Measuring Active and Healthy Ageing: Applying a generic interdisciplinary assessment model incorporating ICF

Stute, Petra; Bitterlich, Norman; Bousquet, Jean; Meissner, Florian; Wolff, Michael von; Poethig, Dagmar

doi:10.1007/s12603-017-0908-1

Cited by 7 publications

(14 citation statements)

References 22 publications

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“…We recently fitted our complex generic BFS/BFA assessment tool into a theoretical model incorporating both, the ICF and AHA concept, resulting in a complex AHA assessment diagnostic tool [8] meeting the EIP-AHA requirements for a diagnostic AHA instrument [9]. Chronic stress is known to be one major contributor to develop NCD.…”

Section: Resultsmentioning

confidence: 99%

“…Of our complex BFS/BFA assessment tool [8], seven subjective BFS items significantly correlated with chronic stress exposure assessed by TICS-SSCS: (1) sense of coherence, (2) physical and (3) emotional wellbeing ((4) combined items), (5) social resonance, (6) social potency and (7) social dominance. The BFS item sense of coherence (SOC_L9) had the strongest correlation with TICS-SSCS.…”

Section: Discussionmentioning

confidence: 99%

“…The study design has been described before [8]. Briefly, this was a single-centre, cross-sectional, observational, non-interventional trial.…”

Section: Methodsmentioning

confidence: 99%

“…We recently fitted our bio-functional status (BFS) and bio-functional age (BFA) assessment tool into a theoretical model incorporating both, the ICF and AHA concept, resulting in a complex generic AHA assessment diagnostic tool [8]. This complex generic AHA assessment diagnostic tool meets the EIP-AHA requirements for a diagnostic AHA instrument [9] such as applicability to health and disease across age stages (non-pediatric and non-geriatric lifetime), easy, partly self- and proxy administration, and accordance with the ICF of the WHO.…”

Section: Introductionmentioning

confidence: 99%

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Measuring chronic stress exposure incorporating the active and healthy ageing (AHA) concept within the cross-sectional Bern cohort study 2014 (BeCS-14)

Stute

Anker

Hollenstein

et al. 2019

BioPsychoSocial Med

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The aim of the study was to represent chronic stress exposure by a complex generic Active and Healthy (AHA) diagnostic assessment tool incorporating ICF. This is a single-centre, cross-sectional, observational, non-interventional, non-randomized trial in University based women’s hospital, division of Gynecological Endocrinology and Reproductive Medicine. All participants followed a standardized, holistic battery of biopsychosocial assessments consisting of bio-functional status (BFS), bio-functional age (BFA) and the questionnaire for chronic stress exposure (TICS). 624 non-pediatric, non-geriatric subjects were recruited in the BeCS-14 cohort. The mean difference between chronological age and BFA was 7.8 ± 8.0 year equivalents. The mean stress level score assessed by SSCS was 13.2 with 45.4% being exposed to above average stress intensity. 22 BFS items (14 objective, 7 subjective) significantly correlated with chronic stress exposure (TICS-SSCS). The constructed sum score composed of SOC_L9 and complaint questionnaire (physical and emotional wellbeing) represented chronic stress exposure best (pearson-correlation value 0.564, p < 0.0001). Higher chronic stress exposure was associated with bio-functional pro-aging (less vitality) in both sexes. In conclusion, chronic stress is accepted as a major risk factor for developing non-communicable diseases (NCD). Our ICF compatible, complex, generic BFS/BFA assessment tool reflects chronic stress exposure and may be applied in various health care settings, e.g., in health promotion and prevention of NCDs.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The study design has been described before [8]. Briefly, this was a single-centre, cross-sectional, observational, non-interventional trial.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Measuring chronic stress exposure incorporating the active and healthy ageing (AHA) concept within the cross-sectional Bern cohort study 2014 (BeCS-14)

Stute

Anker

Hollenstein

et al. 2019

BioPsychoSocial Med

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“…Of the many proposed measurement tools, that at least in theory, assess health and wellbeing in older persons, most focus on disease and disability, which are only partial component of the multifaceted readouts of healthy aging [25]. The problem with these tools is that they can easily distinguish the least healthy but not the healthiest individuals in the population [26]. This is because diseases and disabilities only become manifest when compensatory strategies are exhausted.…”

Section: Introductionmentioning

confidence: 99%

Measuring successful aging: an exploratory factor analysis of the InCHIANTI Study into different health domains

Mount

Ferrucci

Wesselius

et al. 2019

Aging

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Advocating continued health into old age, so called successful aging, is a growing public health goal. However, the development of tools to measure aging is limited by the lack of appropriate outcome measures, and operational definitions of successful aging. Using exploratory factor analysis, we attempted to identify distinguishable health domains with representative variables of physical function, cognitive status, social interactions, psychological status, blood biomarkers, disease history, and socioeconomic status from the InCHIANTI study. We then used logistic and mixed effect regression models to determine whether the resulting domains predicted outcomes of successful aging over a nine-year follow-up. A four-domain health model was identified: neuro-sensory function, muscle function, cardio-metabolic function and adiposity. After adjustment for age and gender, all domains contributed to the prediction of walking speed (R 2 =0.73). Only the muscle function domain predicted dependency (R 2 =0.50). None of the domains were a strong, significant predictor of self-rated health (R 2 =0.18) and emotional vitality (R 2 =0.23). Cross-sectional findings were essentially replicated in the longitudinal analysis extended to nine-year follow-up. Our results suggest a multi-domain health model can predict objective but not subjective measures of successful aging.

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Illness perception in overweight and obesity and impact on bio-functional age

Mathieu

Bitterlich²,

Meissner³

et al. 2018

Arch Gynecol Obstet

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Measuring Active and Healthy Ageing: Applying a generic interdisciplinary assessment model incorporating ICF

Cited by 7 publications

References 22 publications

Measuring chronic stress exposure incorporating the active and healthy ageing (AHA) concept within the cross-sectional Bern cohort study 2014 (BeCS-14)

Measuring chronic stress exposure incorporating the active and healthy ageing (AHA) concept within the cross-sectional Bern cohort study 2014 (BeCS-14)

Measuring successful aging: an exploratory factor analysis of the InCHIANTI Study into different health domains

Illness perception in overweight and obesity and impact on bio-functional age

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