Skip to main content
Top
Published in: BMC Geriatrics 1/2019

Open Access 01-12-2019 | Research article

Life expectancy with and without cognitive impairment among Chilean older adults: results of the National Survey of Health (2003, 2009 and 2016)

Authors: Ximena Moreno, Lydia Lera, Francisco Moreno, Cecilia Albala

Published in: BMC Geriatrics | Issue 1/2019

Login to get access

Abstract

Background

Chile has one of the highest life expectancies within Latin American. This is the first study to determine health expectancies in older populations in Chile, considering cognitive status as a health indicator.

Methods

We estimated prevalence of cognitive decline among people aged 60 years and over based on the Mini-mental State Examination and the Pfeffer Functional Activities Questionnaire, with data from the National Survey of Health (2003, 2009, 2016). Life expectancy free of cognitive impairment was calculated using the Sullivan method.

Results

At age 60, life expectancy free of cognitive impairment was more than 3 years longer for women, compared to men of the same age. Life expectancy free from cognitive impairment was higher for both men and women aged 60 in 2016 when compared to 2003 (2.1 and 2 years higher, respectively).

Conclusions

Longer life expectancy in women was accompanied by more years free of cognitive impairment. Men expected to live a similar proportion of years free of cognitive impairment, compared to women. Common and standardised assessments of health status of older people should be adopted in Latin American studies, to allow for time-trend analyses and international comparisons.
Literature
1.
go back to reference United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Data Booklet (ST/ESA/SER.A/424). United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Data Booklet (ST/ESA/SER.A/424).
2.
go back to reference United Nations, Department of Economic and Social Affairs, Population Division (2017). World Population Ageing 2017 - Highlights (ST/ESA/SER.A/397). United Nations, Department of Economic and Social Affairs, Population Division (2017). World Population Ageing 2017 - Highlights (ST/ESA/SER.A/397).
3.
go back to reference Palloni A, McEniry M. Aging and health status of elderly in Latin America and the Caribbean: preliminary findings. J Cross Cult Gerontol. 2007 Sep;22(3):263–85.CrossRef Palloni A, McEniry M. Aging and health status of elderly in Latin America and the Caribbean: preliminary findings. J Cross Cult Gerontol. 2007 Sep;22(3):263–85.CrossRef
17.
go back to reference Icaza MG, Albala C. Proyecto SABE. Minimental State Examinations (MMSE) del estudio de demencia en Chile: Análisis estadístico [SABE Project. Minimental State Examinations (MMSE) from the Study of Dementia in Chile: Statistical Analysis]. Washington, D.C.; Panamerican Health Organization. April, 1999. Icaza MG, Albala C. Proyecto SABE. Minimental State Examinations (MMSE) del estudio de demencia en Chile: Análisis estadístico [SABE Project. Minimental State Examinations (MMSE) from the Study of Dementia in Chile: Statistical Analysis]. Washington, D.C.; Panamerican Health Organization. April, 1999.
18.
go back to reference Quiroga P, Albala C, Klaasen G. Validación de un test de tamizaje Para el diagnóstico de demencia asociada a edad, en Chile [validation of a screening test for age associated cognitive impairment, in Chile]. Rev Med Chil. 2004;132:467–78.CrossRef Quiroga P, Albala C, Klaasen G. Validación de un test de tamizaje Para el diagnóstico de demencia asociada a edad, en Chile [validation of a screening test for age associated cognitive impairment, in Chile]. Rev Med Chil. 2004;132:467–78.CrossRef
20.
go back to reference Sullivan DF. A single index for mortality and morbidity. HSMHA Health Rep. 1971;86:347–54.CrossRef Sullivan DF. A single index for mortality and morbidity. HSMHA Health Rep. 1971;86:347–54.CrossRef
21.
go back to reference Jagger C, Van Oyen H, Robine JM. Health Expectancy Calculation by the Sullivan Method: A Practical Guide. 4th ed. European Health Expectancy Monitoring Unit (EHEMU), 2014. Jagger C, Van Oyen H, Robine JM. Health Expectancy Calculation by the Sullivan Method: A Practical Guide. 4th ed. European Health Expectancy Monitoring Unit (EHEMU), 2014.
22.
go back to reference Crimmins EM, Saito Y, Kim JK. Change in cognitively healthy and cognitively impaired life expectancy in the United States: 2000-2010. SSM Popul Health. 2016;2:793–7.CrossRef Crimmins EM, Saito Y, Kim JK. Change in cognitively healthy and cognitively impaired life expectancy in the United States: 2000-2010. SSM Popul Health. 2016;2:793–7.CrossRef
26.
go back to reference Redondo N, Brenes Camacho G, Agudelo Botero M, Guidotti C, Romero D, Sandoval MH. La medición de la Esperanza de Vida libre de limitaciones cognitivas y la Esperanza de Vida con limitaciones cognitivas en América Latina [measurement of life expectancy free of cognitive impairments and life expectancy with cognitive impairment in Latin America]. Notas de Población. 2018:113–36. Redondo N, Brenes Camacho G, Agudelo Botero M, Guidotti C, Romero D, Sandoval MH. La medición de la Esperanza de Vida libre de limitaciones cognitivas y la Esperanza de Vida con limitaciones cognitivas en América Latina [measurement of life expectancy free of cognitive impairments and life expectancy with cognitive impairment in Latin America]. Notas de Población. 2018:113–36.
31.
go back to reference Albala C, Sánchez H, Lera L, Angel B, Cea X. Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor. Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros) [Socioeconomic inequalities in active life expectancy and disability related to obesity among older people]. Rev Med Chil. 2011; doi: /S0034-98872011001000005. Albala C, Sánchez H, Lera L, Angel B, Cea X. Efecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor. Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros) [Socioeconomic inequalities in active life expectancy and disability related to obesity among older people]. Rev Med Chil. 2011; doi: /S0034-98872011001000005.
34.
go back to reference Guillot M, Yu Y. Estimating health expectancies from two cross-sectional surveys: the intercensal method. Demogr Res. 2009;21:503–34.CrossRef Guillot M, Yu Y. Estimating health expectancies from two cross-sectional surveys: the intercensal method. Demogr Res. 2009;21:503–34.CrossRef
35.
go back to reference Marín PP, Guzmán JM, Araya A. Adultos Mayores institucionalizados en Chile: ¿Cómo saber cuántos son? [estimation of the number of institutionalized elderly in Chile]. Rev Med Chil. 2004 Jul;132(7):832–8.CrossRef Marín PP, Guzmán JM, Araya A. Adultos Mayores institucionalizados en Chile: ¿Cómo saber cuántos son? [estimation of the number of institutionalized elderly in Chile]. Rev Med Chil. 2004 Jul;132(7):832–8.CrossRef
38.
go back to reference Baldereschi M, Menenghini F, Quiroga P, Albala C, Muscat P, Gabriel R, et al. Cognitive versus functional screening for dementia across different countries. Cross-cultural validaiton of the Mini-Mental-State-Examination (MMSE) and of the Pfeffer Functional Activities Questionnaire (PFAQ) against standardized clinical-diagnosis of dementia. Neurology. 1994;44:A365.CrossRef Baldereschi M, Menenghini F, Quiroga P, Albala C, Muscat P, Gabriel R, et al. Cognitive versus functional screening for dementia across different countries. Cross-cultural validaiton of the Mini-Mental-State-Examination (MMSE) and of the Pfeffer Functional Activities Questionnaire (PFAQ) against standardized clinical-diagnosis of dementia. Neurology. 1994;44:A365.CrossRef
Metadata
Title
Life expectancy with and without cognitive impairment among Chilean older adults: results of the National Survey of Health (2003, 2009 and 2016)
Authors
Ximena Moreno
Lydia Lera
Francisco Moreno
Cecilia Albala
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2019
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-019-1387-5

Other articles of this Issue 1/2019

BMC Geriatrics 1/2019 Go to the issue