{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:40:41Z","timestamp":1793126441838,"version":"4.5.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2020,3,4]],"date-time":"2020-03-04T00:00:00Z","timestamp":1583280000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,4]],"date-time":"2020-03-04T00:00:00Z","timestamp":1583280000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"crossref","award":["2017-01764"],"award-info":[{"award-number":["2017-01764"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aging Clin Exp Res"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Self-rated health (SRH) holistically captures older adults\u2019 health status from the perspective of the individual.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Aims<\/jats:title>\n<jats:p>To explore the accuracy of five objective health indicators related to diseases, physical function, cognition and disability in discriminating SRH among the youngest and oldest old.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>We used baseline data from 2196 participants of the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), Sweden (years 2001\u20132004). Area under the receiver operating characteristic curves (AUROC) were obtained from logistic regressions adjusted by sex, age and education.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Among the youngest old, having\u2009\u2265\u20094 chronic diseases showed the highest discriminatory capacity of poor versus good\u00a0SRH (AUROC: 0.714). Among the oldest old, a walking speed\u2009&lt;\u20091.0\u00a0m\/s showed the highest discriminatory capacity of poor versus good\u00a0SRH (AUROC: 0.683), followed by\u2009\u2265\u20091 limitations in IADL (AUROC: 0.664).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>What matters most for SRH in older people depends on age, with walking speed playing a major role among the oldest old.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s40520-020-01507-1","type":"journal-article","created":{"date-parts":[[2020,3,4]],"date-time":"2020-03-04T17:02:53Z","timestamp":1583341373000},"page":"1591-1594","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Disease or function? What matters most for self-rated health in older people depends on age"],"prefix":"10.1007","volume":"32","author":[{"given":"Viviane S.","family":"Straatmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide L.","family":"Vetrano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Fratiglioni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9064-9222","authenticated-orcid":false,"given":"Amaia","family":"Calder\u00f3n-Larra\u00f1aga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,4]]},"reference":[{"key":"1507_CR1","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.jamda.2016.10.005","volume":"18","author":"L Rodriguez-Ma\u00f1as","year":"2017","unstructured":"Rodriguez-Ma\u00f1as L, Rodr\u00edguez-Artalejo F, Sinclair AJ (2017) The third transition: the clinical evolution oriented to the contemporary older patient. J Am Med Dir Assoc 18:8\u20139. https:\/\/doi.org\/10.1016\/j.jamda.2016.10.005","journal-title":"J Am Med Dir Assoc"},{"key":"1507_CR2","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1016\/S0140-6736(15)00516-4","volume":"387","author":"JR Beard","year":"2016","unstructured":"Beard JR, Officer A, De Carvalho IA et al (2016) The world report on ageing and health: a policy framework for healthy ageing. Lancet 387:2145\u20132154. https:\/\/doi.org\/10.1016\/S0140-6736(15)00516-4","journal-title":"Lancet"},{"key":"1507_CR3","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.1016\/S0277-9536(02)00179-X","volume":"56","author":"G Kaplan","year":"2003","unstructured":"Kaplan G, Baron-Epel O (2003) What lies behind the subjective evaluation of health status? Soc Sci Med 56:1669\u20131676. https:\/\/doi.org\/10.1016\/S0277-9536(02)00179-X","journal-title":"Soc Sci Med"},{"key":"1507_CR4","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1111\/j.1525-1497.2005.00291.x","volume":"21","author":"KB DeSalvo","year":"2006","unstructured":"DeSalvo KB, Bloser N, Reynolds K et al (2006) Mortality prediction with a single general self-rated health question. J Gen Intern Med 21:267\u2013275. https:\/\/doi.org\/10.1111\/j.1525-1497.2005.00291.x","journal-title":"J Gen Intern Med"},{"key":"1507_CR5","doi-asserted-by":"publisher","first-page":"M609","DOI":"10.1093\/gerona\/56.10.M6090","volume":"56","author":"M Jylha","year":"2001","unstructured":"Jylha M, Guralnik JM, Balfour J et al (2001) Walking difficulty, walking speed, and age as predictors of self-rated health: the women\u2019s health and aging study. J Gerontol Ser A Biol Sci Med Sci 56:M609\u2013M617. https:\/\/doi.org\/10.1093\/gerona\/56.10.M6090","journal-title":"J Gerontol Ser A Biol Sci Med Sci"},{"key":"1507_CR6","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1093\/eurpub\/cks031","volume":"23","author":"H Galenkamp","year":"2013","unstructured":"Galenkamp H, Braam AW, Huisman M et al (2013) Seventeen-year time trend in poor self-rated health in older adults: changing contributions of chronic diseases and disability. Eur J Public Health 23:511\u2013517. https:\/\/doi.org\/10.1093\/eurpub\/cks031","journal-title":"Eur J Public Health"},{"key":"1507_CR7","doi-asserted-by":"publisher","first-page":"e0120077","DOI":"10.1371\/journal.pone.0120077","volume":"10","author":"G Santoni","year":"2015","unstructured":"Santoni G, Angleman S, Welmer A-K et al (2015) Age-related variation in health status after age 60. 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Am J Med 116:179\u2013185. https:\/\/doi.org\/10.1016\/j.amjmed.2003.09.031","journal-title":"Am J Med"}],"container-title":["Aging Clinical and Experimental Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s40520-020-01507-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s40520-020-01507-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s40520-020-01507-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:58:58Z","timestamp":1614819538000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s40520-020-01507-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,4]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["1507"],"URL":"https:\/\/doi.org\/10.1007\/s40520-020-01507-1","relation":{},"ISSN":["1720-8319"],"issn-type":[{"value":"1720-8319","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,4]]},"assertion":[{"value":"2 December 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 February 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors have no conflicts of interest to disclose. No financial disclosures were reported by the authors of this paper.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The Regional Ethics Review Board in Stockholm approved SNAC-K (Dnrs: 01-114, 2016\/730-31\/1).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All human and animal studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statement of human and animal rights"}},{"value":"Written informed consent was obtained from all participants. For persons living in institutions and for people with dementia, a proxy respondent (a next of kin) was also asked for consent in addition to the participant (refer to SNAC-K website for details at ).","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}