Successful aging and environmental factors in older individuals in urban and rural areas: A cross-sectional study

Ding, Wenxiu; Zhang, Yanqi; Zhang, Liyao; Wang, Zhaoxiu; Yu, Jie; Ji, Hong

doi:10.1016/j.archger.2020.104229

Cited by 22 publications

(13 citation statements)

References 24 publications

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“…Likewise, higher economic status shows better access to economic resources, which may help in enabling to engage in better health and dietary behaviour 14 , 32 . Urban residence may be associated with higher educational and economic status and better access to health care, all of which could increase SA 16 . No disability and social engagement were lower among older adults residing rural compared to urban areas in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Sociodemographic factors associated with SA may include younger age 8 , 11 , 12 , male sex 8 , 11 , 12 , married 12 , spouse accompany 8 , higher education 3 , 7 , 8 , 10 , 12 – 15 , higher income/wealth 8 , 12 – 14 , higher childhood wealth 15 , ethnicity 7 , region 10 , and urban residence 16 . In addition, various health behaviours have been found associated with SA, including not smoking 17 , alcohol drinking 8 , physical activity 12 , 17 – 19 , healthy diet 20 , cognitive activity 12 , and a normal body mass index 17 .…”

Section: Introductionmentioning

confidence: 99%

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Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Pengpid

Peltzer

2021

Sci Rep

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This study aimed to determine the prevalence and correlates of successful ageing in older community-dwelling adults in India. The cross-sectional sample included 21,343 individuals (≥ 65 years) from the Longitudinal Ageing Study in India (LASI) Wave 1 in 2017–2018. Successful ageing was assessed utilizing a multidimensional concept, including five components: (1) absence of major illness, (2) free of disability, (3) no major depressive disorder, (4) social engagement and (5) life satisfaction. Overall, 27.2% had successful ageing, including 83.3% had no major diseases, 51.0% free from disability, 91.8% had no major depressive disorder, 73.6% were socially engaged and 74.6% had high life satisfaction. In the adjusted logistic regression analysis, male sex (Adjusted Odds Ratio-AOR 1.40, 95% Confidence Interval-CI 1.21–1.26), married (AOR 1.48, 95% CI 1.22–1.79), having formal education (AOR 1.47, 95% CI 1.23–1.74), high subjective socioeconomic status (AOR 1.61, 95% CI 1.29–2.01), urban residence (AOR 1.42, 95% CI 1.19–1.70), Sikhs (AOR 1.76, 95% CI 1.38–2.24), high physical activity (AOR 1.65, 95% CI 1.38–1.97), and daily Yoga practice (AOR 1.34, 95% CI 1.11–1.61) increased the odds of successful ageing, while increasing age (AOR 0.96, 95% CI 0.94–0.79), poor childhood health (AOR: 0.47, 95% CI 0.29–0.75), and underweight (AOR 0.70, 95% CI 0.61–0.81) decreased the odds of successful ageing. Almost one in three older adults in India were successfully ageing. Factors associated with successful ageing included, male sex, married, having formal education, high subjective socioeconomic status, urban residence, Sikhs, physical activity, Yoga practice, younger age, good childhood health, and not having underweight.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Pengpid

Peltzer

2021

Sci Rep

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“…In line with some previous research [14], this study showed in an unadjusted analysis that urban residence was positively associated with HA. Urban residence may be associated with a higher educational and economic status and better access to health care, all of which could increase HA [16]. Good mental health, no disability, social engagement and wellbeing or good health were lower among older adults residing in rural compared to urban areas in this study.…”

Section: Discussionmentioning

confidence: 54%

“…Sociodemographic factors associated with HA may include younger age [8,11,12], male sex [8,11,12], higher income/wealth [8,[12][13][14][15], ethnicity [7] and urban residence [16]. In addition, various health behaviours associated with HA have been found, including not smoking [17], alcohol consumption [8], physical activity [12,[17][18][19], healthy diet [20] and a normal body mass index [17].…”

Section: Introductionmentioning

confidence: 99%

Ethnic and Gender Disparities in Healthy Ageing among People 50 Years and Older in South Africa

Pengpid

Peltzer

2021

Geriatrics

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Objective: this study aimed to determine the prevalence and correlates of healthy ageing in older adults living in the community in South Africa. Methods: the cross-sectional sample consisted of 3734 individuals (≥50 years) from the cross-sectional South African National Health and Nutrition Survey (SANHANES-1) in 2011–2012. Healthy ageing was assessed using a multidimensional concept, which includes five components: (1) absence of major illness, (2) absence of disability, (3) good mental health, (4) social engagement and (5) well-being or good health. Results: in general, 36.6% had a healthy ageing, including 73.3% had no major diseases, 87.1% were free of disability, 62.3% had good mental health, 73.0% were socially engaged and 64.0% had a high well-being. In the adjusted logistic regression analysis, male sex (Adjusted Odds Ratio-AOR: 1.33, 95% confidence interval-CI: 1.03–1.72), white population group (AOR: 3.46, 95% CI: 2.29–5.22) and coloured population group (AOR: 1.82, 95% CI: 1.34–2.47), were positively associated with healthy ageing, while increasing age (AOR: 0.96, 95% CI: 0.94–0.97), daily tobacco use (AOR: 0.56, 95% CI: 0.42–0.74), perceived underweight (AOR: 0.48, 95% CI: 0.34–0.66) and perceived overweight (AOR: 0.53, 95% CI: 0.34–0.81) were negatively associated with associated with healthy ageing. Conclusion: almost two in five older adults in South Africa were successfully ageing. Factors associated with healthy ageing included, younger age, male sex, population group (Whites, Coloureds), not daily tobacco users, not having underweight and overweight.

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“…In this study, successful aging has been defined as good functional (Barthel Index > 90 points, and Lawton Index scores ≤ 7 for women and ≤4 men) and cognitive status (MEC > 24 points) and no need for institutionalization ( Formiga et al, 2011 ). However, this definition of successful aging has been criticized ( Laplante, 2014 ), because wellbeing and perception of successful aging may not be limited to elders with full functionality and independence ( Golja et al, 2020 ), or “healthy” from a strictly biomedical/clinical perspective, and may not consider the individual feeling, social aspects ( Ding et al, 2020 ), depression, quality of life ( Jang, 2020 ), or the “disability paradox” ( Albrecht and Devlieger, 1999 ). It is of course more likely that disabled elders do not report successful aging, yet still some elders with some degrees of disability may report wellness ( Mitra et al, 2020 ), especially those enclosed in aging services systems facilitating their risk reduction of chronic diseases associated with aging and promoting social inclusion.…”

Section: Discussionmentioning

confidence: 99%

Functional and Cognitive Decline Is Associated With Increased Endothelial Cell Inflammation and Platelet Activation: Liquid Biopsy of Microvesicles in Community- Dwelling Octogenarians

Chiva‐Blanch

Vilella-Figuerola

Padró

et al. 2021

Front. Cell Dev. Biol.

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Increased life expectancy is usually associated with comorbidities, such as cardio and cerebrovascular disease causing impaired functionality. A common underlying cause of these comorbidities is vascular inflammation and injury. Elevated levels of circulating microvesicles (cMV), as a product of a hemostatic and inflammatory cell activation, could be direct mapping of an imbalanced hemostasis. In this manuscript, we aimed to investigate by liquid biopsy whether successful aging can be discriminated by cMV levels and phenotype. To this purpose, we included 135 community-dwelling octogenarians in a cross-sectional study. Successful aging was defined as good functional (Barthel Index > 90 points, and Lawton index score > 7/4 points for women and men, respectively) and cognitive status (Spanish version of the Mini-Mental State Examination -MEC- > 24 points) and no need for institutionalization. Total, annexin V positive (AV+), and AV– cMV from different cell origins from the vascular compartment were phenotypically characterized and quantified from fasting plasma samples by flow cytometry. Successful aging was associated with lower plasma concentrations of total and AV+ CD141+/CD41+-CD61+, and PAC1+/AV+, CD141+/AV+, and CD36+/AV– cMV. From these phenotypes, ROC curve analyses revealed that CD141+/AV+ and CD141+/CD41+-CD61+/AV+ endothelial- and platelet-derived cMV discriminate successful and non-successful aging with an AUC (95%CI) of 0.655 (0.551, 0.758), P = 0.005, and 0.638 (0.535, 0.741), P = 0.013, respectively. In conclusion, successful aging is associated with low levels of cMV released by endothelial cells and platelets, indicating lower endothelial cell inflammation and platelet activation. Our results contribute to the understanding of the link between unsuccessful aging, cognitive decline and vascular cell inflammatory disturbances.

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Successful aging and environmental factors in older individuals in urban and rural areas: A cross-sectional study

Cited by 22 publications

References 24 publications

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Ethnic and Gender Disparities in Healthy Ageing among People 50 Years and Older in South Africa

Functional and Cognitive Decline Is Associated With Increased Endothelial Cell Inflammation and Platelet Activation: Liquid Biopsy of Microvesicles in Community- Dwelling Octogenarians

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