The impact pathways of environmental, social, and behavioural factors on healthy ageing for urban dwellers aged 85+: Longitudinal study of the Tokyo Oldest Old Survey on Total Health (TOOTH)

Yoshida, Natsuko; Arai, Yasumichi; Takayama, Midori; Abe, Yukiko; Oguma, Yuko

doi:10.1016/j.ssmph.2022.101089

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…Prior research has already demonstrated the key role of social networks for women (e.g., 39 ). Gender differences have also been reported in a recent study among individuals aged 80 and over in China using longitudinal data 40 —and also based on community‐dwelling individuals aged 85 and over residing in Tokyo (longitudinal data) 41 . It may be the case that other factors are of greater importance for men (e.g., financial security and reviewing former professional success).…”

Section: Discussionmentioning

confidence: 66%

“…Gender differences have also been reported in a recent study among individuals aged 80 and over in China using longitudinal data 40 -and also based on community-dwelling individuals aged 85 and over residing in Tokyo (longitudinal data). 41 It may be the case that other factors are of greater importance for men (e.g., financial security and reviewing former professional success). Supporting this idea, a previous study, for example, found a significant influence on job satisfaction among Swiss males but not Swiss females.…”

Section: Discussionmentioning

confidence: 99%

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Determinants of psychosocial factors amongst the oldest old: Longitudinal evidence based on the representative “survey on quality of life and subjective well‐being of the very old in North Rhine‐Westphalia”

Hajek,

Gyasi,

Kretzler

et al. 2023

Int J Geriat Psychiatry

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ObjectivesThere are few studies investigating the determinants of psychosocial outcomes using data exclusively from the oldest old; and even fewer that use longitudinal data. Thus, our aim was to explore the determinants of psychosocial factors (in terms of life satisfaction, loneliness, and depressive symptoms) amongst the oldest old (also stratified by sex) based on representative, longitudinal data from Germany.Methods/DesignData from “Survey on quality of life and subjective well‐being of the very old in North Rhine‐Westphalia (NRW80+)” were used. This study includes community‐dwelling and institutionalized individuals aged 80 years and above (n = 1760 observations in the analytical sample) located in North Rhine‐Westphalia (the most populous state in Germany). The mean age was 86.6 years (SD: 4.3 years). Established instruments were used to quantify life satisfaction, loneliness, and depressive symptoms. Linear FE regressions were used in this study to mitigate the challenge of unobserved heterogeneity. Sex‐stratified regressions were also conducted. Results: Regressions showed that the loss of a spouse was significantly associated with worsening psychosocial factors (in terms of increases in depressive symptoms and loneliness). Furthermore, regressions revealed that increases in functional impairment were significantly associated with poorer psychosocial outcomes.ConclusionsThis longitudinal study enhanced our understanding of the factors contributing to poorer psychosocial outcomes among the oldest old. Efforts to avoid or postpone functional impairment may contribute to more favorable psychosocial outcomes. Moreover, our current study underlines the importance of spousal relationships for psychosocial outcomes in the oldest age group.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Determinants of psychosocial factors amongst the oldest old: Longitudinal evidence based on the representative “survey on quality of life and subjective well‐being of the very old in North Rhine‐Westphalia”

Hajek,

Gyasi,

Kretzler

et al. 2023

Int J Geriat Psychiatry

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Lessons from the Singapore cohorts showcase symposium—open call for collaborations

et al. 2023

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Active social participation extends the healthy life expectancy of older men without spouses in Japan: The Yamanashi healthy active life expectancy cohort study

Oka,

Yokomichi,

Yamagata

2024

Medicine

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This study aimed to evaluate the association between family structure and healthy life expectancy among older Japanese adults, hypothesizing that social participation increases healthy life expectancy more in older men without a spouse than in older women. This study collected data on Healthy Life Expectancy from 541 older adults between 2003 and 2021 from the Healthy Life Expectancy Study, a cohort study of older adults in Yamanashi Prefecture, Japan. The Japanese long-term care insurance system serves as an indicator of a healthy life expectancy. The family structures of participants were categorized as living alone, with a spouse, and with non-spouse cohabitants, whereas social activity frequency was classified as low or high (Community participation was assessed using a 4-point scale: “often,” “sometimes,” “rarely,” and “never.”). Cox proportional-hazards regression was used to analyze the relationship between participant characteristics and the loss of healthy life expectancy. Each additional year of age for older men and women increases the risk of loss of healthy life expectancy by 13% and 16%, respectively. The risk of loss of healthy life expectancy was higher among older men who lived alone or lived with non-spouse cohabitants than older living with a spouse (hazard ratio [HR]: 1.95, 95% confidence interval [CI]: 1.01–3.75; hazard ratio: 1.66, 95% confidence interval: 1.05–2.64, respectively). However, older men living without a spouse and engaging in high social activity participation had a lower risk of loss of healthy life expectancy than did those with low social activity participation (hazard ratio: 0.35, 95% confidence interval: 0.17–0.71). In conclusion, older men living without a spouse with high social activity participation had longer healthy life expectancies than those living alone with low social activity participation did.

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The impact pathways of environmental, social, and behavioural factors on healthy ageing for urban dwellers aged 85+: Longitudinal study of the Tokyo Oldest Old Survey on Total Health (TOOTH)

Cited by 4 publications

References 43 publications

Determinants of psychosocial factors amongst the oldest old: Longitudinal evidence based on the representative “survey on quality of life and subjective well‐being of the very old in North Rhine‐Westphalia”

Determinants of psychosocial factors amongst the oldest old: Longitudinal evidence based on the representative “survey on quality of life and subjective well‐being of the very old in North Rhine‐Westphalia”

Lessons from the Singapore cohorts showcase symposium—open call for collaborations

Active social participation extends the healthy life expectancy of older men without spouses in Japan: The Yamanashi healthy active life expectancy cohort study

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