TY - JOUR
T1 - 23-year trends in life expectancy in good and poor physical and cognitive health at age 65 years in the Netherlands, 1993-2016
AU - Deeg, Dorly J.H.
AU - Comijs, Hannie C.
AU - Hoogendijk, Emiel O.
AU - van der Noordt, Maaike
AU - Huisman, Martijn
PY - 2018/12
Y1 - 2018/12
N2 - OBJECTIVES: To examine 23-year trends in both physically and cognitively healthy life expectancy from age 65 years in the Netherlands. METHODS: We used 8 waves between 1993 and 2016 from the nationally representative Longitudinal Aging Study Amsterdam (12 948 observations). We calculated physically and cognitively healthy life expectancies by using the Sullivan life table method and tested prevalence trends over time by using generalized estimating equations. RESULTS: Total life expectancy at age 65 years rose from 14.7 to 18.7 years (men) and from 19.2 to 21.4 years (women). Life expectancy in poor physical health increased nonlinearly from 1.8 to 2.9 years for men; for women it fluctuated around 5.7 years. Meanwhile, life expectancy in good cognitive health increased linearly from 11.0 to 15.7 years (men) and from 13.4 to 18.0 years (women). The proportion of people with poor physical and poor cognitive health combined did not increase, averaging 5.9% (men) and 8.7% (women). CONCLUSIONS: This multiwave study shows that a negative trend in physically healthy life expectancy is accompanied by a positive trend in cognitively healthy life expectancy.
AB - OBJECTIVES: To examine 23-year trends in both physically and cognitively healthy life expectancy from age 65 years in the Netherlands. METHODS: We used 8 waves between 1993 and 2016 from the nationally representative Longitudinal Aging Study Amsterdam (12 948 observations). We calculated physically and cognitively healthy life expectancies by using the Sullivan life table method and tested prevalence trends over time by using generalized estimating equations. RESULTS: Total life expectancy at age 65 years rose from 14.7 to 18.7 years (men) and from 19.2 to 21.4 years (women). Life expectancy in poor physical health increased nonlinearly from 1.8 to 2.9 years for men; for women it fluctuated around 5.7 years. Meanwhile, life expectancy in good cognitive health increased linearly from 11.0 to 15.7 years (men) and from 13.4 to 18.0 years (women). The proportion of people with poor physical and poor cognitive health combined did not increase, averaging 5.9% (men) and 8.7% (women). CONCLUSIONS: This multiwave study shows that a negative trend in physically healthy life expectancy is accompanied by a positive trend in cognitively healthy life expectancy.
UR - http://www.scopus.com/inward/record.url?scp=85056382704&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056382704&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2018.304685
DO - 10.2105/AJPH.2018.304685
M3 - Article
C2 - 30359113
AN - SCOPUS:85056382704
SN - 1541-0048
VL - 108
SP - 1652
EP - 1658
JO - American journal of public health
JF - American journal of public health
IS - 12
ER -