Sex differences in the association of physical function and cognitive function with life satisfaction in older age: The Rancho Bernardo Study

Ratigan, Amanda R.; Kritz‐Silverstein, Donna; Barrett‐Connor, Elizabeth

doi:10.1016/j.maturitas.2016.04.007

Cited by 17 publications

(8 citation statements)

References 41 publications

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“…The former is older adults' basic ability that is essential to their daily living [23]. High physical function is associated with the amount of activity older people can engage in [24], which increases quality of life and life satisfaction [25][26][27]. High levels of physical functioning are a prerequisite for being active in old age; having this ability can enable older people to lead a fulfilling life by performing activities and gaining various experiences.…”

Section: Introductionmentioning

confidence: 99%

Predictors and Importance of Social Aspects in Ikigai among Older Women

Seko

Hirano

2021

IJERPH

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Ikigai is a unique Japanese concept that encompasses not only joy and happiness, but also the purpose and meaning of life. The purpose of this study was to explore the factors that contribute to Ikigai, an important concept in the health of older women, and to clarify the relationship between Ikigai and the enhancement of the social aspects of their health. The participants in this longitudinal study, conducted between October 2017 and February 2020, were physically healthy older women aged 65 years and above (N = 132). Physical function and social activity were used as predictors of Ikigai. In addition, willingness for new interactions was used to examine the social aspects of health. A causal model was created from these factors, and path analysis was performed. The results demonstrated that participating in numerous interpersonal activities was predictive of increased Ikigai, but physical function was not. In addition, Ikigai was found to affect the willingness for new interactions. Further, Ikigai could be related to the willingness for new interactions. To enhance the social aspects of older women’s health, it is necessary to focus on Ikigai.

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Section: Introductionmentioning

confidence: 99%

Predictors and Importance of Social Aspects in Ikigai among Older Women

Seko

Hirano

2021

IJERPH

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“…In the present study, late life health is assessed in terms of mobility limitations, limitations in activities of daily living (ADL), and psychological distress. These are all common areas of health problems in later life, and the burden of these afflictions in terms of societal costs is substantial [ 34 ]. Mobility limitations and ADL limitations are rare among people under the age of 40, but after the age of 40 the prevalence increase with age.…”

Section: Introductionmentioning

confidence: 99%

Different indicators of socioeconomic status and their relative importance as determinants of health in old age

Darin‐Mattsson¹,

Fors²,

Kåreholt³

2017

Int J Equity Health

251

172

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BackgroundSocioeconomic status has been operationalised in a variety of ways, most commonly as education, social class, or income. In this study, we also use occupational complexity and a SES-index as alternative measures of socioeconomic status. Studies show that in analyses of health inequalities in the general population, the choice of indicators influence the magnitude of the observed inequalities. Less is known about the influence of indicator choice in studies of older adults. The aim of this study is twofold: i) to analyse the impact of the choice of socioeconomic status indicator on the observed health inequalities among older adults, ii) to explore whether different indicators of socioeconomic status are independently associated with health in old age.MethodsWe combined data from two nationally representative Swedish surveys, providing more than 20 years of follow-up. Average marginal effects were estimated to compare the association between the five indicators of SES, and three late-life health outcomes: mobility limitations, limitations in activities of daily living (ADL), and psychological distress.ResultsAll socioeconomic status indicators were associated with late-life health; there were only minor differences in the effect sizes. Income was most strongly associated to all indicators of late-life health, the associations remained statistically significant when adjusting for the other indicators. In the fully adjusted models, education contributed to the model fits with 0–3% (depending on the outcome), social class with 0–1%, occupational complexity with 1–8%, and income with 3–18%.ConclusionsOur results indicate overlapping properties between socioeconomic status indicators in relation to late-life health. However, income is associated to late-life health independently of all other variables. Moreover, income did not perform substantially worse than the composite SES-index in capturing health variation. Thus, if the primary objective of including an indicator of socioeconomic status is to adjust the model for socioeconomic differences in late-life health rather than to analyse these inequalities per se, income may be the preferable indicator. If, on the other hand, the primary objective of a study is to analyse specific aspects of health inequalities, or the mechanisms that drive health inequalities, then the choice of indicator should be theoretically guided.Electronic supplementary materialThe online version of this article (10.1186/s12939-017-0670-3) contains supplementary material, which is available to authorized users.

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“…Life satisfaction is important to consider in older ages given the association with health and longevity. 5 Studies including older adults from the general population have shown that life satisfaction can increase with age, 5,6 and that poorer self-perceived health, 6 more physical impairments 7 and living alone/being unmarried are associated with lower levels of life satisfaction. 8 Contrary to common beliefs, life satisfaction does not seem to be associated with the level and severity of SCI, but instead with employment, marital status, perceived health, time since injury and secondary health conditions (SHCs), such as pain and bowel-related problems.…”

Section: Introductionmentioning

confidence: 99%

Global and domain-specific life satisfaction among older adults with long-term spinal cord injury

Jörgensen

Hedgren

Sundelin

et al. 2019

The Journal of Spinal Cord Medicine

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Objective: Although life expectancy after spinal cord injury (SCI) has increased, knowledge of life satisfaction and associated factors among older adults with long-term SCI is still very limited. The objective of this study was, therefore, to assess global and domain-specific life satisfaction among older adults with long-term SCI and investigate the association with sociodemographics, injury characteristics and secondary health conditions. Design: Cross-sectional cohort study. Data from the Swedish Aging with Spinal Cord Injury Study (SASCIS). Setting: Community settings in southern Sweden. Participants: Seventy-eight individuals (32% women, injury levels C1-L3, American Spinal Injury Association Impairment Scale (AIS) AD) mean age 68 years, mean time since injury 31 years. Interventions: Not applicable. Outcome measures: The Life Satisfaction Questionnaire (LiSat-11). Results: The participants were at least rather satisfied with most of the 11 life domains. They rated the lowest satisfaction with sexual life, activities of daily living and somatic health. Having a partner and being vocationally active was associated with greater satisfaction with life as a whole and with several other life domains. Participants with AIS D injuries were less satisfied with their somatic health than those with tetraplegia AIS A-C and paraplegia AIS A-C injuries. More secondary health conditions were negatively associated with satisfaction in five life domains. Conclusion: Life satisfaction can be affected many years after SCI. The social context, participation in meaningful activities and minimizing secondary health conditions seem to be important for maintaining life satisfaction in older adults with a long-term injury.

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Sex differences in the association of physical function and cognitive function with life satisfaction in older age: The Rancho Bernardo Study

Cited by 17 publications

References 41 publications

Predictors and Importance of Social Aspects in Ikigai among Older Women

Predictors and Importance of Social Aspects in Ikigai among Older Women

Different indicators of socioeconomic status and their relative importance as determinants of health in old age

Global and domain-specific life satisfaction among older adults with long-term spinal cord injury

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