Association Between Combined Lifestyle Factors and Healthy Ageing in Chinese Adults : The Singapore Chinese Health Study
© The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
BACKGROUND: The aim of the study was to examine the relations of individual lifestyle factors and its composite score with healthy ageing among Chinese adults.
METHOD: We included 14 159 participants aged 45-74 years at baseline from the Singapore Chinese Health Study, a population-based prospective cohort. A protective lifestyle score (0-5 scale) was calculated at baseline (1993-1998) and updated at the second follow-up visit (2006-2010) on the basis of optimal body mass index (18.5-22.9 kg/m2), healthy diet (upper 40% of the Alternative Healthy Eating Index score), being physically active (≥2 h/wk of moderate activity or ≥0.5 h/wk of strenuous activity), nonsmoking (never smoking), and low-to-moderate alcohol drinking (>0 to ≤14 drinks/wk for men and >0 to ≤7 drinks/wk for women). Healthy ageing was assessed at the third follow-up visit (2014-2016) and was defined as absence of specific chronic diseases, absence of cognitive impairment and limitations in instrumental activities of daily living, good mental and overall self-perceived health, good physical functioning, and no function-limiting pain.
RESULTS: About 20.0% (2834) of the participants met the criteria of healthy ageing after a median follow-up of 20 years. Each 1-point increase in the protective lifestyle score computed at baseline and second follow-up visits was associated with higher likelihood of healthy ageing by 25% (95% CI: 20%-30%) and 24% (18%-29%), respectively. The population-attributable risk percent of adherence to 4-5 protective lifestyle factors was 34.3% (95% CI: 25.3%-42.3%) at baseline and 31.3% (23.0%-38.7%) at second follow-up visits for healthy ageing. In addition, positive increase in lifestyle scores from baseline to second follow-up visits was also significantly associated with a higher likelihood of healthy ageing with an odds ratio of 1.18 (95% CI: 1.12%-1.24%) for each increment in protective lifestyle score.
CONCLUSIONS: Our findings confirmed that adopting healthy lifestyle factors, even after midlife, was associated with healthy ageing at old age.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:76 |
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Enthalten in: |
The journals of gerontology. Series A, Biological sciences and medical sciences - 76(2021), 10 vom: 13. Sept., Seite 1796-1805 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Zhou, Yan-Feng [VerfasserIn] |
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Links: |
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Themen: |
Diet |
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Anmerkungen: |
Date Completed 07.02.2022 Date Revised 07.02.2022 published: Print Citation Status MEDLINE |
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doi: |
10.1093/gerona/glab033 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM320837602 |
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520 | |a © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
520 | |a BACKGROUND: The aim of the study was to examine the relations of individual lifestyle factors and its composite score with healthy ageing among Chinese adults | ||
520 | |a METHOD: We included 14 159 participants aged 45-74 years at baseline from the Singapore Chinese Health Study, a population-based prospective cohort. A protective lifestyle score (0-5 scale) was calculated at baseline (1993-1998) and updated at the second follow-up visit (2006-2010) on the basis of optimal body mass index (18.5-22.9 kg/m2), healthy diet (upper 40% of the Alternative Healthy Eating Index score), being physically active (≥2 h/wk of moderate activity or ≥0.5 h/wk of strenuous activity), nonsmoking (never smoking), and low-to-moderate alcohol drinking (>0 to ≤14 drinks/wk for men and >0 to ≤7 drinks/wk for women). Healthy ageing was assessed at the third follow-up visit (2014-2016) and was defined as absence of specific chronic diseases, absence of cognitive impairment and limitations in instrumental activities of daily living, good mental and overall self-perceived health, good physical functioning, and no function-limiting pain | ||
520 | |a RESULTS: About 20.0% (2834) of the participants met the criteria of healthy ageing after a median follow-up of 20 years. Each 1-point increase in the protective lifestyle score computed at baseline and second follow-up visits was associated with higher likelihood of healthy ageing by 25% (95% CI: 20%-30%) and 24% (18%-29%), respectively. The population-attributable risk percent of adherence to 4-5 protective lifestyle factors was 34.3% (95% CI: 25.3%-42.3%) at baseline and 31.3% (23.0%-38.7%) at second follow-up visits for healthy ageing. In addition, positive increase in lifestyle scores from baseline to second follow-up visits was also significantly associated with a higher likelihood of healthy ageing with an odds ratio of 1.18 (95% CI: 1.12%-1.24%) for each increment in protective lifestyle score | ||
520 | |a CONCLUSIONS: Our findings confirmed that adopting healthy lifestyle factors, even after midlife, was associated with healthy ageing at old age | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, N.I.H., Extramural | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a Diet | |
650 | 4 | |a Healthy ageing | |
650 | 4 | |a Obesity | |
650 | 4 | |a Physical activity | |
650 | 4 | |a Risk factor | |
700 | 1 | |a Song, Xing-Yue |e verfasserin |4 aut | |
700 | 1 | |a Pan, Xiong-Fei |e verfasserin |4 aut | |
700 | 1 | |a Feng, Lei |e verfasserin |4 aut | |
700 | 1 | |a Luo, Nan |e verfasserin |4 aut | |
700 | 1 | |a Yuan, Jian-Min |e verfasserin |4 aut | |
700 | 1 | |a Pan, An |e verfasserin |4 aut | |
700 | 1 | |a Koh, Woon-Puay |e verfasserin |4 aut | |
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