Prevalence and factors associated with thriving in older adulthood: A 10-year population-based study

Mark S. Kaplan, Nathalie Huguet, Heather Orpana, David Feeny, Bentson McFarland, Nancy Ross

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background. Interest in the determinants of "successful aging" is growing. Nonetheless, successful aging remains ill defined, and its appropriate measurement is hotly contested. Most studies have focused on the absence of disability or deficits in physical performance as outcomes. The present study extends this research by using the Health Utilities Index Mark 3 (HUI3), a multidimensional measure of health status, to examine the maintenance of exceptionally good health among older participants in the Canadian National Population Health Survey (1994-2004). Methods. The maintenance of exceptionally good health in old age was examined prospectively among 2432 individuals (65-85 years old at baseline) who met the inclusion criteria. The participants were classified into one of four health trajectories: thrivers (who maintained exceptional health with no or only mild disability), nonthrivers (who experienced a moderate or severe disability), the deceased, and the institutionalized. Results. In 10 years of follow-up, 190 (8%) were thrivers (HUI3 score ≥ 0.89 at all interviews), 1076 (47%) were nonthrivers, 893 (36%) died, and 273 (9%) were institutionalized. The maintenance of exceptionally good health among the elderly participants was related to younger age at baseline, socioeconomic status (higher income), psychosocial factors (including lower psychological distress), and behavioral factors (never smoked and moderate alcohol use). Conclusions. The maintenance of exceptionally good health in old age is related, at least in part, to modifiable lifestyle factors. However, elevated socioeconomic status also distinguishes those who are able to maintain exceptionally good health.

Original languageEnglish (US)
Pages (from-to)1097-1104
Number of pages8
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume63
Issue number10
StatePublished - Oct 2008

Fingerprint

antineoplaston A10
Health
Population
Maintenance
Social Class
Psychology
Health Surveys
Health Status
Life Style
Alcohols
Interviews

Keywords

  • Aging
  • Epidemiology
  • Longitudinal
  • Population health

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

Prevalence and factors associated with thriving in older adulthood : A 10-year population-based study. / Kaplan, Mark S.; Huguet, Nathalie; Orpana, Heather; Feeny, David; McFarland, Bentson; Ross, Nancy.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 63, No. 10, 10.2008, p. 1097-1104.

Research output: Contribution to journalArticle

Kaplan, Mark S. ; Huguet, Nathalie ; Orpana, Heather ; Feeny, David ; McFarland, Bentson ; Ross, Nancy. / Prevalence and factors associated with thriving in older adulthood : A 10-year population-based study. In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2008 ; Vol. 63, No. 10. pp. 1097-1104.
@article{82ee0bb3c2aa41fd86a7358acdc02ae7,
title = "Prevalence and factors associated with thriving in older adulthood: A 10-year population-based study",
abstract = "Background. Interest in the determinants of {"}successful aging{"} is growing. Nonetheless, successful aging remains ill defined, and its appropriate measurement is hotly contested. Most studies have focused on the absence of disability or deficits in physical performance as outcomes. The present study extends this research by using the Health Utilities Index Mark 3 (HUI3), a multidimensional measure of health status, to examine the maintenance of exceptionally good health among older participants in the Canadian National Population Health Survey (1994-2004). Methods. The maintenance of exceptionally good health in old age was examined prospectively among 2432 individuals (65-85 years old at baseline) who met the inclusion criteria. The participants were classified into one of four health trajectories: thrivers (who maintained exceptional health with no or only mild disability), nonthrivers (who experienced a moderate or severe disability), the deceased, and the institutionalized. Results. In 10 years of follow-up, 190 (8{\%}) were thrivers (HUI3 score ≥ 0.89 at all interviews), 1076 (47{\%}) were nonthrivers, 893 (36{\%}) died, and 273 (9{\%}) were institutionalized. The maintenance of exceptionally good health among the elderly participants was related to younger age at baseline, socioeconomic status (higher income), psychosocial factors (including lower psychological distress), and behavioral factors (never smoked and moderate alcohol use). Conclusions. The maintenance of exceptionally good health in old age is related, at least in part, to modifiable lifestyle factors. However, elevated socioeconomic status also distinguishes those who are able to maintain exceptionally good health.",
keywords = "Aging, Epidemiology, Longitudinal, Population health",
author = "Kaplan, {Mark S.} and Nathalie Huguet and Heather Orpana and David Feeny and Bentson McFarland and Nancy Ross",
year = "2008",
month = "10",
language = "English (US)",
volume = "63",
pages = "1097--1104",
journal = "Journals of Gerontology - Series A Biological Sciences and Medical Sciences",
issn = "1079-5006",
publisher = "Oxford University Press",
number = "10",

}

TY - JOUR

T1 - Prevalence and factors associated with thriving in older adulthood

T2 - A 10-year population-based study

AU - Kaplan, Mark S.

AU - Huguet, Nathalie

AU - Orpana, Heather

AU - Feeny, David

AU - McFarland, Bentson

AU - Ross, Nancy

PY - 2008/10

Y1 - 2008/10

N2 - Background. Interest in the determinants of "successful aging" is growing. Nonetheless, successful aging remains ill defined, and its appropriate measurement is hotly contested. Most studies have focused on the absence of disability or deficits in physical performance as outcomes. The present study extends this research by using the Health Utilities Index Mark 3 (HUI3), a multidimensional measure of health status, to examine the maintenance of exceptionally good health among older participants in the Canadian National Population Health Survey (1994-2004). Methods. The maintenance of exceptionally good health in old age was examined prospectively among 2432 individuals (65-85 years old at baseline) who met the inclusion criteria. The participants were classified into one of four health trajectories: thrivers (who maintained exceptional health with no or only mild disability), nonthrivers (who experienced a moderate or severe disability), the deceased, and the institutionalized. Results. In 10 years of follow-up, 190 (8%) were thrivers (HUI3 score ≥ 0.89 at all interviews), 1076 (47%) were nonthrivers, 893 (36%) died, and 273 (9%) were institutionalized. The maintenance of exceptionally good health among the elderly participants was related to younger age at baseline, socioeconomic status (higher income), psychosocial factors (including lower psychological distress), and behavioral factors (never smoked and moderate alcohol use). Conclusions. The maintenance of exceptionally good health in old age is related, at least in part, to modifiable lifestyle factors. However, elevated socioeconomic status also distinguishes those who are able to maintain exceptionally good health.

AB - Background. Interest in the determinants of "successful aging" is growing. Nonetheless, successful aging remains ill defined, and its appropriate measurement is hotly contested. Most studies have focused on the absence of disability or deficits in physical performance as outcomes. The present study extends this research by using the Health Utilities Index Mark 3 (HUI3), a multidimensional measure of health status, to examine the maintenance of exceptionally good health among older participants in the Canadian National Population Health Survey (1994-2004). Methods. The maintenance of exceptionally good health in old age was examined prospectively among 2432 individuals (65-85 years old at baseline) who met the inclusion criteria. The participants were classified into one of four health trajectories: thrivers (who maintained exceptional health with no or only mild disability), nonthrivers (who experienced a moderate or severe disability), the deceased, and the institutionalized. Results. In 10 years of follow-up, 190 (8%) were thrivers (HUI3 score ≥ 0.89 at all interviews), 1076 (47%) were nonthrivers, 893 (36%) died, and 273 (9%) were institutionalized. The maintenance of exceptionally good health among the elderly participants was related to younger age at baseline, socioeconomic status (higher income), psychosocial factors (including lower psychological distress), and behavioral factors (never smoked and moderate alcohol use). Conclusions. The maintenance of exceptionally good health in old age is related, at least in part, to modifiable lifestyle factors. However, elevated socioeconomic status also distinguishes those who are able to maintain exceptionally good health.

KW - Aging

KW - Epidemiology

KW - Longitudinal

KW - Population health

UR - http://www.scopus.com/inward/record.url?scp=55949107020&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55949107020&partnerID=8YFLogxK

M3 - Article

C2 - 18948561

AN - SCOPUS:55949107020

VL - 63

SP - 1097

EP - 1104

JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

SN - 1079-5006

IS - 10

ER -