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Successful aging, a new challenge for developing countries: The Coyoacán Cohort

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

To determine the socio-demographic and health factors associated with a biomedical phenotype of successful aging (SA) among Mexican community-dwelling elderly.

Design, setting and participants

Cross-sectional study of 935 older adults aged 70 or older participating in the Mexican Study of Nutritional and Psychosocial Markers of Frailty.

Measurements

SA was operationalized in accordance with the phenotype proposed by Rowe and Kahn. Univariate and multivariate logistic regression analyses were carried out in order to identify the correlates of SA.

Results

The phenotype of SA was present in 10% of participants. Age (P < 0.001), illiteracy (P = 0.021), polypharmacy (P < 0.001), and physical pain (P < 0.001) were factors independently and inversely associated with the presence of the SA phenotype. The only variable positively associated with SA was good self-perceived health-status (P < 0.001).

Conclusion

Although age is not modifiable, several other factors associated with SA are. If we are to promote SA, efforts should be made towards improving those modifiable factors negatively associated with its presence, such as pain or polypharmacy. Also, enhancing factors positively associated to it might play a role in improving wellbeing.

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References

  1. Zúñiga E, García JE. El envejecimiento demográfico en México. Principales tendencias y características. In: CONAPO (ed) Situación demográfica de México, México, 2008;pp 93–100

    Google Scholar 

  2. Gutiérrez-Robledo LM. Looking at the future of geriatric care in developing countries. J Gerontol A Biol Sci Med Sci 2002;57:M162–M167

    Article  PubMed  Google Scholar 

  3. Villagómez, P, Bistrain, C. Situación demográfica nacional. In: CONAPO (ed) Situación demográfica de México, México, 2008;pp 11–20

    Google Scholar 

  4. Martin P, Kelly N, Kahana B et al. Defining successful aging: a tangible or elusive concept? Gerontologist 2015;55:14–25

    Article  PubMed  Google Scholar 

  5. Depp CA, Jeste DV. Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. Am J Geriatr Psychiatry 2006;14:6–20

    Article  PubMed  Google Scholar 

  6. Rowe JW, Kahn RL. Successful aging. Gerontologist 1997;37:433–440

    Article  CAS  PubMed  Google Scholar 

  7. Chaves ML, Camozzato AL, Eizirik CL, Kaye J. Predictors of normal and successful aging among urban-dwelling elderly Brazilians. J Gerontol B Psychol Sci Soc Sci 2009;64:597–602.

    Article  PubMed  Google Scholar 

  8. Gureje O, Oladeji BD, Abiona T, Chatterji S. Profile and determinants of successful aging in the Ibadan Study of Ageing. J Am Geriatr Soc 2014;62:836–842

    Article  PubMed  PubMed Central  Google Scholar 

  9. McLaughlin SJ, Connell CM, Heeringa SG, Li LW, Roberts JS. Successful aging in the United States: prevalence estimates from a national sample of older adults. J Gerontol B Psychol Sci Soc Sci 2010;65B:216–226

    Article  PubMed  Google Scholar 

  10. Avila-Funes JA, Pina-Escudero SD, Aguilar-Navarro S, Gutierrez-Robledo LM, Ruiz-Arregui L, Amieva H. Cognitive impairment and low physical activity are the components of frailty more strongly associated with disability. J Nutr Health Aging 15:683–689

  11. Katz S2011;, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist 1970;10:20–30

    Article  CAS  PubMed  Google Scholar 

  12. Folstein MF, Folstein SE, McHugh PR. «Mini-mental state». A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189–198

    Article  CAS  PubMed  Google Scholar 

  13. Nagi SZ. An epidemiology of disability among adults in the United States. Milbank Mem Fund Q Health Soc 1976;54:439–467

    Article  CAS  PubMed  Google Scholar 

  14. Radloff LS. The CES-D scale: a self-report depression scale for the general population. Appl Psychol Meas 1977;1:385–401

    Article  Google Scholar 

  15. Bushardt RL, Massey EB, Simpson TW, Ariail JC, Simpson KN. Polypharmacy: misleading, but manageable. Clin Interv Aging 2008;3:383–389

    Article  PubMed  PubMed Central  Google Scholar 

  16. Tate RB, Lah L, Cuddy TE. Definition of successful aging by elderly Canadian males: the Manitoba Follow-up Study. Gerontologist 2003;43:735–744

    Article  PubMed  Google Scholar 

  17. Guralnik JM, Kaplan GA. Predictors of healthy aging: prospective evidence from the Alameda County study. Am J Public Health 1989;79:703–708

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Strawbridge WJ, Cohen RD, Shema SJ, Kaplan GA. Successful aging: predictors and associated activities. Am J Epidemiol 1996;144:135–141

    Article  CAS  PubMed  Google Scholar 

  19. Leveille SG, Guralnik JM, Ferrucci L, Langlois JA. Aging successfully until death in old age: opportunities for increasing active life expectancy. Am J Epidemiol 1999;149:654–664

    Article  CAS  PubMed  Google Scholar 

  20. Dorantes-Mendoza G, Avila-Funes JA, Mejia-Arango S, Gutierrez-Robledo LM. Factors associated with functional dependence in older adults: a secondary analysis of the National Study on Health and Aging, Mexico, 2001. Rev Panam Salud Publica 2007;22:1–11

    Article  PubMed  Google Scholar 

  21. Sudore RL, Yaffe K, Satterfield S, et al. Limited literacy and mortality in the elderly: the health, aging, and body composition study. J Gen Intern Med 2006;21:806–812

    Article  PubMed  PubMed Central  Google Scholar 

  22. Hajjar ER, Cafiero AC, Hanlon JT. Polypharmacy in elderly patients. Am J Geriatr Pharmacother 2007;5:345–351

    Article  PubMed  Google Scholar 

  23. Hanlon JT, Schmader KE, Semla TP. Update of studies on drug-related problems in older adults. J Am Geriatr Soc 2013;61:1365–1368

    Article  PubMed  Google Scholar 

  24. Bennett A, Gnjidic D, Gillett M, et al. Prevalence and impact of fall-risk-increasing drugs, polypharmacy, and drug-drug interactions in robust versus frail hospitalised falls patients: a prospective cohort study. Drugs Aging 2014;31:225–232

    Article  PubMed  Google Scholar 

  25. Davis MP, Srivastava M. Demographics, assessment and management of pain in the elderly. Drugs Aging 2003;20:23–57

    Article  CAS  PubMed  Google Scholar 

  26. Strawbridge WJ, Wallhagen MI, Cohen RD. Successful aging and well-being: selfrated compared with Rowe and Kahn. Gerontologist 2002;42:727–733

    Article  PubMed  Google Scholar 

  27. Kahn RL. On «Successful aging and well-being: self-rated compared with Rowe and Kahn». Gerontologist 2002;42:725–726

    Article  PubMed  Google Scholar 

  28. Mossey JM, Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health 1982;72:800–808

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. González-Pichardo AM, Navarrete-Reyes AP, Adame-Encarnación H, et al. Association between self-reported health status and frailty in community-dwelling elderly. J Frailty Aging 2014;3:104–108

    PubMed  Google Scholar 

  30. Hodge AM, O’Dea K, English DR, Giles GG, Flicker L. Dietary patterns as predictors of successful ageing. J Nutr Health Aging 2014;18:221–227

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Juan Miguel Antono García-Lara or José Alberto Avila-Funes.

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García-Lara, J.M.A., Navarrete-Reyes, A.P., Medina-Méndez, R. et al. Successful aging, a new challenge for developing countries: The Coyoacán Cohort. J Nutr Health Aging 21, 215–219 (2017). https://doi.org/10.1007/s12603-016-0728-8

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  • DOI: https://doi.org/10.1007/s12603-016-0728-8

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