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Contribution of Lifestyle to Positive Ageing in Hong Kong

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Abstract

The Objective of this study is to examine the knowledge, use, and development of a healthy lifestyle, and the association with positive ageing, in a convenient sample of 2,970 community-living Hong Kong Chinese People aged 40–74 years stratified by age. A questionnaire containing items from these three domains (avoidance of disease, physical and cognitive functioning, engagement with life) was administered from which a positive ageing index was calculated. A lifestyle score was calculated from information regarding current knowledge, use, and development of a healthy lifestyle (relating to diet, exercise rest and relaxation, smoking habit and alcohol use). The association between lifestyle score and the positive ageing index was weaker compared with income and education level. We conclude that knowledge, use and development of a healthy lifestyle did not contribute greatly to the positive ageing process.

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References

  • Bowling, A. (1993). The concept of successful and positive ageing. Family Practice, 10, 4449–453. doi:10.1093/fampra/10.4.449.

    Article  Google Scholar 

  • Burke, G. L., Arnold, A. M., Bild, D., Cushman, M., Fried, L. P., Newman, A., for the CHS Collaborative Research Group, et al. (2001). Factors associated with healthy aging: the cardiovascular health studyJournal of the American Geriatrics Society, 49, 254–262. doi:10.1046/j.1532-5415.2001.4930254.x.

    Article  Google Scholar 

  • Census and Statistics Department. (2004). Hong Kong population projections 2002–2031. Hong Kong: Hong Kong Government.

    Google Scholar 

  • Cheung, J., Kwan, Y. H., Ng, S. H., Ngan, R., Lau, A., Leung, M. F., et al. (2002). Conceptions of positive aging among older people in Hong KongY. H., Kwan. Aging Hong Kong: issues facing an aging society12–39. Hong Kong: Cosmos.

    Google Scholar 

  • Chong, A. M., Ng, S. H., Woo, J., & Kwan, A. Y. (2006). Positive ageing – views from middle-aged and older adultsAgeing and Society, 26, 243–266. doi:10.1017/S0144686X05004228.

    Article  Google Scholar 

  • Chou K. L., & Chi, I. (2002). Successful aging among the young-old, old-old, and oldest-old Chinese. International Journal of Aging & Human Development, 54, 1–4. doi:10.2190/9K7T-6KXM-C0C6-3D64.

    Article  Google Scholar 

  • Colsher, P. L., & Wallace, R. B. (1989). Is modest alcohol consumption better than none at all? An epidemiologic assessment. Annual Review of Public Health, 10, 203–219. doi:10.1146/annurev.pu.10.050189.001223.

    Article  Google Scholar 

  • Cutler, D. (2001). Declining disability among the elderly. Health Affairs, 20, 611–27. doi:10.1377/hlthaff.20.6.11.

    Article  Google Scholar 

  • Hakim, A., Petrovitch, H., Burchfiel, C. M., Ross, W. G., Rodriguez, B. L., & White, L. R. (1998). Effects of walking on mortality among non smoking retired men. The New England Journal of Medicine, 338, 94–99. doi:10.1056/NEJM199801083380204.

    Article  Google Scholar 

  • Haveman-Nies, A., de Groot, L. C., & van Staveren, W. A. (2003). Dietary quality, lifestyle factors and healthy ageing in Europe: the SENECA study. Age and Ageing, 32, 365–366. doi:10.1093/ageing/32.4.427.

    Article  Google Scholar 

  • Hu, F. B., Stampfer, M. J., Manson, J. E., Grodstein, F., Colditz, G. A., Speizer, F. E. et al. (2000). Trends in the incidence of coronary heart disease and changes in diet and lifestyle in women. The New England Journal of Medicine, 343, 530–537. doi:10.1056/NEJM200008243430802.

    Article  Google Scholar 

  • Hu, F. B., & Willett, W. C. (2002). Optimal diets for prevention of coronary heart disease. Journal of the American Medical Association, 288, 2569–2578. doi:10.1001/jama.288.20.2569.

    Article  Google Scholar 

  • John, J. H., Ziebland, S., Yudkin, P., & Roe, L. S. (2002). Neil HAW for the Oxford fruit and vegetable study group. Lancet, 359, 1969–1974. doi:10.1016/S0140-6736(02)98858-6.

    Article  Google Scholar 

  • Kahana, E., Kahana, B., & Kercher, K. (2003). Emerging lifestyles and proactive options for successful ageing. Ageing International, 28(2), 155–180. doi:10.1007/s12126-003-1022-8.

    Article  Google Scholar 

  • Larkin, M. (2001). Diet and exercise delay onset of type 2 diabetes, say US experts. Lancet, 358, 565. doi:10.1016/S0140-6736(01)05751-8.

    Article  Google Scholar 

  • Larrieu, S., Letenneur, L., Helmer, C., Dartigues, J. F., & Barberger-Gateau, P. (2004). Nutritional factors and risk of incident dementia in the Paquid longitudinal cohort. The Journal of Nutrition, Health & Aging, 8, 150–154.

    Google Scholar 

  • Lee, C. D., Folsom, A. R., & Blair, S. N. (2003). Physical activity and stroke risk: a meta-analysis. Stroke, 34, 2475–2481. doi:10.1161/01.STR.0000091843.02517.9D.

    Article  Google Scholar 

  • Lee, I. M., & Paffenbarger, R. S. (1996). Do physical activity and physical fitness avert premature mortality? Exercise and Sport Sciences Reviews, 24, 135–171. doi:10.1249/00003677-199600240-00007.

    Article  Google Scholar 

  • Manton, K. G., Corder, L., & Stallard, E. (1997). Chronic disability trends in elderly United States populations: 1982–1994. Proceedings of the National Academy of Sciences of the United States of America, 94, 2593–2598. doi:10.1073/pnas.94.6.2593.

    Article  Google Scholar 

  • Martin, P. (2002). Individual and social resources predicting well-being and functioning in the later years: conceptual models research and practice. Ageing International, 27, 23–29. doi:10.1007/s12126-002-1000-6.

    Article  Google Scholar 

  • Minichiello, V., & Coulson, I. (2005). Contemporary issues in gerontology: Promoting positive ageing. LondonAllen & Unwin.

    Google Scholar 

  • Murphy, N. M., & Carroll, P. (2003). The effect of physical activity and its interaction with nutrition on bone health. The Proceedings of the Nutrition Society, 62, 829–838. doi:10.1079/PNS2003304.

    Article  Google Scholar 

  • Ng, S. H. (2003). Positive ageing. Paper presented at the Hong Kong Psychological Society Annual Conference. 14 June, 2003, Hong Kong.

  • Pinquart, M., & Sörensen, S. (2000). Influences of socioeconomic status, social network and competence on psychological well-being in later life a meta-analysis. Psychology and Aging, 15, 187–224. doi:10.1037/0882-7974.15.2.187.

    Article  Google Scholar 

  • Poikolainen, K. (1991). Epidemiologic assessment of population risks and benefits of alcohol use. Alcohol and Alcoholism (Oxford, Oxfordshire). Supplement, 1, 27–34.

    Google Scholar 

  • Rowe, J. W., & Kahn, R. L. (1997). Successful ageing. The Gerontologist, 37(4), 433–440.

    Google Scholar 

  • Rowe, J. W., & Kahn, R. L. (1998). Successful ageing. New York: Pantheon Books.

    Google Scholar 

  • Simons, L. A., McCallum, J., Friedlander, Y., & Simons, J. (2000). Healthy ageing is associated with reduced and delayed disability. Age and Ageing, 29, 143–148. doi:10.1093/ageing/29.2.143.

    Article  Google Scholar 

  • Stampfer, M. J., Hu, F. B., Manson, J. E., Rimm, E. B., & Willett, W. C. (2000). Primary prevention of coronary heart disease in women through diet and lifestyle. The New England Journal of Medicine, 343, 16–22. doi:10.1056/NEJM200007063430103.

    Article  Google Scholar 

  • Stessman, J., Maaravi, Y., Hammerman-Rozenberg, R., & Cohen, A. (2000). The effect of physical activity on mortality in Jerusalem 70 year olds Longitudinal study. Journal of the American Geriatrics Society, 48, 499–504.

    Google Scholar 

  • Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1996). Successful ageing: predictors and associated activities. American Journal of Epidemiology 144, 135–141.

    Google Scholar 

  • Trichopoulou, A., Kouris-Blazos, A., Wahlqvist, M. L., Gnardellis, C., Lagiou, P., Polychronopoulos, E., et al. (1995). Diet and overall survival in elderly people. British Medical Journal (Clinical Research Ed.), 311, 1457–1460.

    Google Scholar 

  • Tuomilehto, J., Lindstrom, J., Eriksson, G., Valle, T. T., Hämäläinen, H., Ilanna-Parikka, P., Finnish Diabetes Prevention Study Group., et al. (2001). Prevention of type 2 diabetes Mellitus by changes in lifestyle among subjects with impaired glucose tolerance. The New England Journal of Medicine, 344, 1343–1350. doi:10.1056/NEJM200105033441801.

    Article  Google Scholar 

  • US Department of Health and Human Services. (1996). Physical activity and health: A report of the surgeon general. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention & Health Promotion.

    Google Scholar 

  • Wagner, L. H., LaCroix, A. Z., Buchner, D. M., & Larson, E. B. (1992). Effects of physical activity on health status in older adults. I: observational studies. Annual Review of Public Health, 13, 451–468. doi:10.1146/annurev.pu.13.050192.002315.

    Article  Google Scholar 

  • Wolf, D. A. (2001). Population change: friend or foe of the chronic care system. Health Affairs 20(6), 28–42. doi:10.1377/hlthaff.20.6.28.

    Article  Google Scholar 

  • Woo, J. (2000). Relationships among diet, physical activity and other lifestyle factors and debilitating diseases in the elderly. European Journal of Clinical Nutrition, 54(Suppl 3), S143–S147. doi:10.1038/sj.ejcn.1600908.

    Google Scholar 

  • Woo, J., & Ho, S. C. (2003). Sex differences in life expectancy. International Journal of Sex Differences in the Study of Health. Disease and Aging, 1, 91–93.

    Google Scholar 

  • Woo, J., Ho, S. C., Chan, S. G., Yu, A. L. M., Yuen, Y. K., & Lau, J. (1997). An estimate of chronic disease burden and some economic consequences among the elderly Hong Kong population. Journal of Epidemiology and Community Health, 51, 486–489.

    Article  Google Scholar 

  • Woo, J., Ho, S. C., & Yu, A. L. M. (2002). Lifestyle factors and health outcomes in elderly Hong Kong Chinese aged 70 years and over.Gerontol, 48, 234–240. doi:10.1159/000058356.

    Article  Google Scholar 

  • Woo, J., Leung, S. S. F., Ho, S. C., Sham, A., Lam, T. H., & Janus, E. D. (1999). Influence of educational level and marital status on dietary intake, obesity and other cardiovascular risk factors in a Hong Kong Chinese population. European Journal of Clinical Nutrition, 53, 461–467. doi:10.1038/sj.ejcn.1600777.

    Article  Google Scholar 

  • World Health Organization. (2002). Active ageing: A policy framework. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. Global strategy or diet, physical activity and healthy http://www.who.int/dietphysicalactivity/en/ accessed 14/9/2004.

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Acknowledgements

This research is part of larger programme of research directed by Prof Sik Hung Ng, and supported by a research grant from the City University of Hong Kong (reference number 9360076) with the assistance of over 50 interviewers. We thank Dr Jacky Cheung for his contribution to the development of the interview schedule. The findings from this study show very similar patterns to those found in comparable cohorts in other countries, suggesting that there is little cultural differences in perception. This observation suggests that factors viewed as being important among older adults appear to be universally applicable.

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Correspondence to Jean Woo.

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Précis

In 2,970 Hong Kong Chinese aged 40–74 years, knowledge, use and development of a healthy lifestyle was positively associated with the positive aging index but the association was weaker compared with income and education.

Appendix

Appendix

Lifestyle score questions

Knowledge (rated on a scale of 1–5, with 1 representing no knowledge and 5 representing very good knowledge)

  1. 1)

    Diet: Do you know what is a healthy diet?

  2. 2)

    Exercise: Do you know that exercises such as Tai Chi, walking, contribute to health?

  3. 3)

    Relaxation: Do you know that a balance between work and relaxation contributes to health?

  4. 4)

    Avoid smoking: Do you know that avoidance of smoking contributes to health?

  5. 5)

    Avoid alcohol excess: Do you know that avoidance of excessive alcohol contributes to health?

Use (rated on a scale of 1–5, with 1 representing never, and 5 on a regular basis)

Participants were asked to rate the use of lifestyle knowledge for each of the above 5 items.

Development (rated on a scale of 1–5, with 1 representing no development of knowledge relating to lifestyle and health, and 5 representing continual updating of knowledge)

Participants were asked to rate the development of knowledge for each of the above 5 items.

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Woo, J., Ng, S.H., Chong, A.M. et al. Contribution of Lifestyle to Positive Ageing in Hong Kong. Ageing Int. 32, 269–278 (2008). https://doi.org/10.1007/s12126-008-9022-3

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