Successful Aging in the Oldest Old

Faber, Margaret von; Wiel, A. van de; Exel, Eric van; Gussekloo, Jacobijn; Lagaay, A. M.; Dongen, Els van; Knook, D.L.; Geest, Sjaak van der; Westendorp, Rudi G.J.

doi:10.1001/archinte.161.22.2694

Cited by 379 publications

(163 citation statements)

References 23 publications

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“…oldest old age (80+) 11,38 . The results also corroborate the importance of personal networks and the crucial role of social ties and social support (actual or perceived) for overall quality of life among the elderly 38,46,47,48,49 and mostly in situations of less autonomy 6 .…”

Section: Discussionsupporting

confidence: 69%

Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

Silva

2014

Cad. Saúde Pública

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This article aims to identify the main determinants of self-rated health and well-being in the elderly Portuguese population, using a set of dimensions including demographic and socioeconomic indicators, characteristics of interpersonal networks and social activities, health, sexual activity, representations of aging, and feeling of happiness. Taking socioeconomic, behavioral, and attitudinal predictors into account to analyze the explanatory value of the interrelated dimensions and weights for each factor, the author argues that social capital, activities associated with active aging, and greater optimism towards aging can contribute greatly to better self-rated health and wellbeing among the elderly, partially offsetting the effect of socioeconomic factors and illness associated with age.

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Section: Discussionsupporting

confidence: 69%

Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

Silva

2014

Cad. Saúde Pública

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“…Le bien vieillir est un concept difficile à circonscrire dans un seul énoncé, même si la plupart des auteurs mettent l'accent sur le maintien de l'autonomie fonctionnelle, surtout le fonctionnement physique, mental et social [5]. De plus, on relève au moins trois oppositions dans toute tentative de définir le bien vieillir : culturelle (Occident/autres), de perspective (chercheurs/personnes âgées), de contenu (biomédical/holistique).…”

Section: Le « Bien Vieillir » : Essai De Définitionunclassified

Le « bien vieillir » : concepts et modèles

Gangbè

Ducharme

2006

Med Sci (Paris)

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“…In this regard some researchers have found that even very old people with a range of physical health limitations do not always agree with these health-based constructions of successful ageing, which are based on 'optimal functioning' [19]. Strawbridge and colleagues [20], for example, found considerable discrepancy between self-rated reports of successful ageing and assessments based on Rowe and Kahn's criteria.…”

Section: Introductionmentioning

confidence: 99%

“…The differences were mainly related to the fact that many people who had chronic illness and/or functional problems considered problematic under Rowe and Kahn criteria, actually assessed themselves as ageing successfully. Calls for more consultation with older people to take account of their views on successful ageing and their subjective experiences of ageing have come from these authors and others [6,8,19,21,22].…”

Section: Introductionmentioning

confidence: 99%

“…Parker and colleagues [15] Some other researchers have argued that Rowe and Kahn's biomedical, functional capacity emphasis has not incorporated older people's views on successful ageing and well-being. In this regard some researchers have found that even very old people with a range of physical health limitations do not always agree with these health-based constructions of successful ageing, which are based on 'optimal functioning' [19]. Strawbridge and colleagues [20], for example, found considerable discrepancy between self-rated reports of successful ageing and assessments based on Rowe and Kahn's criteria.…”

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Successful ageing by whose definition? Views of older, spiritually affiliated women

2008

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Conclusions: Participants' multidimensional views of successful ageing were broader than Rowe and Kahn's model and included the need to have a degree of autonomy over the place and manner of the last phase of life and final days (successful dying).Key words: older women, spirituality, successful ageing. IntroductionThe protean concept of 'successful ageing' emerged in the middle of the twentieth century [1] and more recently evolved with the work of Rowe and Kahn [2,3] to encompass a more socially engaged and higher functioning state of being than was previously considered to be the typical or 'usual' way of ageing. Historically, old age has often been viewed as a process of decline that concluded with disengagement from the world soon after an individual's working life had come to an end. Such views gave rise to ageist stereotypes that continue to be pervasive today and that impact negatively on the lives of older people [4]. It has also been argued that the combination of being old and female creates a situation of double jeopardy [5], such that women experience disadvantage from the combined effects of sexist and ageist stereotyping.Rowe and Kahn's model [2,3] is arguably the most widely recognised and accepted approach to understanding successful ageing [6,7]. This model is functionally orientated, incorporating three principles of successful ageing: (i) maintaining high levels of physical and mental functioning; (ii) an absence of risk for disease and disease-related disabilities; and (iii) being actively engaged with life through involvement with other people and/or paid or unpaid activities that are of economic benefit to the community. According to Rowe and Kahn [3], the loss of any one of these three factors means that the person moves out of successful ageing to 'usual' (at risk of ill health) or to various kinds of impaired ageing. In their view, the key to regaining a state of successful ageing centres on the concept of personal resilience. They argue that resilience can be enhanced when people make healthy lifestyle choices that promote a successful ageing process.Despite a number of positive elements, there have been recent criticisms of Rowe and Kahn's model. For example, Bowling [8] described their 'biomedicalisation' approach to the ageing process as too narrowly focussed and lacking input from older people. In addition, their model has been criticised because it has been seen as carrying an element of implied blame towards individuals who are not able meet the functionally based criteria for ageing successfully [7,9]. For example, there is no acknowledgement of the impact of socioeconomic status on diet, education and other life opportunities and hence state of health in later years. Holstein and Minkler [7] argue that this omission can act to marginalise and discriminate against social groups who are already socially disadvantaged (e.g. those who are old, poor, female or from non-mainstream ethnic groups). Indeed, Riley accused Rowe and Kahn's model of failing to incorporate developments to ad...

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Successful Aging in the Oldest Old

Abstract: If successful aging is defined as an optimal state of overall functioning and well-being, only a happy few meet the criteria. However, elderly persons view successful aging as a process of adaptation. Using this perspective, many more persons could be considered to be successfully aged.

Cited by 379 publications

References 23 publications

Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

Le « bien vieillir » : concepts et modèles

Successful ageing by whose definition? Views of older, spiritually affiliated women

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