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Critical Reviews™ in Physical and Rehabilitation Medicine

年間 4 号発行

ISSN 印刷: 0896-2960

ISSN オンライン: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

A Continuum of Successful Aging: The Impact of a Biomedical and Psychosocial Approach

巻 28, 発行 3, 2016, pp. 225-240
DOI: 10.1615/CritRevPhysRehabilMed.2017019860
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要約

Defining successful aging (SA) has been debated since Rowe and Kahn introduced "usual" versus "successful" aging in the late 1980s. This perspective requires high physical and mental functional capacities, being void of disease or disease-related disability, and having an active engagement with life. Researchers have considered this model narrow in focus and lacking subjective interpretations of aging. Using the 2011-2012 Canadian Community Health Survey with Canadians aged 60 years and older (n = 15,846), it was found that 15.9% were aging successfully, 81% were aging moderately successfully, and 3.1% were aging unsuccessfully with a biomedical model (attainment) based on Rowe and Kahn's three postulates of aging success. Using psychosocial (adaptation) criteria based on a review of SA literature, it was found that 18.3% of respondents were aging successfully, 66.1% were aging moderately successfully, and 15.6% were aging unsuccessfully. Using integrative criteria combining both biomedical and psychosocial perspectives, 28.9% of respondents were aging successfully, 55.5% were aging moderately successfully, and 15.6% were aging unsuccessfully. The integrated model results are depicted on a continuum illustrating the differences in aging success based on a combination of predictors unique to each SA perspective. This model can potentially demonstrate the interplay between biomedical and psychosocial outcomes in aging success.

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