成功老龄化的决定因素和指标作为一个多维结果：一项纵向研究的系统评价。

Determinants and indicators of successful aging as a multidimensional outcome: a systematic review of longitudinal studies.

机构信息

Department of Pharmacology and Toxicology, Institute of Pharmacy, Free University Berlin, Berlin, Germany.

Department Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.

出版信息

Front Public Health. 2023 Nov 21;11:1258280. doi: 10.3389/fpubh.2023.1258280. eCollection 2023.

DOI:10.3389/fpubh.2023.1258280

PMID:38074742

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10703300/

Abstract

BACKGROUND

Successful aging (SA) has been coined as a term to describe the multidimensional aspects associated with achieving optimal combination of physical and mental health along with social well-being health, mental and social well-being at older age. In recent years there has been an increased interest in understanding the role of determinants of SA, such as demographic, biological, behavioral, psychological and social factors. To synthesize the recent evidence, we conducted a systematic review of longitudinal studies on a range of determinants and indicators of SA defined as a multidimensional outcome.

METHODS

A systematic search of PubMed, MEDLINE and Web of Science for finding eligible papers published between August 2016 and June 2023 was conducted following the Preferred Reporting Items for a Systematic Review and Meta-Analysis (PRISMA) guidelines. The review protocol was registered in PROSPERO International Prospective Register of Systematic Reviews (Registration number: CRD42021250200). The web-based automated screening tool-Rayyan-was used for title and abstract screening. The study quality was assessed using the Quality in Prognosis Studies (QUIPS) tool.

RESULTS

A total of 3,191 records were initially identified using the predefined search strategy. Out of 289 articles selected for full text screening, 22 were found eligible and included in the review. A variety of factors have been explored in relation to SA, ranging from socio-demographic factors, nutrition, lifestyle, biological pathways, psychological health, and well-being. Overall, the results of recent studies have confirmed the role of metabolic health, adherence to healthy dietary patterns, such as the Mediterranean diet, physical activity, non-smoking, and higher socio-economic status as main factors associated with higher odds for SA. Emerging research highlights the role of psycho-social factors and early life health as determinants of SA.

CONCLUSION

In summary, this review highlights the importance of healthy living and monitoring metabolic risk along with sustaining psychological well-being in adult life as major determinants of SA. Further methodological and research work on SA would pave the way toward development of adequate health promotion policies in aging societies.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021250200, CRD42021250200.

摘要

背景

成功老龄化（SA）被定义为一个术语，用于描述与身体和心理健康以及社会福利健康、心理和社会福利相关的多维方面。近年来，人们越来越关注理解 SA 的决定因素的作用，如人口统计学、生物学、行为、心理和社会因素。为了综合最近的证据，我们对一系列决定因素和 SA 指标的纵向研究进行了系统综述，SA 被定义为多维结果。

方法

按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，对 PubMed、MEDLINE 和 Web of Science 进行了系统搜索，以寻找 2016 年 8 月至 2023 年 6 月期间发表的合格论文。审查方案在 PROSPERO 国际前瞻性系统评价登记册（登记号：CRD42021250200）中进行了登记。使用基于网络的自动筛选工具-Rayyan-进行标题和摘要筛选。使用预后研究质量工具（QUIPS）评估研究质量。

结果

总共使用预定义的搜索策略初步确定了 3191 条记录。在 289 篇入选全文筛选的文章中，有 22 篇被认为符合条件并纳入综述。已经探索了与 SA 相关的各种因素，包括社会人口因素、营养、生活方式、生物学途径、心理健康和幸福感。总的来说，最近的研究结果证实了代谢健康、遵循健康饮食模式（如地中海饮食）、身体活动、不吸烟和较高的社会经济地位作为与 SA 发生几率较高相关的主要因素的作用。新兴的研究强调了心理社会因素和早期健康作为 SA 决定因素的作用。