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首页> 外文期刊>Journal of the American Geriatrics Society >Profile and determinants of successful aging in the Ibadan study of ageing
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Profile and determinants of successful aging in the Ibadan study of ageing

机译：IBADAN老龄化研究中成功老龄化的概况和决定因素

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Objectives: To determine the profile and determinants of successful aging in a developing country characterized by low life expectancy and where successful agers may represent a unique group. Design: Community-based cohort study. Setting: Eight contiguous states in the Yoruba-speaking region of Nigeria. Participants: A multistage clustered sampling of households was used to select a representative sample of individuals (N = 2,149) aged 65 and older at baseline. Nine hundred thirty were successfully followed for an average of 64 months between August 2003 and December 2009. Measurements: Lifestyle and behavioral factors were assessed at baseline. Successful aging, defined using each of three models (absence of chronic health conditions, functional independence, and satisfaction with life), was assessed at follow-up. Results: Between 16% and 75% of respondents could be classified as successful agers using one of the three models while 7.5% could be so classified using a combination of all the models. Correlations between the three models were small, ranging from 0.08 to 0.15. Different features predicted their outcomes, suggesting that they represent relatively independent trajectories of aging. Whichever model was used, more men than women tended to be classified as aging successfully. Men who aged successfully, using a combination of all the three models, were more likely never to have smoked (adjusted odds ratio (aOR) = 4.7, 95% confidence interval (CI) = 1.55-14.46) and to report, at baseline, having contacts with friends (aOR = 4.2, 95% CI = 1.0-18.76) or participating in community activities (aOR = 16.0, 95% CI = 1.23-204.40). In women, there was a nonlinear trend for younger age at baseline to predict this outcome. Conclusion: Modifiable social and lifestyle factors predicted successful aging in this population, suggesting that health promotion targeting behavior change may lead to tangible benefits for health and well-being in old age.
机译：目标：确定在发展中国家成功衰老的概况和决定因素，其特征在于预期低预期，成功的同龄人可能代表一个独特的群体。设计：基于社区的队列研究。环境：尼日利亚约鲁州地区的八个连续状态。参与者：家庭的多级聚类采样用于选择65岁及以上的个人（n = 2,149）的代表性样本。在2003年8月和2009年12月期间，九百三十人成功预订了64个月。测量：在基线评估生活方式和行为因素。在随访中评估了使用三种模型中的每一个（无慢性健康状况，功能独立性和满足感）定义的成功衰老。结果：16％至75％的受访者可以使用三种型号中的一个归类为成功的人，而7.5％可以使用所有模型的组合如此分类。三种型号之间的相关性小，范围为0.08至0.15。不同的特征预测其结果，表明它们代表了相对独立的老化轨迹。无论使用哪种模型，比女性更多的男性往往成功被归类为老龄化。成功衰老的男性，使用所有三种模型的组合，更可能吸烟（调整后的赔率比（AOR）= 4.7,95％置信区间（CI）= 1.55-14.46），并在基线报告与朋友联系（AOR = 4.2,95％CI = 1.0-18.76）或参与社区活动（AOR = 16.0,95％CI = 1.23-204.40）。在女性中，基线的年轻年龄有一个非线性趋势，以预测这一结果。结论：可修改的社会和生活方式因素预测在这群人口中成功衰老，旨在使健康促进的行为变化可能导致健康和幸福的有形益处。

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