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New approach to gerontology: building up “successful aging” conditions

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Abstract

Background and aims: Great efforts have been made in developed societies to extend human life expectancy as much as possible. Continuing investments into extending the life-span into the “fourth age” actually reduce the opportunities of people to age successfully and die in dignity. Consequently, in recent years, the concept of “Successful Aging” (SA) has gained increased attention: investigators recognize the importance of separating pathologic changes from those which may be attributed to aging in itself, in order to interpret correctly the differences between Pathologic Aging, Normal Aging, and Successful Aging. Hence, according to recent literature on aging, our aim was to question here the validity of recommendations made in the literature for policy making in the treatment of aging and suggest new alternatives. Methods: We have tried to understand and develop a method of analysis to the following question: what do we actually mean by SA? Successful Aging may be seen as an arbitrary, subjective term, so we studied which indicators characterize elderly persons as successful aged. Results: The results of this study show that older people’s views of SA appear to be multidimensional and more complex than the apparent viewpoint of many of early studies, which tended to focus on a single dimension of health - psychological or mental. Conclusions: We argue the proper use of various health indicators and health enhancers, as proposed in the current international literature, in the definition of SA.

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References

  1. Hoyert DL, Kochanek KD, Murphy SL. Deaths: Final data for 1997. National Vital Statistics Report; Vol. 47, N°19, Hyattsville, MD: National Center For Health Statistics, 1999.

    Google Scholar 

  2. Hayflick L. The future of ageing. Nature 2000; 408: 267–9.

    Article  PubMed  CAS  Google Scholar 

  3. Baltes PB, Smith J. New frontiers in the future of aging: from successful aging of the young old to the dilemmas of the fourth age. Gerontology 2003; 49: 123–35.

    Article  PubMed  Google Scholar 

  4. Mehr DR, Tatum PE. Primary prevention of diseases of old age. Clin Geriatr Med 2002; 18: 407–30.

    Article  PubMed  Google Scholar 

  5. Haveman-Nies A, De Groot LCPGM, Van Steveren WA. Dietary quality, lifestyle factors and healthy ageing in Europe: the Seneca study. Age Ageing 2003; 3: 427–34.

    Article  Google Scholar 

  6. Manton KG, Gu X. Changes in the prevalence of chronic disability in the United States black and non black population above age 65 from 982 to 1999. Proc Natl Acad Sci USA 2001; 98: 6354–9.

    Article  PubMed  CAS  Google Scholar 

  7. Federal Interagency Forum On Aging Related Statistics. Older Americans 2000: key indicators of well-being. Hyattsville, MD: National Center For Health Statistics, 2000.

    Google Scholar 

  8. Phelan EA, Larson EB. “Successful aging”- where next? JAGS 2002; 50: 1306–8.

    Google Scholar 

  9. Holstein MB, Minkler M. Self, society, and the “New Gerontology”. The Gerontologist 2003; 43: 787–96.

    Article  PubMed  Google Scholar 

  10. Jeste DV. Feeling fine at a hundred and three. Secrets of Successful Aging. Am J Prev Med 2005; 28: 323–4.

    Article  PubMed  Google Scholar 

  11. Rowe JW, Kahn RL. Successful Aging. Gerontologist 1997; 37: 433–40.

    Article  PubMed  CAS  Google Scholar 

  12. Crowther MR, Parker MW, Achenbaum WA, Larimore WL, Koenig HG. Rowe and Kahn’s model of successful aging revisited: positive spirituality - the forgotten factor. The Gerontologist 2002; 42: 613–20.

    Article  PubMed  Google Scholar 

  13. Chukwu A, Rauchfleisch U. The image of God in old age. Z Gerontol Geriatr 2002; 35: 582–7.

    Article  PubMed  CAS  Google Scholar 

  14. Walsh K, King M, Jones L, Tookman A, Blizard R. Spiritual beliefs may affect outcome of bereavement. Prospective study. BMJ 2002; 324: 1551–6.

    Article  PubMed  Google Scholar 

  15. Vaillant GE. Aging well: surprising guideposts to a happier life from the landmark harvard study of adult development. Boston: Little, Brown; 2002.

    Google Scholar 

  16. Crombie IK, Irvine L, Williams B, et al. Why older people do not participate in leisure time physical activity. A survey of activity levels, beliefs and deterrents. Age Ageing 2004; 33: 287–92.

    Article  PubMed  Google Scholar 

  17. Strawbridge WJ, Wallhagen MI, Cohen RD. Successful aging and well-being: self-rated compared with Rowe and Kahn. Gerontologist 2002; 42: 727–33.

    Article  PubMed  Google Scholar 

  18. Halbreich U. The fountain of mental youth. Search for homeostatic and adaptational hormonal processes. Psychoneuroendocrinology 2004; 29: 697–704.

    Article  PubMed  Google Scholar 

  19. Bambrick P, Bonder B. Older adults’ perceptions of work. Work 2005, 24: 77–84.

    PubMed  Google Scholar 

  20. Cicconetti P, Tafaro L, Tedeschi G, Tombolillo MT, Ursino R, Marigliano V. Smoking and survival in centenarians. Arch Gerontol Geriatr (Suppl) 2004; 9: 425–30.

    Google Scholar 

  21. Kirkland JL. The biology of senescence: potential for prevention of disease. Clin Geriatr Med 2002; 18: 383–405.

    Article  PubMed  Google Scholar 

  22. Inelmen EM, Sergi G, Coin A, Miotto F, Peruzza S, Enzi G. Can obesity be a risk factor in elderly people? Obes Rev 2003; 4: 147–55.

    Article  PubMed  CAS  Google Scholar 

  23. Ferraro KF, Su YP, Gretebeck RJ, Black DR, Badylak SF. Body mass index and disability in adulthood: a 20-year panel study. Am J Public Health 2002; 92: 834–40.

    Article  PubMed  Google Scholar 

  24. Wollin SD, Jones PJH. Alcohol, red wine and cardiovascular disease. J Nutr 2001; 131: 1401–4.

    PubMed  CAS  Google Scholar 

  25. Fiatarone MA. Exercise to prevent and treat functional disability. Clin Geriatr Med 2002; 18: 431–62.

    Article  Google Scholar 

  26. Brendle DC, Joseph LJO, Sorkin JD, Mcnelly D, Katzel LI. Aging and marathon times in an 81-year-old man who competed in 591 marathons. Am J Cardiol 2003; 91: 1154–6.

    Article  PubMed  Google Scholar 

  27. Barzilai N. Discovering the secrets of successful longevity. J Gerontol A Biol Sci Med Sci. 2003; 58: 225–6.

    Article  PubMed  Google Scholar 

  28. Hitt R, Young-Xu Y, Silver M, Perls T. Centenarians: the older you get, the healthier you have been. Lancet 1999; 354: 652–3.

    Article  PubMed  CAS  Google Scholar 

  29. Seeman TE, Singer BH, Rowe JW, Horwitz RI, Mcewen BS. Price of adaptation-allostatic load and its health consequences: MacArthur studies of successful aging. Arch Int Med 1997; 157: 2259–68.

    Article  CAS  Google Scholar 

  30. Hardy SE, Concato J, Gill TM. Stressful life events among community-living older persons. J Gen Intern Med 2002; 17: 832–8.

    Article  PubMed  Google Scholar 

  31. Von Faber M, Bootsma-van der Wiel A, van Exel E, et al. Successful aging in the oldest old: Who can be characterized as successfully aged? Arch Intern Med 2001; 161: 2694–700.

    Article  Google Scholar 

  32. Wagnild G. Resilience and successful aging. Comparison among low and high income older adults. Gerontol Nurs 2003; 29: 42–9.

    Google Scholar 

  33. Sarkisian CA, Hays RD, Mangione CM. Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. JAGS 2002; 50: 1837–43.

    Article  Google Scholar 

  34. Snow L, Pan CX. How do physicians think about successful aging? Ann Intern Med 2004; 140: W37.

    Article  PubMed  Google Scholar 

  35. Herzog AR, Ofstedal MB, Wheeler LM. Social engagement and its relationship to health. Clin Geriatr Med 2002; 18: 593–609.

    Article  PubMed  Google Scholar 

  36. Glass TA. Assessing the success of Successful Aging. Ann Intern Med. 2003; 139: 382–3.

    Article  PubMed  Google Scholar 

  37. Phelan EA, Anderson LA, La Croix AZ, Larson EB. Older adults’ views of “Successful Aging”- how do they compare with researchers’ definitions? JAGS 2004; 52: 211–6.

    Article  Google Scholar 

  38. Field MJ, Cassel CK. Approaching death: improving care at the end of life. Washington: National Academy Press, 1997.

    Google Scholar 

  39. Desbiens NA, Wu AW. Pain and suffering in seriously ill hospitalized patients. J Am Geriatr Soc 2000; 48 (5 Suppl): S183–6.

    PubMed  CAS  Google Scholar 

  40. Patrick DL, Curtis JR, Engelberg RA, Nielsen E, McCown E. Measuring and improving the quality of dying and death. Ann Intern Med. 2003; 139 (Part 2): 410–5.

    Article  PubMed  Google Scholar 

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Correspondence to Eminè M. Inelmen MD.

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Inelmen, E.M., Sergi, G., Enzi, G. et al. New approach to gerontology: building up “successful aging” conditions. Aging Clin Exp Res 19, 160–164 (2007). https://doi.org/10.1007/BF03324683

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