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Prevalence and correlates of successful aging in a population-based sample of older adults: the HUNT study

Published online by Cambridge University Press:  17 November 2016

Ingunn Bosnes ,
Ove Almkvist ,
Ole Bosnes ,
Eystein Stordal ,
Ulla Romild  and
Hans M. Nordahl
Ingunn Bosnes*
Affiliation:
Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
Ove Almkvist
Affiliation:
Department of Psychology, Stockholm University, Stockholm, Sweden Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
Ole Bosnes
Affiliation:
Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway
Eystein Stordal
Affiliation:
Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
Ulla Romild
Affiliation:
Department of Research and Development, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway
Hans M. Nordahl
Affiliation:
Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
*
Correspondence should be addressed to: Ingunn Bosnes, Department of Psychiatry, Namsos Hospital, Nord-Trøndelag Hospital Trust, 7800 Namsos, Norway. Phone: +47 74 21 54 00; Fax: +47 74 21 54 53. Email: ingunn.bosnes@hnt.no.
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Abstract

Background:

The factors influencing successful aging (SA) are of great interest in an aging society. The aims of this study were to investigate the prevalence of SA, the relative importance across age of the three components used to define it (absence of disease and disability, high cognitive and physical function, and active engagement with life), and its correlates.

Methods:

Data were extracted from the population-based cross-sectional Nord-Trøndelag Health Study (HUNT3 2006–2008). Individuals aged 70–89 years with complete datasets for the three components were included (N = 5773 of 8,040, 71.8%). Of the respondents, 54.6% were women. Univariate and multivariate regression analyses were used to analyze possible correlates of SA.

Results:

Overall, 35.6% of the sample met one of the three criteria, 34.1% met combinations, and 14.5% met all of the three criteria. The most demanding criterion was high function, closely followed by absence of disease, while approximately two-thirds were actively engaged in life. The relative change with age was largest for the high cognitive and physical function component and smallest for active engagement with life. The significant correlates of SA were younger age, female gender, higher education, weekly exercise, more satisfaction with life, non-smoking, and alcohol consumption, whereas marital status was not related to SA.

Conclusions:

The prevalence of SA in this study (14.5%) is comparable to previous studies. It may be possible to increase the prevalence by intervention directed toward more exercise, non-smoking, and better satisfaction with life.

Keywords

successful agingcomponentsprevalencecorrelatesHUNT
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 3 , March 2017 , pp. 431 - 440
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Baker, J., Meisner, B. A., Logan, A. J., Kungl, A. M. and Weir, P. (2009). Physical activity and successful aging in Canadian older adults. Journal of Aging and Physical Activity, 17, 223–235.CrossRefGoogle ScholarPubMed
Baltes, P. B. and Baltes, M. M. (eds.) (1990). Successful Aging. Perspectives from the Behavioral Sciences. Cambridge: Cambridge University Press.Google Scholar
Bergh, S. et al. (2014). Cohort profile: the health and memory study (HMS): a dementia cohort linked to the HUNT study in Norway. International Journal of Epidemiology, 43, 1759–1768.Google Scholar
Bjelland, I., Dahl, A. A., Haug, T. T. and Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.CrossRefGoogle ScholarPubMed
Bowling, A. and Dieppe, P. (2005). What is successful ageing and who should define it?. BMJ, 331, 1548–1551.Google Scholar
Chou, K. L. and Chi, I. (2002). Successful aging among the young-old, old-old, and oldest-old Chinese. International Journal of Aging and Human Development, 54, 1–14.Google Scholar
Cosco, T. D., Prina, A. M., Perales, J., Stephan, B. C. and Brayne, C. (2014). Operational definitions of successful aging: a systematic review. International Psychogeriatrics, 26, 373–381.Google Scholar
Depp, C. A. and Jeste, D. V. (2006). Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. The American Journal of Geriatric Psychiatry, 14, 6–20.CrossRefGoogle ScholarPubMed
Galea, S. and Tracy, M. (2007). Participation rates in epidemiologic studies. Annals of Epidemiology, 17, 643–653.Google Scholar
Garfein, A. J. and Herzog, A. R. (1995). Robust aging among the young-old, old-old, and oldest-old. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 50, S77–87.Google Scholar
Gmel, G., Gutjahr, E. and Rehm, J. (2003). How stable is the risk curve between alcohol and all-cause mortality and what factors influence the shape? A precision-weighted hierarchical meta-analysis. European Journal of Epidemiology, 18, 631–642.Google Scholar
Hamid, T. A., Momtaz, Y. A. and Ibrahim, R. (2012). Predictors and prevalence of successful aging among older Malaysians. Gerontology, 58, 366–370.Google Scholar
Hank, K. (2011). How “successful” do older Europeans age? Findings from SHARE. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66, 230–236.Google Scholar
Holstein, M. B. and Minkler, M. (2003). Self, society, and the “new gerontology”. The Gerontologist, 43, 787–796.Google Scholar
Kahana, E. and Kahana, B. (1996). Conceptual and empirical advances in understanding aging well through proactive adaption. In Bengtson, V. L. (Eds.) (pp. 18–40). New York: Springer Publishing Company.Google Scholar
Krokstad, S. et al. (2013). Cohort profile: the HUNT study, Norway. International Journal of Epidemiology, 42, 968–977.Google Scholar
Langhammer, A., Krokstad, S., Romundstad, P., Heggland, J. and Holmen, J. (2012). The HUNT study: participation is associated with survival and depends on socioeconomic status, diseases and symptoms. BMC Medical Research Methodology, 12, 143.Google Scholar
Li, C. et al. (2006). Successful aging in Shanghai, China: definition, distribution and related factors. International Psychogeriatrics, 18, 551–564.Google Scholar
McLaughlin, S. J., Connell, C. M., Heeringa, S. G., Li, L. W. and Roberts, J. S. (2010). Successful aging in the United States: prevalence estimates from a national sample of older adults. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 65, 216–226.CrossRefGoogle Scholar
Meng, X. and D'Arcy, C. (2014). Successful aging in Canada: prevalence and predictors from a population-based sample of older adults. Gerontology, 60, 65–72.Google Scholar
Montross, L. P. et al. (2006). Correlates of self-rated successful aging among community-dwelling older adults. American Journal of Geriatric Psychiatry 14, 43–51.Google Scholar
Ng, T. P., Broekman, B. F., Niti, M., Gwee, X. and Kua, E. H. (2009). Determinants of successful aging using a multidimensional definition among Chinese elderly in Singapore. American Journal of Geriatric Psychiatry, 17, 407–416.Google Scholar
Phelan, E. A., Anderson, L. A., LaCroix, A. Z. and Larson, E. B. (2004). Older adults' views of “successful aging”—how do they compare with researchers' definitions?. Journal of the American Geriatrics Society, 52, 211–216.Google Scholar
Phelan, E. A. and Larson, E. B. (2002). “Successful aging”—where next?. Journal of the American Geriatrics Society, 50, 1306–1308.Google Scholar
Rowe, J. W. and Kahn, R. L. (1987). Human aging: usual and successful. Science, 237, 143–149.Google Scholar
Rowe, J. W. and Kahn, R. L. (1997). Successful aging. The Gerontologist, 37, 433–440.Google Scholar
Rowe, J. W. and Kahn, R. L. (1998). Successful aging, New York: Dell Publishing.Google ScholarPubMed
Solhaug, H. I., Romuld, E. B., Romild, U. and Stordal, E. (2012). Increased prevalence of depression in cohorts of the elderly: an 11-year follow-up in the general population–the HUNT study. International Psychogeriatrics, 24, 151–158.CrossRefGoogle ScholarPubMed
Stern, Y. (2009). Cognitive reserve. Neuropsychologia, 47, 2015–2028.Google Scholar
Stordal, E., Bjartveit Krüger, M., Dahl, N. H., Krüger, Ø., Mykletun, A. and Dahl, A. A. (2001). Depression in relation to age and gender in the general population: the Nord-Trøndelag Health Study (HUNT). Acta Psychiatrica Scandinavica, 104, 210–216.CrossRefGoogle Scholar
Strawbridge, W. J., Wallhagen, M. I. and Cohen, R. D. (2002). Successful aging and well-being self-rated compared with Rowe and Kahn. The Gerontologist, 42, 727–733.Google Scholar
von Faber, M. et al. (2001). Successful aging in the oldest old: who can be characterized as successfully aged?. Archives of Internal Medicine, 161, 2694–2700.Google Scholar
Weir, P. L., Meisner, B. A. and Baker, J. (2010). Successful aging across the years: does one model fit everyone?. Journal of Health Psychology, 15, 680–687.Google Scholar
World Health Organization (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. Available at: http://www.who.int/about/definition/en/print.html; Last accessed: October 26, 2015.Google Scholar
World Health Organization (2015). 10 facts on ageing and health. Available at: http://www.who.int/features/factfiles/ageing/en/; Last accessed: April 19, 2016.Google Scholar