Midlife predictors of active and healthy aging (AHA) among older businessmen

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dc.contributor.author Urtamo, Annele
dc.contributor.author Huohvanainen, Emmi
dc.contributor.author Pitkälä, Kaisu H.
dc.contributor.author Strandberg, Timo E.
dc.date.accessioned 2019-02-18T08:32:01Z
dc.date.available 2019-02-18T08:32:01Z
dc.date.issued 2019-02
dc.identifier.citation Urtamo , A , Huohvanainen , E , Pitkälä , K H & Strandberg , T E 2019 , ' Midlife predictors of active and healthy aging (AHA) among older businessmen ' , Aging Clinical and Experimental Research , vol. 31 , no. 2 , pp. 225-231 . https://doi.org/10.1007/s40520-018-1100-0
dc.identifier.other PURE: 121449336
dc.identifier.other PURE UUID: 60e419c6-6375-4e9c-88b3-b8e18529934c
dc.identifier.other Scopus: 85059085682
dc.identifier.other ORCID: /0000-0001-9659-6985/work/54487433
dc.identifier.other ORCID: /0000-0001-6299-925X/work/54489129
dc.identifier.other WOS: 000458357500008
dc.identifier.uri http://hdl.handle.net/10138/299147
dc.description.abstract BackgroundActive and healthy aging (AHA) is an important phenomenon in aging societies.AimsOur aim was to investigate midlife predictors of AHA in a socioeconomically homogenous male cohort.MethodsIn 2010, AHA was defined in the Helsinki Businessmen Study (men born in 1919-1934) with six criteria: (1) being alive, (2) responding to the mailed survey, (3) no reported cognitive problems, (4) feeling of happiness, (5) no difficulties in activities of daily living (ADL), and (6) no significant chronic diseases. Midlife factors were assessed in 1974 (n=1759, mean age 47years). Of the survivors in 2010 (n=839), 10.0% (n=84) fulfilled all AHA criteria, whilst 13.7% (n=115) had chronic diseases but fulfilled other five criteria. Midlife predictors of AHA were analyzed with logistic models.ResultsOf the midlife factors, smoking [Odds ratio (OR) 0.44, 95% confidence interval (CI) 0.25-0.77], higher body mass index (BMI) (OR 0.75, 0.59-0.96), andhigher total cholesterol (OR 0.76, 0.60-0.97)prevented significantly full AHA criteria, whereas higher self-rated health (SRH) (OR 1.73, 1.07-2.80) predicted significantly offulfilling all AHA criteria. Midlife smoking (OR 0.87, 0.84-0.91), higher BMI (OR 0.73, 0.61-0.86), andhigher alcohol consumption (OR 0.73, 0.60-0.90)prevented significantly of fulfilling the five AHA criteria with chronic diseases, and higher SRH (OR 1.90, 1.37-2.63) predictedsignificantly thefive AHA criteria (chronic diseases present).DiscussionOur study suggests that midlife factors, especially good SRH and low levels of cardiovascular risk factors, are associated with AHA.ConclusionsThe study emphasizes the importance of life-course predictors of healthy aging. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Aging Clinical and Experimental Research
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.subject Successful aging
dc.subject Longevity
dc.subject Life course
dc.subject Self-rated health
dc.subject Cardiovascular risk factors
dc.subject QUALITY-OF-LIFE
dc.subject 26-YEAR FOLLOW-UP
dc.subject BODY-MASS INDEX
dc.subject RISK-FACTORS
dc.subject MORTALITY
dc.title Midlife predictors of active and healthy aging (AHA) among older businessmen en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization University of Helsinki
dc.contributor.organization Department of General Practice and Primary Health Care
dc.contributor.organization Timo Strandberg / Principal Investigator
dc.contributor.organization Department of Medicine
dc.contributor.organization HUS Internal Medicine and Rehabilitation
dc.contributor.organization Teachers' Academy
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s40520-018-1100-0
dc.relation.issn 1594-0667
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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