BACKGROUND Successful aging(SA)refers to the ability to maintain high levels of physical,cognitive,psychological,and social engagement in old age,with high cognitive function being the key to achieving SA.AIM To explo...BACKGROUND Successful aging(SA)refers to the ability to maintain high levels of physical,cognitive,psychological,and social engagement in old age,with high cognitive function being the key to achieving SA.AIM To explore the potential characteristics of the brain network and functional connectivity(FC)of SA.METHODS Twenty-six SA individuals and 47 usual aging individuals were recruited from community-dwelling elderly,which were taken the magnetic resonance imaging scan and the global cognitive function assessment by Mini Mental State Examination(MMSE).The resting state-functional magnetic resonance imaging data were preprocessed by DPABISurf,and the brain functional network was conducted by DPABINet.The support vector machine model was constructed with altered functional connectivities to evaluate the identification value of SA.RESULTS The results found that the 6 inter-network FCs of 5 brain networks were significantly altered and related to MMSE performance.The FC of the right orbital part of the middle frontal gyrus and right angular gyrus was mostly increased and positively related to MMSE score,and the FC of the right supramarginal gyrus and right temporal pole:Middle temporal gyrus was the only one decreased and negatively related to MMSE score.All 17 significantly altered FCs of SA were taken into the support vector machine model,and the area under the curve was 0.895.CONCLUSION The identification of key brain networks and FC of SA could help us better understand the brain mechanism and further explore neuroimaging biomarkers of SA.展开更多
Objective This study aims to assess the status of successful aging （SA） in longevity areas in China and explore multiple factors associated with SA among the young-old and oldest-old. Methods A total of 2296 elderly...Objective This study aims to assess the status of successful aging （SA） in longevity areas in China and explore multiple factors associated with SA among the young-old and oldest-old. Methods A total of 2296 elderly people aged 65 and older were interviewed in the longevity areas sub-sample of the Chinese Longitudinal Healthy Longevity Survey （CLHLS） in 2012. Baseline assessments included a researcher-administered questionnaire, physical examination, and laboratory testing. A logistic regression model was used to identify factors associated with SA. Results The prevalence of SA was 38.81% in the CLHLS in 2012. There were significant differences between ages groups, with SA compromising 56.85% among _〉65 years group and 20.31% among 〉100 years group （X2trend=126.73, P〈O.01）. The prevalence of SA among females was 33.59%, which was significantly lower than that among males （45.58%） （X2gender=33.65, P〈0.05）. In the regression analysis, having anemia ~OR=0.744, 95% CI： 0.609-0.910）, poor lifestyle （OR=0.697, 95% CI： 0.568-0.854）, poor sleep quality （OR=0.558, 95% CI： 0.456-0.682）, and central obesity （OR=0.684, 95% CI： 0.556-0.841） were the main factors associated with SA. The promoting SA rate decreased as age increased, and the group of 65-79 years had higher odds than the other age group. Conclusion Preventing central obesity, improving sleep quality and promoting healthy lifestyle may contribute to achieve SA among the elderly.展开更多
Objective: Sleep complaints are recurrent in Geriatrics and are often attributed to physiological aging. The aim of this work is to describe subjective sleep quality and its impact on successful aging. Methods: Subjec...Objective: Sleep complaints are recurrent in Geriatrics and are often attributed to physiological aging. The aim of this work is to describe subjective sleep quality and its impact on successful aging. Methods: Subjective sleep quality was evaluated by using the Pittsburgh subjective sleep quality questionnaire. Two visual analogical scales (graduate from 0 to 10) were used to quantify perceived state of health and life satisfaction. Objective respiratory sleep parameters were also collected. Results: 370 data were analysed (46.2% of males). The average age was 73.2 +/- 1. The level of perceived state of health was 6.9 +/- 2, and life satisfaction level was 7.7 +/-2. Subjective sleep quality was significantly related to perceived health status (p = 0.034) and life satisfaction (p = 0.005). There was no significant association between sleep quality and objective respiratory sleep parameters. Conclusion: The assessment of sleep quality plays an important role in the management of elderly persons and can help them to age more successfully.展开更多
Objectives:To examine the level of successful aging and the relationship between successful aging and activities of daily living(ADL),life satisfaction,social support,income,and self-efficacy among community-dwelling ...Objectives:To examine the level of successful aging and the relationship between successful aging and activities of daily living(ADL),life satisfaction,social support,income,and self-efficacy among community-dwelling elderly in Wenzhou,China.Methods:A descriptive correlational design was applied.Subjects were community-dwelling elderly in 4 districts of Wenzhou,China.Simple random sampling was used to recruit 83 participants.All participants were screened using the Mini-Cog tool.Data were collected using 6 questionnaires such as a demographic questionnaire,the Successful Aging Inventory(SAI),the Barthel Index for ADL,the Satisfaction With Life Scale(SWLS),the Social Support Rating Scale(SSRS),and the General Self-Efficacy Scale(GSES).Data were analyzed using descriptive statistics and Pearson correlation analysis.Results:The results showed that 53%of the participants had a higher level of successful aging and 43.4%had a moderate level of successful aging with a mean score of 56.76(standard deviation[SD]=12.31).Factors such as elderly income(r=0.73,P<0.001)and self-efficacy(r=0.72,P<0.001)had high correlations with successful aging,whereas ADL(r=0.67,P<0.001),life satisfaction(r=0.63,P<0.001),and social support(r=0.36,P<0.001)had moderate correlations with successful aging.Conclusions:There was a significant positive correlation between successful aging and ADL,life satisfaction,social support,income,and self-efficacy among community-dwelling elderly in Wenzhou,China.The findings may guide the formulation of more effective health education and intervention measures to improve successful aging among the elderly.展开更多
Background:The successful aging of middle-aged and older adults in developing countries is still in the exploratory stage.This paper aims to understand the current situation of successful aging of middle-aged and olde...Background:The successful aging of middle-aged and older adults in developing countries is still in the exploratory stage.This paper aims to understand the current situation of successful aging of middle-aged and older adults in developing countries and systematically evaluate the factors influencing successful aging of middle-aged and older adults in developing countries.Methods:We searched databases including PubMed,Embase,the Cochrane Library,Web of Science,Chinese National Knowledge Infrastructure,CBM,WanFang Data Knowledge Service Platform and VIP from inception to April 30,2021.RevMan 5.3 software was used for meta-analysis.Results:Fourteen studies were included and 17 related risk factors were analyzed.The statistically significant influence factors were gender(odds ratio(OR)=1.37,95%confidenceinterval(CI):1.09~1.71),age>75 years(OR=0.46,95%CI:0.31~0.68),education level(OR=3.24,95%CI:1.84~5.70),Cohabiting with a partner(OR=0.17,95%CI:0.11~0.24),domicile(OR=2.60,95%CI:1.07~6.29),self-rated health(OR=3.15,95%CI:2.33~4.24),income(OR=1.72,95%CI:1.04~2.86),smoking(OR=1.33,95%CI:1.16~1.53),alcohol intake(OR=1.61,95%CI:1.09~2.37),body pain(OR=0.28,95%CI:0.09~0.84),hearing impaired(OR=0.28,95%CI:0.13~0.59),physical exercise(OR=1.46,95%CI:1.24~1.73),eating pattern(OR=1.47,95%CI:1.19~1.80),sleep disorder(OR=0.49,95%CI:0.27~0.89).Sensitivity analysis results show that the results of meta-analysis are stable.Conclusion:Current evidence shows that men living in cities and towns,living with their spouse,good financial status,high educational level,self-rated health,low alcohol consumption,physical exercise and regular diet are beneficial to the successful aging of middle-aged and older adults factor.For ages over 75 years old,five factors,such as long-term smoking,physical pain,hearing impairment and sleep disturbance are the unfavorable factors that hinder successful aging.展开更多
The purpose of this qualitative study, conducted in Thailand, was to identify strategies for older adults to live alone happily, with dignity, security, and independence. Purposive sampling techniques were used to rec...The purpose of this qualitative study, conducted in Thailand, was to identify strategies for older adults to live alone happily, with dignity, security, and independence. Purposive sampling techniques were used to recruit participants from 12 provinces throughout Thailand. The sample included three groups： older Thai people living alone （n = 1,087）, clinician who working with Thai older adults （n = 149）, and administrators working in aged care and support services in Thailand （n = 83）. Data were collected using structured interview guides. Content analysis was used to identify and develop the study findings. Most of the older Thai people living alone were single, widowed or divorced with few wanting to remain living alone. The large majority of participants needed government assistance to manage their activities of daily living including access to health and public services. Participants wanted aged care and support services to assist with their living arrangements, organise community activities, and provide home visits. Moreover, they wanted their families to visit them and provide financial support and care for them when they were ill. These older adults experienced living alone positively and negatively. Some participants felt proud, dignified, and independent. Other participants felt that living alone resulted in poorer health status, particularly emotional problems, especially for those who were not living alone by choice. These participants reported feeling lonely, bored, irritated, sad, and sorrowful. This group of older Thai adults had limited interaction with their families and the wider community. From this study, four strategies were identified to assist older Thai adults to live alone happily, safely and with a sense of dignity, security, and value. These strategies are： ensuring individual choice, maintaining family support, developing community value, and advocating for over-arching government policy support of aged care. A high number of older adults live alone in Thailand and this presents a big challenge for both these individuals and the community in which they live. If this important group in Thai society is to live alone happily and successfully, it needs to be additional assistance to ensure they are supported by families, communities, and government departments.展开更多
Background:Despite the known contribution of sport to health and well-being,sport participation declines in older age.However,for some people,sport continues to play an important role in older age and may contribute t...Background:Despite the known contribution of sport to health and well-being,sport participation declines in older age.However,for some people,sport continues to play an important role in older age and may contribute to improved health and well-being in older years.Although the health-related benefits of participating in sport are commonly reported,the reasons why some older adults continue to play sport are not well understood.This systematic review aimed to(1)identify studies from the literature that evaluated the reasons why older adults(aged 55 years and older)participate in sport and(2)synthesize and discuss the reasons for their participation reported in the literature.Methods:Searches of the electronic databases Embase,Medline,PsycInfo,PubMed,and SPORTDiscus were performed.Studies were included that evaluated reasons for sport participation in adults aged 55 years and older because this is the age at which sport participation has been reported to begin declining.The studies included in this review used qualitative,quantitative,or mixed methods designs,were peer reviewed,and were published in the English language before the search date(20 January 2019).Results:A total of 1732 studies were identified.After exclusions,30 studies were included in the review(16 qualitative,10 quantitative,and 4 mixed methods).The review presents several features and findings from the studies,including a description and systematization of the reasons for participating in sport and the main reasons that participants gave for participating in sport(maintaining health,feeling and being part of a community,and taking advantage of opportunities to develop relationships).Other reasons included competing and attaining a feeling of achievement,taking advantage of opportunities for travel,and being part of a team.Sport was identified as contributing to the overall experience of successful ageing.There were few comparative differences for participating in sport,and there were only small differences between genders for the reasons given for participation.Generally,the quality of the studies was good;however,mixed methods studies lacked appropriate data analysis procedures.Conclusion:Older adults play sport for a range of health-related and social reasons that can contribute to the experience of successful ageing.Strategies to increase sport participation by older adults should focus on promoting these aspects.展开更多
基金Supported by the Wuxi Municipal Health Commission Major Project,No.Z202107。
文摘BACKGROUND Successful aging(SA)refers to the ability to maintain high levels of physical,cognitive,psychological,and social engagement in old age,with high cognitive function being the key to achieving SA.AIM To explore the potential characteristics of the brain network and functional connectivity(FC)of SA.METHODS Twenty-six SA individuals and 47 usual aging individuals were recruited from community-dwelling elderly,which were taken the magnetic resonance imaging scan and the global cognitive function assessment by Mini Mental State Examination(MMSE).The resting state-functional magnetic resonance imaging data were preprocessed by DPABISurf,and the brain functional network was conducted by DPABINet.The support vector machine model was constructed with altered functional connectivities to evaluate the identification value of SA.RESULTS The results found that the 6 inter-network FCs of 5 brain networks were significantly altered and related to MMSE performance.The FC of the right orbital part of the middle frontal gyrus and right angular gyrus was mostly increased and positively related to MMSE score,and the FC of the right supramarginal gyrus and right temporal pole:Middle temporal gyrus was the only one decreased and negatively related to MMSE score.All 17 significantly altered FCs of SA were taken into the support vector machine model,and the area under the curve was 0.895.CONCLUSION The identification of key brain networks and FC of SA could help us better understand the brain mechanism and further explore neuroimaging biomarkers of SA.
基金supported by National Natural Science Foundation of China[81273160,71233001,71110107025]United Nations Population Fund and the United States National Institutes of Health[R01AG23627]
文摘Objective This study aims to assess the status of successful aging （SA） in longevity areas in China and explore multiple factors associated with SA among the young-old and oldest-old. Methods A total of 2296 elderly people aged 65 and older were interviewed in the longevity areas sub-sample of the Chinese Longitudinal Healthy Longevity Survey （CLHLS） in 2012. Baseline assessments included a researcher-administered questionnaire, physical examination, and laboratory testing. A logistic regression model was used to identify factors associated with SA. Results The prevalence of SA was 38.81% in the CLHLS in 2012. There were significant differences between ages groups, with SA compromising 56.85% among _〉65 years group and 20.31% among 〉100 years group （X2trend=126.73, P〈O.01）. The prevalence of SA among females was 33.59%, which was significantly lower than that among males （45.58%） （X2gender=33.65, P〈0.05）. In the regression analysis, having anemia ~OR=0.744, 95% CI： 0.609-0.910）, poor lifestyle （OR=0.697, 95% CI： 0.568-0.854）, poor sleep quality （OR=0.558, 95% CI： 0.456-0.682）, and central obesity （OR=0.684, 95% CI： 0.556-0.841） were the main factors associated with SA. The promoting SA rate decreased as age increased, and the group of 65-79 years had higher odds than the other age group. Conclusion Preventing central obesity, improving sleep quality and promoting healthy lifestyle may contribute to achieve SA among the elderly.
文摘Objective: Sleep complaints are recurrent in Geriatrics and are often attributed to physiological aging. The aim of this work is to describe subjective sleep quality and its impact on successful aging. Methods: Subjective sleep quality was evaluated by using the Pittsburgh subjective sleep quality questionnaire. Two visual analogical scales (graduate from 0 to 10) were used to quantify perceived state of health and life satisfaction. Objective respiratory sleep parameters were also collected. Results: 370 data were analysed (46.2% of males). The average age was 73.2 +/- 1. The level of perceived state of health was 6.9 +/- 2, and life satisfaction level was 7.7 +/-2. Subjective sleep quality was significantly related to perceived health status (p = 0.034) and life satisfaction (p = 0.005). There was no significant association between sleep quality and objective respiratory sleep parameters. Conclusion: The assessment of sleep quality plays an important role in the management of elderly persons and can help them to age more successfully.
文摘Objectives:To examine the level of successful aging and the relationship between successful aging and activities of daily living(ADL),life satisfaction,social support,income,and self-efficacy among community-dwelling elderly in Wenzhou,China.Methods:A descriptive correlational design was applied.Subjects were community-dwelling elderly in 4 districts of Wenzhou,China.Simple random sampling was used to recruit 83 participants.All participants were screened using the Mini-Cog tool.Data were collected using 6 questionnaires such as a demographic questionnaire,the Successful Aging Inventory(SAI),the Barthel Index for ADL,the Satisfaction With Life Scale(SWLS),the Social Support Rating Scale(SSRS),and the General Self-Efficacy Scale(GSES).Data were analyzed using descriptive statistics and Pearson correlation analysis.Results:The results showed that 53%of the participants had a higher level of successful aging and 43.4%had a moderate level of successful aging with a mean score of 56.76(standard deviation[SD]=12.31).Factors such as elderly income(r=0.73,P<0.001)and self-efficacy(r=0.72,P<0.001)had high correlations with successful aging,whereas ADL(r=0.67,P<0.001),life satisfaction(r=0.63,P<0.001),and social support(r=0.36,P<0.001)had moderate correlations with successful aging.Conclusions:There was a significant positive correlation between successful aging and ADL,life satisfaction,social support,income,and self-efficacy among community-dwelling elderly in Wenzhou,China.The findings may guide the formulation of more effective health education and intervention measures to improve successful aging among the elderly.
文摘Background:The successful aging of middle-aged and older adults in developing countries is still in the exploratory stage.This paper aims to understand the current situation of successful aging of middle-aged and older adults in developing countries and systematically evaluate the factors influencing successful aging of middle-aged and older adults in developing countries.Methods:We searched databases including PubMed,Embase,the Cochrane Library,Web of Science,Chinese National Knowledge Infrastructure,CBM,WanFang Data Knowledge Service Platform and VIP from inception to April 30,2021.RevMan 5.3 software was used for meta-analysis.Results:Fourteen studies were included and 17 related risk factors were analyzed.The statistically significant influence factors were gender(odds ratio(OR)=1.37,95%confidenceinterval(CI):1.09~1.71),age>75 years(OR=0.46,95%CI:0.31~0.68),education level(OR=3.24,95%CI:1.84~5.70),Cohabiting with a partner(OR=0.17,95%CI:0.11~0.24),domicile(OR=2.60,95%CI:1.07~6.29),self-rated health(OR=3.15,95%CI:2.33~4.24),income(OR=1.72,95%CI:1.04~2.86),smoking(OR=1.33,95%CI:1.16~1.53),alcohol intake(OR=1.61,95%CI:1.09~2.37),body pain(OR=0.28,95%CI:0.09~0.84),hearing impaired(OR=0.28,95%CI:0.13~0.59),physical exercise(OR=1.46,95%CI:1.24~1.73),eating pattern(OR=1.47,95%CI:1.19~1.80),sleep disorder(OR=0.49,95%CI:0.27~0.89).Sensitivity analysis results show that the results of meta-analysis are stable.Conclusion:Current evidence shows that men living in cities and towns,living with their spouse,good financial status,high educational level,self-rated health,low alcohol consumption,physical exercise and regular diet are beneficial to the successful aging of middle-aged and older adults factor.For ages over 75 years old,five factors,such as long-term smoking,physical pain,hearing impairment and sleep disturbance are the unfavorable factors that hinder successful aging.
文摘The purpose of this qualitative study, conducted in Thailand, was to identify strategies for older adults to live alone happily, with dignity, security, and independence. Purposive sampling techniques were used to recruit participants from 12 provinces throughout Thailand. The sample included three groups： older Thai people living alone （n = 1,087）, clinician who working with Thai older adults （n = 149）, and administrators working in aged care and support services in Thailand （n = 83）. Data were collected using structured interview guides. Content analysis was used to identify and develop the study findings. Most of the older Thai people living alone were single, widowed or divorced with few wanting to remain living alone. The large majority of participants needed government assistance to manage their activities of daily living including access to health and public services. Participants wanted aged care and support services to assist with their living arrangements, organise community activities, and provide home visits. Moreover, they wanted their families to visit them and provide financial support and care for them when they were ill. These older adults experienced living alone positively and negatively. Some participants felt proud, dignified, and independent. Other participants felt that living alone resulted in poorer health status, particularly emotional problems, especially for those who were not living alone by choice. These participants reported feeling lonely, bored, irritated, sad, and sorrowful. This group of older Thai adults had limited interaction with their families and the wider community. From this study, four strategies were identified to assist older Thai adults to live alone happily, safely and with a sense of dignity, security, and value. These strategies are： ensuring individual choice, maintaining family support, developing community value, and advocating for over-arching government policy support of aged care. A high number of older adults live alone in Thailand and this presents a big challenge for both these individuals and the community in which they live. If this important group in Thai society is to live alone happily and successfully, it needs to be additional assistance to ensure they are supported by families, communities, and government departments.
基金BJS acknowledges support through an Australian Government Research Training Program Scholarship.
文摘Background:Despite the known contribution of sport to health and well-being,sport participation declines in older age.However,for some people,sport continues to play an important role in older age and may contribute to improved health and well-being in older years.Although the health-related benefits of participating in sport are commonly reported,the reasons why some older adults continue to play sport are not well understood.This systematic review aimed to(1)identify studies from the literature that evaluated the reasons why older adults(aged 55 years and older)participate in sport and(2)synthesize and discuss the reasons for their participation reported in the literature.Methods:Searches of the electronic databases Embase,Medline,PsycInfo,PubMed,and SPORTDiscus were performed.Studies were included that evaluated reasons for sport participation in adults aged 55 years and older because this is the age at which sport participation has been reported to begin declining.The studies included in this review used qualitative,quantitative,or mixed methods designs,were peer reviewed,and were published in the English language before the search date(20 January 2019).Results:A total of 1732 studies were identified.After exclusions,30 studies were included in the review(16 qualitative,10 quantitative,and 4 mixed methods).The review presents several features and findings from the studies,including a description and systematization of the reasons for participating in sport and the main reasons that participants gave for participating in sport(maintaining health,feeling and being part of a community,and taking advantage of opportunities to develop relationships).Other reasons included competing and attaining a feeling of achievement,taking advantage of opportunities for travel,and being part of a team.Sport was identified as contributing to the overall experience of successful ageing.There were few comparative differences for participating in sport,and there were only small differences between genders for the reasons given for participation.Generally,the quality of the studies was good;however,mixed methods studies lacked appropriate data analysis procedures.Conclusion:Older adults play sport for a range of health-related and social reasons that can contribute to the experience of successful ageing.Strategies to increase sport participation by older adults should focus on promoting these aspects.
