Age-related loss of resources and perceived old age in China

2020 ◽  
pp. 1-19
Author(s):  
Huijun Liu ◽  
Ru Yang ◽  
Zhixin Feng
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Health Resources ◽  
Health Condition ◽  
Older Age ◽  
Role Transition ◽  
Related Factors ◽  
Five Dimensions ◽  
Positive Effects ◽  
Age Related

Abstract Life expectancy in China has increased. This paper explores the age when older adults (aged 60 and above) consider themselves to be an ‘older person’ and how age-related loss of resources (five dimensions: early cumulative factors, decline and loss of health resources, reduction and loss of economic resources, weakening and loss of social support resources, and personal role transition and experiences of losing family members) could impact their perceived old age. Using two waves of data from the China Longitudinal Ageing Social Survey (CLASS) in 2014 and 2016 (6,244 participants in 2014 and 2,989 participants in both 2014 and 2016), we found that the mean perceived old age is around 70 years at baseline (2014). Higher level of educational attainment and occupational types (early cumulative factors), better health condition, receiving support from friends and taking care of grandchildren are significantly associated with the perception that old age begins at an older age at baseline, while being Han-Chinese, being an urban resident (early cumulative factors) and reporting better health condition have significant positive effects on the perception that old age begins at an older age in the later wave. Our findings suggest that the age standard of older adults should be adjusted dynamically in response to social development and longevity, and also highlight the importance of early cumulative factors in shaping the ageing process besides age-related factors.

Influential Factors for Older Users’ Acceptance of eHealth Services: an Integrated Acceptance Framework (IAF) (Preprint)

2021 ◽  
Author(s):  
Jiyeon Yu ◽  
Angelica de Antonio ◽  
Elena Villalba-Mora
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
New Technologies ◽  
Meta Analysis ◽  
Health Condition ◽  
Influential Factors ◽  
Current Status ◽  
Five Dimensions ◽  
The Impact ◽  
Acceptance Factors

BACKGROUND eHealth and Telehealth play a crucial role in assisting older adults who visit hospitals frequently or who live in nursing homes and can benefit from staying at home while being cared for. Adapting to new technologies can be difficult for older people. Thus, to better apply these technologies to older adults’ lives, many studies have analyzed acceptance factors for this particular population. However, there is not yet a consensual framework to be used in further development and the search for solutions. OBJECTIVE This paper presents an Integrated Acceptance Framework (IAF) for the older user’s acceptance of eHealth, based on 43 studies selected through a systematic review. METHODS We conducted a four-step study. First, through a systematic review from 2010 to 2020 in the field of eHealth, the acceptance factors and basic data for analysis were extracted. Second, we carried out a thematic analysis to group the factors into themes to propose and integrated framework for acceptance. Third, we defined a metric to evaluate the impact of the factors addressed in the studies. Last, the differences amongst the important IAF factors were analyzed, according to the participants’ health conditions, verification time, and year. RESULTS Through the systematic review, 731 studies were founded in 5 major databases, resulting in 43 selected studies using the PRISMA methodology. First, the research methods and the acceptance factors for eHealth were compared and analyzed, extracting a total of 105 acceptance factors, which were grouped later, resulting in the Integrated Acceptance Framework. Five dimensions (i.e., personal, user-technology relational, technological, service-related, environmental) emerged with a total of 23 factors. Also, we assessed the quality of the evidence. And then, we conducted a stratification analysis to reveal the more appropriate factors depending on the health condition and the assessment time. Finally, we assess which are the factors and dimensions that are recently becoming more important. CONCLUSIONS The result of this investigation is a framework for conducting research on eHealth acceptance. To elaborately analyze the impact of the factors of the proposed framework, the criteria for evaluating the evidence from the studies that have extracted factors are presented. Through this process, the impact of each factor in the IAF has been presented, in addition to the framework proposal. Moreover, a meta-analysis of the current status of research is presented, highlighting the areas where specific measures are needed to facilitate e-Health acceptance.

scholarly journals What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK

2017 ◽  
Vol 20 (15) ◽  
pp. 2685-2693 ◽  
Author(s):  
Ilse Bloom ◽  
Wendy Lawrence ◽  
Mary Barker ◽  
Janis Baird ◽  
Elaine Dennison ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Older People ◽  
Social Engagement ◽  
Community Dwelling ◽  
Related Factors ◽  
Age Related ◽  
Hertfordshire Cohort Study ◽  
The Uk ◽  
Community Dwelling Older Adults

AbstractObjectiveTo explore influences on diet in a group of community-dwelling older adults in the UK.DesignData were collected through focus group discussions with older people; discussions were audio-recorded, transcribed verbatim and transcripts analysed thematically.SettingHertfordshire, UK.SubjectsParticipants were sampled purposively from the Hertfordshire Cohort Study, focusing on those whose diets had been assessed at two time points: 1998–2001 and 2011.ResultsNinety-two adults participated (47 % women; 74–83 years) and eleven focus groups were held. A number of age-related factors were identified that were linked to food choices, including lifelong food experiences, retirement, bereavement and medical conditions, as well as environmental factors (such as transport). There appeared to be variability in how individuals responded to these influences, indicating that other underlying factors may mediate the effects of age-related factors on diet. Discussions about ‘keeping going’, being motivated to ‘not give up’, not wanting to be perceived as ‘old’, as well as examples of resilience and coping strategies, suggest the importance of mediating psychological factors. In addition, discussion about social activities and isolation, community spirit and loneliness, indicated the importance of social engagement as an influence on diet.ConclusionsInterventions to promote healthier diets in older age should take account of underlying psychological and social factors that influence diet, which may mediate the effects of age-related factors.

scholarly journals Towards a Gerontoludic Manifesto

2015 ◽  
Vol 36 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Bob De Schutter ◽  
Vero Vanden Abeele
Keyword(s):  
Older Adults ◽  
Research And Development ◽  
Digital Games ◽  
Older Age ◽  
Age Related ◽  
Physical Limitations ◽  
Game Industry

Digital games have become an important part of the technoscape, not only for youngsters, but for players of all ages. Older adults are a large, currently still largely untapped market for innovative game research and development. However, the current discourse on games and ageing can largely be categorized into two themes. The first theme refers to digital games framed as a way for older adults to improve certain skills. The useful, pragmatic qualities, rather than the fun, hedonic aspects of games are emphasized. The second theme identifies the various age-related constraints that prevent older adults from playing. It focuses on the cognitive and physical limitations of older adults. Underlying both themes is a reductionist perspective on ageing as merely a process of decline and debilitation. In this article, we present a “gerontoludic” manifesto. Firstly, games should not be marketed solely as having the purpose of dealing with or mitigating age-related decline and focus on positive aspects of older age (adagio 1: growth over decline). Secondly, age-related adjustments should never interfere with the actual gameplay of the game (adagio 2: playfulness over usefulness). Finally, game researchers and game industry should put more efforts in understanding what differentiates elderly players, rather than seeing them as united in their age-related impairments (adagio 3: heterogeneity over unification). As this manifesto is a first step that needs further abutment by a wider community, we welcome debate and additions from game designers and researchers to further this manifesto and to move beyond ageism in games.  

scholarly journals Neurometabolic Correlates of Reactive and Proactive Motor Inhibition in Young and Older Adults: Evidence from Multiple Regional 1H-MR Spectroscopy

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Akila Weerasekera ◽  
Oron Levin ◽  
Amanda Clauwaert ◽  
Kirstin-Friederike Heise ◽  
Lize Hermans ◽  
...  
Keyword(s):  
Older Adults ◽  
Inhibitory Control ◽  
Inferior Frontal Gyrus ◽  
Proactive Inhibition ◽  
Older Age ◽  
Resonance Spectroscopy ◽  
Reactive Inhibition ◽  
Age Related ◽  
The Right ◽  
Age Range

Abstract Suboptimal inhibitory control is a major factor contributing to motor/cognitive deficits in older age and pathology. Here, we provide novel insights into the neurochemical biomarkers of inhibitory control in healthy young and older adults and highlight putative neurometabolic correlates of deficient inhibitory functions in normal aging. Age-related alterations in levels of glutamate–glutamine complex (Glx), N-acetylaspartate (NAA), choline (Cho), and myo-inositol (mIns) were assessed in the right inferior frontal gyrus (RIFG), pre-supplementary motor area (preSMA), bilateral sensorimotor cortex (SM1), bilateral striatum (STR), and occipital cortex (OCC) with proton magnetic resonance spectroscopy (1H-MRS). Data were collected from 30 young (age range 18–34 years) and 29 older (age range 60–74 years) adults. Associations between age-related changes in the levels of these metabolites and performance measures or reactive/proactive inhibition were examined for each age group. Glx levels in the right striatum and preSMA were associated with more efficient proactive inhibition in young adults but were not predictive for reactive inhibition performance. Higher NAA/mIns ratios in the preSMA and RIFG and lower mIns levels in the OCC were associated with better deployment of proactive and reactive inhibition in older adults. Overall, these findings suggest that altered regional concentrations of NAA and mIns constitute potential biomarkers of suboptimal inhibitory control in aging.

scholarly journals Aging, Resistance Training, and Diabetes Prevention

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
Kyle D. Flack ◽  
Kevin P. Davy ◽  
Matthew W. Hulver ◽  
Richard A. Winett ◽  
Madlyn I. Frisard ◽  
...  
Keyword(s):  
Older Adults ◽  
Resistance Training ◽  
Glucose Tolerance ◽  
Diabetes Prevention ◽  
Baby Boom ◽  
Related Factors ◽  
Age Related ◽  
Increased Risk ◽  
Factor Α ◽  
Necrosis Factor

With the aging of the baby-boom generation and increases in life expectancy, the American population is growing older. Aging is associated with adverse changes in glucose tolerance and increased risk of diabetes; the increasing prevalence of diabetes among older adults suggests a clear need for effective diabetes prevention approaches for this population. The purpose of paper is to review what is known about changes in glucose tolerance with advancing age and the potential utility of resistance training (RT) as an intervention to prevent diabetes among middle-aged and older adults. Age-related factors contributing to glucose intolerance, which may be improved with RT, include improvements in insulin signaling defects, reductions in tumor necrosis factor-α, increases in adiponectin and insulin-like growth factor-1 concentrations, and reductions in total and abdominal visceral fat. Current RT recommendations and future areas for investigation are presented.

On the origins of ageism among older and younger adults

2009 ◽  
Vol 21 (6) ◽  
pp. 1003-1014 ◽  
Author(s):  
Ehud Bodner
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Social Identity Theory ◽  
Defensive Strategy ◽  
Younger Adults ◽  
Age Related ◽  
The Social ◽  
Self Worth ◽  
Suitable Framework ◽  
Middle Aged Adults

ABSTRACTBackground: Ageism is apparent in many social structures and contexts and in diverse forms over the life cycle. This review discusses the development and consequences of ageism toward elderly people by others of any age, according to the Terror Management Theory (TMT) and the Social Identity Theory (SIT).Method: A systematic search of the literature was carried out on the social and psychological origins of ageism in younger and older adults.Results: Studies on the reasons for ageism among older adults point to attitudes that older adults have toward their own age group, while studies on ageism in young adults explain it as an unconscious defensive strategy which younger adults use against death anxiety. In other words, TMT can serve as a suitable framework for ageism in younger adults, and SIT appears to explain ageism in older adults.Conclusions: A dissociation of the linkage between death and old age in younger adults can be achieved by changing the concepts of death and old age. For older adults, it is recommended to improve self-worth by encouraging social contacts in which older adults contribute to younger adults, weaken the effects of age stereotypes in TV programs, and prepare middle-aged adults for living healthy lives as older adults. However, these conclusions should be regarded with caution, because several key areas (age related cues, activated cognitive processes, impact of death awareness on ageism) need to be investigated in order to validate this understanding of the origins of ageism among younger and older adults.

A Practical Theology of Aging: Biblical Perspectives for Individuals and the Church

2008 ◽  
Vol 5 (2) ◽  
pp. 274-293 ◽  
Author(s):  
James Davies
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Practical Theology ◽  
The Real ◽  
The Bible ◽  
Age Related ◽  
Aging Well ◽  
The Church

Aging is a gracious gift given by God to cause us to ask about and work on the real issues of life. The Bible presents three main themes on aging. Achieving old age is a Divine Tribute. People in the last half of life are to be honored and respected. Growing older brings about Definite Testing along with blessing. Adults in the last third of their lives can glorify God uniquely. New understandings and spiritual depth can be developed. The process of aging well can be a Distinctive Triumph. How we see the issue of ministry with older adults depends largely on our vision of the old. In a culture striving to remain youthful and avoid any evidence of growing old, we would do well to allow our values about aging to be shaped by the age-related themes found in Scripture.

scholarly journals Moral Judgment in Old Age

2018 ◽  
Vol 65 (2) ◽  
pp. 105-114 ◽  
Author(s):  
Francesco Margoni ◽  
Janet Geipel ◽  
Constantinos Hadjichristidis ◽  
Luca Surian
Keyword(s):  
Older Adults ◽  
Theory Of Mind ◽  
Moral Judgment ◽  
Old Age ◽  
Motivational Factors ◽  
Related Difference ◽  
Age Related ◽  
Judicial Systems

Abstract. Younger (21–39 years) and older (63–90 years) adults were presented with scenarios illustrating either harmful or helpful actions. Each scenario provided information about the agent’s intention, either neutral or valenced (harmful/helpful), and the outcome of his or her action, either neutral or valenced. Participants were asked to rate how morally good or bad the agent’s action was. In judging harmful actions, older participants relied less on intentions and more on outcomes compared to younger participants. This age-related difference was associated with a decline in older adults’ theory of mind abilities. However, we did not find evidence of any significant age-related difference in the evaluations of helpful actions. We argue that the selective association of aging with changes in the evaluation of harmful but not helpful actions may be due also to motivational factors and highlight some implications of the present findings for judicial systems.

scholarly journals Approach to the Older Adult With Multiple Myeloma

2019 ◽  
pp. 500-518 ◽  
Author(s):  
Roberto Mina ◽  
Sara Bringhen ◽  
Tanya M. Wildes ◽  
Sonja Zweegman ◽  
Ashley E. Rosko
Keyword(s):  
Older Adults ◽  
Multiple Myeloma ◽  
High Risk ◽  
Chromosomal Abnormalities ◽  
Performance Status ◽  
Therapeutic Options ◽  
Post Transplantation ◽  
Related Factors ◽  
Sequential Approach ◽  
Age Related

Multiple myeloma (MM) is a disease of aging adults, and numerous therapeutic options are available for this growing demographic. MM treatment of older adults continues to evolve and includes novel combinations, new generations of targeted agents, immunotherapy, and increasing use of autologous stem cell transplantation (ASCT). Understanding age-related factors, independent of chronologic age itself, is an increasingly recognized factor in MM survivorship, especially in understudied populations, such as octogenarians. Octogenarians have inferior survival that cannot be explained by cytogenetic profiles alone. Incorporating assessments of geriatric factors can provide guidance on how to intensify or de-escalate therapeutic options. Functional status, using objective testing, is superior to traditional metrics of performance status and should be implemented to optimize the risk-benefit ratio of ASCT. ASCT is feasible and cost-effective, and chronologic age should not exclude ASCT eligibility. Upfront ASCT remains the standard of care, in the context of a sequential approach that includes pre-transplantation induction and post-transplantation maintenance. High-risk MM is classically defined by disease characteristics, yet shifting frameworks suggest that the high-risk designation could refer to any patient subgroup who is at risk for poorer outcomes—beyond disease-focused outcomes to patient-focused outcomes. Defining the optimal treatment of subgroups of older patients with high-risk disease on the basis of chromosomal abnormalities is unexplored. Here, we review tools to assess individual health status, explore vulnerability in octogenarians with MM, address ASCT decision-making, and examine high-risk MM to understand factors that contribute to survival disparities for older adults with MM.

scholarly journals A Systematic Review on the Cognitive Benefits and Neurophysiological Correlates of Exergaming in Healthy Older Adults

2019 ◽  
Vol 8 (5) ◽  
pp. 734 ◽  
Author(s):  
Robert Stojan ◽  
Claudia Voelcker-Rehage
Keyword(s):  
Older Adults ◽  
Cognitive Functions ◽  
Cognitive Outcomes ◽  
Cochrane Library ◽  
Video Gaming ◽  
Physically Active ◽  
Healthy Older Adults ◽  
Positive Effects ◽  
Age Related ◽  
Cognitive Benefits

Human aging is associated with structural and functional brain deteriorations and a corresponding cognitive decline. Exergaming (i.e., physically active video-gaming) has been supposed to attenuate age-related brain deteriorations and may even improve cognitive functions in healthy older adults. Effects of exergaming, however, vary largely across studies. Moreover, the underlying neurophysiological mechanisms by which exergaming may affect cognitive and brain function are still poorly understood. Therefore, we systematically reviewed the effects of exergame interventions on cognitive outcomes and neurophysiological correlates in healthy older adults (>60 years). After screening 2709 studies (Cochrane Library, PsycINFO, Pubmed, Scopus), we found 15 eligible studies, four of which comprised neurophysiological measures. Most studies reported within group improvements in exergamers and favorable interaction effects compared to passive controls. Fewer studies found superior effects of exergaming over physically active control groups and, if so, solely for executive functions. Regarding individual cognitive domains, results showed no consistence. Positive effects on neurophysiological outcomes were present in all respective studies. In summary, exergaming seems to be equally or slightly more effective than other physical interventions on cognitive functions in healthy older adults. Tailored interventions using well-considered exergames and intervention designs, however, may result in more distinct effects on cognitive functions.

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