Skip to main content
Log in

The ilSIRENTE study: a prospective cohort study on persons aged 80 years and older living in a mountain community of Central Italy

  • Original Articles
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background and aims: “Invecchiamento e Longevità nel Sirente” (Aging and Longevity in the Sirente geographic area, ilSIRENTE) aims at investigating the socio-demographic, functional, clinical and biological characteristics of all subjects aged 80 years and older residing in a well-defined mountain area of Central Italy. Methods: Data are from the baseline evaluation of the ilSIRENTE prospective cohort study. A list of all persons living in the Sirente area was obtained from the Registry Offices of the 13 municipalities involved in the study. Data collection started in December 2003 and was completed in September 2004. Among the 429 residents older than 80 years eligible for the study, 364 accepted to participate (response rate 84%). Participants were assessed by trained staff who collected information on socio-demographic factors, clinical conditions, medication use, physical performance and muscle strength. All participants were also evaluated using the Minimum Data Set for Home Care (MDS-HC) form and a slightly modified version of the “Invecchiare in CHIANTI” study. Results: The mean age of participants was 85.6±4.8 years (range 80–102 years), with over 20% of participants aged 90 years or older. More than 65% of participants were women. Most participants (70%) were independent or required limited assistance in performing basic activities of daily living (ADL), whereas 30% of participants were independent in instrumental activities of daily living (IADL). Cognitive function (assessed by the Cognitive Performance Score) was normal in 80% of the sample. Higher degrees of disabilities (defined as the sum of dependencies in ADLs and IADLs) were associated with worse physical performance and lower muscle strength. Conclusions: Data on the socio-demographic characteristics and health status of very old people living in the Sirente mountain community are discussed and compared with findings from other epidemiological studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bernabei R, Landi F, Zuccalà G. Health care for older persons in Italy. Aging Clin Exp Res 2002; 14: 247–51.

    Article  PubMed  Google Scholar 

  2. Bergman H, Beland F, Perrault A. The global challenge of understanding and meeting the needs for the frail older population. Aging Clin Exp Res 2002; 14: 223–5.

    Article  PubMed  Google Scholar 

  3. Fried LP, Guralnik JM. Disability in older adults: evidence regarding significance, etiology, and risk. J Am Geriatr Soc 1997; 45: 92–100.

    PubMed  CAS  Google Scholar 

  4. Ferrucci L, Guralnik JM, Simonsick E, et al. Progressive versus catastrophic disability: a longitudinal view of the disablement process. J Gerontol 1996; 51: M123–30.

    CAS  Google Scholar 

  5. Fried LP, Bandeen-Roche K, Williamson JD, et al. Functional decline in older adults: expanding methods of ascertainment. J Gerontol 1996; 51A: M206–14.

    Article  Google Scholar 

  6. Reuben DB, Seeman TE, Keeler E, et al. Refining the categorization of physical functional status: the added value of combining self-reported and performance-based measures. J Gerontol 2004; 59A: M1056–61.

    Google Scholar 

  7. Tinetti ME, Inouye SK, Gill TM, Doucette JT. Shared risk factors for falls, incontinence, and functional dependence: unifying the approach to geriatric syndrome. JAMA 1995; 273: 1348–53.

    Article  PubMed  CAS  Google Scholar 

  8. Gueresi P, Troiano L, Minicuci N, et al. The MALVA (MAntova LongeVA) study: an investigation on people 98 years of age and over in a province of Northern Italy. Exp Gerontol 2003; 38: 1189–97.

    Article  PubMed  Google Scholar 

  9. Franceschi C, Motta L, Valensis L, et al. Do men and women follow different trajectories to reach extreme longevity? Aging Clin Exp Res 2000; 12: 77–84.

    CAS  Google Scholar 

  10. Poulain M, Pes GM, Grasland C, et al. Identification of a geographic area characterized by extreme longevity in the Sardinia island: the AREA study. Exp Gerontol 2004; 39: 1423–9.

    Article  PubMed  Google Scholar 

  11. Landi F, Sgadari A, Cipriani L, et al. A simple program to train case managers in community elderly care. Aging Clin Exp Res 1996; 8: 211–8.

    CAS  Google Scholar 

  12. Morris JN, Fries BE, Bernabei R, et al. RAI — Home Care assessment manual. InterRAI Corporation, Washington, DC, 1996.

    Google Scholar 

  13. Morris JN, Fries BE, Steel K, et al. Comprehensive clinical assessment in community setting: applicability of the MDS-HC. J Am Geriatr Soc 1997; 45: 1017–24.

    PubMed  CAS  Google Scholar 

  14. Hawes C, Morris JN, Phillips CD, et al. Reliability estimates of the Minimum Data Set (MDS) for nursing home resident assessment and care screening. Gerontologist 1995; 2: 172–8.

    Article  Google Scholar 

  15. Landi F, Tua E, Onder G, et al. Minimum data set for home care: a valid instrument to assess frail older people living in the community. Med Care 2000; 38: 1184–90.

    Article  PubMed  CAS  Google Scholar 

  16. Landi F, Onder G, Cesari M, et al. Effects of influenza vaccination on mortality among frail, community-living elderly patients: an observational study. Aging Clin Exp Res 2003; 15: 254–8.

    Article  PubMed  Google Scholar 

  17. Landi F, Cesari M, Onder G, et al. Anti-thrombotic drugs in secondary stroke prevention among a community-dwelling older population. J Neurol Neurosurg Psychiatry 2003; 74: 1100–4.

    Article  PubMed  CAS  Google Scholar 

  18. Ferrucci L, Bandinelli S, Benvenuti E, et al. Subsystem contributing to the decline in ability to walk: briging the gap between epidemiology and geriatric practice in the InCHIANTI study. J Am Geriatr Soc 2000; 48: 1618–25.

    PubMed  CAS  Google Scholar 

  19. Guralnik JM, Ferrucci L, Simonsick EM, et al. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 1995; 332: 556–61.

    Article  PubMed  CAS  Google Scholar 

  20. Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the shortphysical performance battery. J Gerontol 2000; 55A: M221–31.

    Google Scholar 

  21. Syddall H, Cooper C, Martin F, Briggs R, Aihie Sayer A. Is grip strength a useful single marker of frailty? Age Ageing 2003; 32: 650–6.

    Article  PubMed  Google Scholar 

  22. Penninx BW, Pahor M, Cesari M, et al. Anemia is associated with disability and decreased physical performance and muscle strength in the elderly. J Am Geriatr Soc 2004; 52: 719–24.

    Article  PubMed  Google Scholar 

  23. Cesari M, Penninx BW, Pahor M, et al. Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol 2004; 59: 242–8.

    Article  Google Scholar 

  24. Cesari M, Pahor M, Bartali B, et al. Antioxidants and physical performance in elderly persons: the Invecchiare in Chianti (InCHIANTI) study. Am J Clin Nutr 2004; 79: 289–94.

    PubMed  CAS  Google Scholar 

  25. Gill TM, Robison JT, Tinetti ME. Difficulty and dependence: two components of the disability continuum among community-living older persons. Ann Intern Med 1998; 128: 96–101.

    Article  PubMed  CAS  Google Scholar 

  26. Fried LP, Bandeen-Roche K, Chaves PH, Johnson BA. Preclinical mobility disability predicts incident mobility disability in older women. J Gerontol 2000; 55A: M43–52.

    Google Scholar 

  27. Schneider EL, Guralnik JM. The aging of America: impact on health care costs. JAMA 1990; 263: 2335–40.

    Article  PubMed  CAS  Google Scholar 

  28. Guralnik JM, LaCroix AZ, Abbott RD, et al. Maintaining mobility in late life. I. Demographic characteristics and chronic conditions. Am J Epidemiol 1993; 137: 845–57.

    CAS  Google Scholar 

  29. Boult C, Kane RL, Louis TA, Boult L, McCaffrey D. Chronic conditions that lead to functional limitation in the elderly. J Gerontol 1994; 49A: M28–36.

    Article  Google Scholar 

  30. LaCroix AZ, Guralnik JM, Berkman LF, Wallance RB, Satterfield S. Maintaining mobility in late life. II. Smoking, alcohol consumption, physical activity, and body mass index. Am J Epidemiol 1993; 137: 858–69.

    CAS  Google Scholar 

  31. Fried LP. Herdman SJ. Kuhn KE. Rubin G. Turano K. Preclinical disability: hypotheses about the bottom of the iceberg. J Aging Health 1991; 3: 285–300.

    Google Scholar 

  32. Kasper JD, Shapiro S, Guralnik JM, et al. Designing a community study of moderately to severely disabled older women: the Women’s Health and Aging Study. Ann Epidemiol 1999; 9: 498–507.

    Article  PubMed  CAS  Google Scholar 

  33. Ostir GV, Volpato S, Kasper JD, Ferrucci L, Guralnik JM. Summarizing amount of difficulty in ADLs: a refined characterization of disability. Results from the Women’s Health and Aging Study. Aging Clin Exp Res 2001; 13: 465–72.

    CAS  Google Scholar 

  34. Volpato S, Pahor M, Ferrucci L, et al. Relationship of alcohol intake with inflammatory markers and plasminogen activator inhibitor-1 in well-functioning older adults: the Health. Aging, andBody Composition study. Circulation 2004; 109: 607–12.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Francesco Landi MD, PhD.

Additional information

For the list of the members of the ilSIRENTE Study Group, see Appendix.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Landi, F., Russo, A., Cesari, M. et al. The ilSIRENTE study: a prospective cohort study on persons aged 80 years and older living in a mountain community of Central Italy. Aging Clin Exp Res 17, 486–493 (2005). https://doi.org/10.1007/BF03327416

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03327416

Keywords

Navigation