dependent elderly. Ramathibodi Nursing Journal. 1996; 2(1):16-25.
Pukdeesamai P, Panichacheewakul P. Improving care for elderly with knee pain at Ban Bak Tambol health promotion hospital, Changhan District, Roi Et Province. Journal of Nursing Science and Health. 2012;34(4):46-55. (in Thai)
National Institute on Aging. High blood pressure. United state: National Institute on Aging [internet]. 2018 [cited 2018 Sep12]. Available from: https://www.nia.nih.gov/health/high-blood-pressure
World Health Organization. Visual impairment and blindness. Geneva: World Health Organization [internet].
[cited 2016 Feb 22]. Available from: https://www.who.int/mediacentre/factsheets/fs282/en/
Piphatvanitcha N. Nursing care for older adults with hearing loss. Songklanagarind Journal of Nursing. 2012;32(3):67-76. (in Thai)
Jirong Y, Changquan H, Hongmei W, Bi-Rong D.Association of sleep quality and dementia among longlived
Chinese older adults. Age. 2013;35(4): 1423-32.doi: 10.1007/s11357-012-9432-8.
Brandenberger G, Viola AU, Ehrhart J, Charloux A, Geny B, Piquard F, et al. Age-related changes in cardiac
autonomic control during sleep. J Sleep Res. 2003;12(3):173-80.
Cajochen C, Munch M, Knoblauch V, Blatter K, Wirz-Justice A. Age-related changes in the circadian and
homeostatic regulation of human sleep. Chronobiol Int..2006;23(1-2):461-74.
Van CE, Leproult R, Plat L. Age-related changes in slow wave sleep and REM sleep and relationship with growth hormone and cortisol levels in healthy men. JAMA..2000;284(7):861-8.
Pussawiro W, Malathum P, Wongvatunyu S, Krairit O,Detprapon M. Health status of older long-distance runners.Ramathibodi Nursing Journal. 2013;19(3):382-99. (in Thai)
Hengudomsub P, Pathumarak N. Physical and mental health relationship in community-dwelling older adults.
Journal of Faculty Nursing Burapa University. 2011;19(Supplement 2):107-18. (in Thai)
Yunita J, Sartika RAD. Waist circumference for central obesity detection from the pre-elderly stage to the elderly stage in Indonesia: a longitudinal study. Pak J Nutr. 2019;18:379-86.
Shah AM, Claggett B, Kitzman D, Biering-Sørensen T,Jensen JS, Cheng S, et al. Contemporary assessment of
left ventricular diastolic function in older adults.Circulation. 2016;135(5):426-39.
Onsrinoi N, Leelukkanaveera Y, Toonsiri C. Predictive factors of hypertension preventive behaviors among people with pre-hypertension. Songklanagarind Journal of Nursing. 2017;37(1):63-74.
Al SS, Markides KS, Ottenbacher KJ, Raji MA. Hand grip strength and incident ADL disability in elderly Mexican
American over a seven-year period. Aging Clin Exp Res.2004;16:481-6.
Shaw C & Wagg A. Urinary incontinence in older adults.Medicine (United Kingdom). 2017;45(1):23-7.
Martyr A, Clare L. Executive function and activities of daily living in Alzheimer’s disease: a correlational metaanalysis.Dement Geriatr Cogn Disord. 2012;33:189-203.
Hao Z, Chen L, Li Y, Zou X, Li H, Feng Z, et al. Characteristics of centenarians’ lifestyles and their contribution to life satisfaction: a casestudyconductedonHainanIsland.ArchGerontolGeriatr.2019;83:207.doi:10.1016/
j.archger.2019.03.022.
Hamtanon P, Voracharoensri S, Charupheng D,Kritkharuehart S. Positive aspects of caregiving among
family caregivers of patients with dementia. Southern College Network Journal of Nursing and Public Health.
;4(2):186-99. (in Thai)