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- Finkel, D., et al.
(författare)
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Longitudinal trends in functional biological age : Impact of lifestyle factors
- 2015
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 0016-9013 .- 1758-5341. ; 55:Suppl 2, s. 61-61
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Tidskriftsartikel (refereegranskat)abstract
- Composites of measures of biological aging (e.g., Anstey and colleagues, Wahlin and colleagues) can be more meaningful than simple chronological age and provide insights into the aging process and its covariates. The Swedish Adoption/Twin Study of Aging provides longitudinal data on measures of vision, hearing, gait, grip strength, and lung function from 642 individuals ranging in age from 47 to 87 at wave 1. Individuals were included who participated in at least one of 5 measurement waves covering 16 years of follow-up; 69% participated in at least 3 waves. The 5 measures are combined and transformed to T-scores to create FBioAge. A two-slope age-based latent growth curve model (LGCM) was applied to the data (note that results for a time-based LGCM were similar). Phenotypic analyses indicated an inflection point in rates of change at age 75: the rate of increase in FBioAge was twice as fast after age 75, compared with prior to age 75. Analysis of the impact of several covariates on the LGCM parameters indicated that most impacted the intercept, only. Thus, on average higher (i.e., older) FBioAge was indicated for women, individuals with less education, smokers, drinkers, individuals who reported more illnesses, and individuals who reported poorer subjective health. Two variables impact the rate of change in FBioAge. Faster rate of change was predictive of mortality and childhood SES impacted the rate of change prior to age 75, only. In future research we will examine how FBioAge relates longitudinally to aging-sensitive functions, such as cognitive abilities.
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- Rana, A. K. M. M., et al.
(författare)
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Health education improves both arthritis-related illness and self-rated health : An intervention study among older people in rural Bangladesh
- 2010
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Ingår i: Public Health. - : Elsevier BV. - 0033-3506 .- 1476-5616. ; 124:12, s. 705-712
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To examine changes in self-reported arthritis-related illness and self-rated health as a result of a health education intervention, and the association between self-reported arthritis-related illness and self-rated health. Study design: A quasi-experimental study was conducted in eight randomly selected villages in rural Bangladesh (intervention = 4; control = 4). Methods: The intervention consisted of home-based physical activities, health advice and aspects of healthcare management over 15 months followed by a 3-month latent period. Data were collected before the intervention and after the latent period. Analyses included 839 participants (>= 60 years of age) who participated in both surveys. Participants in the intervention area were further categorized into two groups who self-reported compliance or non-compliance with recommended health advice. Self-rated health was assessed using a single global question. Self-reported arthritis-related illness was indicated by the presence of arthritis, back and joint pain, biting sensation, swelling and inflammation in the joints. Results: Hierarchical logistic regression analyses revealed that positive effects on episodes of arthritis-related illness [ odds ratio (OR) 1.9, 95% confidence interval (CI) 1.3-2.8] and self-rated health (OR 1.4, 95% CI 1.0-1.9) were more likely among the compliant group compared with the control group. Furthermore, positive self-rated health was more likely among participants reporting a positive change in their arthritis-related illness (OR 2.2, 95% CI 1.5-3.2). The results also showed that literate and non-poor participants were more likely to report positive health, and participants with advancing age were less likely to report positive health. Conclusion: Community-based health education is effective in reducing the burden of arthritis-related illness and in enhancing general health in old age.
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