A healthy lifestyle in old age and prospective change in four domains of functioning

Marjolein Visser*, H.A.H. Wijnhoven, Hannie C. Comijs, Fleur Thomese, J.W.R. Twisk, Dorly J.H. Deeg

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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Abstract

Objective: The aim of this article is to study the associations between healthy lifestyle in old age and decline in physical, psychological, cognitive, and social functioning. Method: A population-based sample of 3,107 Dutch men and women aged 55 and 85 years (1992/1993; Longitudinal Aging Study Amsterdam) was used with five 3-yeary follow-up examinations. Lifestyle score, based on smoking status, alcohol consumption, physical activity, and body mass index (BMI), ranged from 0 (unhealthy) to 4 (healthy). Outcomes included gait speed, depressive symptoms, cognitive status, and social contacts. Results: Persons with a healthy lifestyle had a 10.6% slower decline in gait speed (0.04 m/s, 95% confidence interval [CI] = [0.03, 0.05]), 10.8% slower increase in depressive symptoms (–1.07 [–1.70, –0.44]), a 1.8% slower decline in cognitive functioning (0.47 [0.23, 0.70]), and a 4.9% slower decline in social contacts (0.58 [0.01, 1.15]) compared with persons with no or one healthy lifestyle factor. Discussion: A healthy lifestyle benefits physical, psychological, cognitive, and social functioning up to very old age.

Original languageEnglish
Pages (from-to)1297-1314
Number of pages18
JournalJournal of Aging and Health
Volume31
Issue number7
Early online date29 May 2018
DOIs
Publication statusPublished - 1 Aug 2019

Funding

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Longitudinal Aging Study Amsterdam is supported by a grant from the Netherlands Ministry of Health Welfare and Sports, Directorate of Long-Term Care. Funding for this article was also provided by the European Union FP7 MooDFOOD Project “Multi-country cOllaborative project on the rOle of Diet, FOod-related behaviour, and Obesity in the prevention of Depression” (grant agreement no. 613598). The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Longitudinal Aging Study Amsterdam is supported by a grant from the Netherlands Ministry of Health Welfare and Sports, Directorate of Long-Term Care. Funding for this article was also provided by the European Union FP7 MooDFOOD Project ?Multi-country cOllaborative project on the rOle of Diet, FOod-related behaviour, and Obesity in the prevention of Depression? (grant agreement no. 613598).

FundersFunder number
European Union FP7613598
European Union FP7 MooDFOOD Project
Netherlands Ministry of Health Welfare and Sports, Directorate of Long-Term Care

    Keywords

    • cognitive functioning
    • older adults
    • physical functioning
    • psychological functioning
    • social functioning

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