Middle-Aged and Elderly Finnish Households Considering Moving, Their Preferences, and Potential Downsizing Amidst Changing Life Course and Housing Career

2015 ◽  
Vol 29 (4) ◽  
pp. 373-395 ◽  
Author(s):  
Karen M. Gibler ◽  
Tanja Tyvimaa
Keyword(s):  
Life Course ◽  
Middle Aged ◽  
Housing Career

Abstract 14677: Distribution of 10- and 30-year Predicted Risks for Atherosclerotic Cardiovascular Disease in the United States: NHANES 2015 to 2018

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Nilay S Shah ◽  
Hongyan Ning ◽  
Amanda Perak ◽  
Norrina B Allen ◽  
John T Wilkins ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Life Course ◽  
Risk Model ◽  
The United States ◽  
Atherosclerotic Cardiovascular Disease ◽  
Middle Aged ◽  
Ascvd Risk ◽  
The Life Course ◽  
Predicted Risk

Introduction: Premature fatal cardiovascular disease rates have plateaued in the US. Identifying population distributions of short- and long-term predicted risk for atherosclerotic cardiovascular disease (ASCVD) can inform interventions and policy to improve cardiovascular health over the life course. Methods: Among nonpregnant participants age 30-59 years without prevalent CVD from the National Health and Nutrition Examination Surveys 2015-18, continuous 10 year (10Y) and 30 year (30Y) predicted ASCVD risk were assigned using the Pooled Cohort Equations and a 30-year competing risk model, respectively. Intermediate/high 10Y risk was defined as ≥7.5%, and high 30Y risk was chosen a priori as ≥20%, based on 2019 guideline levels for risk stratification. Participants were combined into low 10Y/low 30Y, low 10Y/high 30Y, and intermediate/high 10Y categories. We calculated and compared risk distributions overall and across race-sex, age, body mass index (BMI), and education using chi-square tests. Results: In 1495 NHANES participants age 30-59 years (representing 53,022,413 Americans), median 10Y risk was 2.3% and 30Y risk was 15.5%. Approximately 12% of individuals were already estimated to have intermediate/high 10Y risk. Of those at low 10Y risk, 30% had high 30Y predicted risk. Distributions differed significantly by sex, race, age, BMI, and education (P<0.01, Figure ). Black males more frequently had high 10Y risk compared with other race-sex groups. Older individuals, those with BMI ≥30 kg/m 2 , and with ≤high school education had a higher frequency of low 10Y/high 30Y risk. Conclusions: More than one-third of middle-aged U.S. adults have elevated short- or long-term predicted risk for ASCVD. While the majority of middle-aged US adults are at low 10Y risk, a large proportion among this subgroup are at high 30Y ASCVD risk, indicating a substantial need for enhanced clinical and population level prevention earlier in the life course.

scholarly journals Life Course Effects of Socioeconomic and Lifestyle Factors on Metabolic Syndrome and 10-Year Risk of Cardiovascular Disease: A Longitudinal Study in Taiwan Adults

2018 ◽  
Vol 15 (10) ◽  
pp. 2178 ◽  
Author(s):  
Chen-Mao Liao ◽  
Chih-Ming Lin
Keyword(s):  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Life Course ◽  
Young Men ◽  
Later Life ◽  
Equation Model ◽  
Lifestyle Behaviors ◽  
Middle Aged ◽  
Cvd Risk ◽  
Over Time

The objective of the study was to explore the dynamic effects of socioeconomic status (SES) and lifestyle behaviors on the risks of metabolic syndrome (MS) or cardiovascular disease (CVD) in life course. The data of 12,825 subjects (6616 males and 6209 females) who underwent repeated examinations and answered repeated questionnaires from 2006 to 2014 at the Major Health Screening Center in Taiwan, was collected and analyzed. The trajectory of trends in the subjects’ SES and lifestyle mobility over time was observed, and the effects of factors with potential impacts on health were tested and analyzed using multiple logistic regression and a generalized estimated equation model. A 10% increase in MS prevalence was observed over the nine-year period. The average Framingham CVD score for people with MS was estimated to be about 1.4% (SD = 1.5%). Except for middle-aged women, marriage was found to raise the risk of CVD, whereas increasing education and work promotions independently reduced CVD risk for the majority of subjects. However, the risk of CVD was raised by half for young men who had a job or lost a job in comparison to continuously unemployed young men. Physical activity was only found to be advantageous for disease prevention in those aged less than 40 years; increased exercise levels were useless for reducing CVD risk among older men. Alcohol drinking and betel chewing caused increased CVD risk in the old and young subjects, respectively, whereas vegetarian diets and vitamin C/E intake were helpful in preventing CVD, even if those habits were ceased in later life. For middle-aged women, getting sufficient sleep reduced CVD risk. We concluded that SES and lifestyle behaviors may have different effects on health over time, among various populations. Accordingly, suggestions can be provided to healthcare workers in designing health promotion courses for people at different life stages.

scholarly journals Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged?

2013 ◽  
Vol 81 ◽  
pp. 87-93 ◽  
Author(s):  
Monique A.M. Gignac ◽  
Catherine L. Backman ◽  
Aileen M. Davis ◽  
Diane Lacaille ◽  
Xingshan Cao ◽  
...  
Keyword(s):  
Life Course ◽  
Social Role ◽  
Healthy Adults ◽  
Middle Aged ◽  
The Life Course ◽  
The Impact

Age Differences in Adult Life Goals, Concerns, and Their Temporal Extension: A Life Course Approach to Future-oriented Motivation

1992 ◽  
Vol 15 (4) ◽  
pp. 487-508 ◽  
Author(s):  
Jari-Erik Nurmi
Keyword(s):  
Young Adults ◽  
Life Course ◽  
Elderly People ◽  
Age Differences ◽  
Leisure Activities ◽  
Adult Life ◽  
Social Constraints ◽  
Developmental Tasks ◽  
Middle Aged ◽  
The Individual

The individual life course is shaped by different social age systems, such as developmental tasks and social constraints. To study the extent to which age differences in goals and concerns reflect these age-graded tasks, 371 19to 64year-old subjects were asked to write down their goals and concerns and to anticipate when they would be actualised, indicating temporal extension. The results showed that adults' goals and concerns reflected the developmental tasks of their own age: Young adults frequently mentioned future educationand family-related goals, the middle-aged had goals related to their children's lives and property, and elderly people were interested in their own health, retirement, leisure activities, and the world. Young adults frequently mentioned concerns related to themselves and their friends, middle-aged and elderly people had occupationand health-related fears, respectively. Moreover, the temporal extension of adults' goals related to education, family, and occupation decreased with age, as the developmental tasks they concerned approached in time.

Abstract 15422: Distribution of 10- and 30-year Predicted Risks for Heart Failure in the United States: NHANES 2015 to 2018

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Nilay S Shah ◽  
Hongyan Ning ◽  
Sanjiv J Shah ◽  
Clyde Yancy ◽  
John T Wilkins ◽  
...  
Keyword(s):  
United States ◽  
Heart Failure ◽  
Life Course ◽  
The United States ◽  
Older Individuals ◽  
Middle Aged ◽  
Short And Long Term ◽  
The Life Course ◽  
Predicted Risk

Introduction: Heart failure (HF) poses a significant health burden with prevalence projected to increase by 46% by 2030 in the United States. Targeted implementation and dissemination of clinical and public health preventive measures across the life course will be informed by describing population distributions of short- and long-term predicted HF risk. Methods: Among nonpregnant middle-aged (30-59 years) adults without prevalent CVD from the National Health and Nutrition Examination Surveys 2015-18, continuous 10-year (10Y) and 30-year (30Y) HF risk estimates were calculated using short- and long-term risk equations derived in the Cardiovascular Lifetime Risk Pooling Project. High estimated 10Y risk was classified as ≥5%, and high 30Y risk as ≥20%. Participants were categorized by combined 10Y and 30Y estimated risk categories overall and stratified by sex, race, age, and body mass index. Distributions were compared using chi-square tests. Results: In 1495 NHANES participants (representing 53,022,413 Americans) with mean age 45 years (SE 0.3), median 10Y risk was 0.8% and 30Y risk was 11%. Approximately 4% of individuals were estimated to have high 10Y predicted risk of HF. Of those who were classified as low 10Y risk, 23% had high 30Y predicted risk. Distributions differed significantly by sex, race, age, and BMI (P<0.01, Figure ). Black males more frequently were classified as high 10Y or 30Y risk compared to other race-sex groups. Older individuals and those with BMI ≥30 kg/m 2 had a higher frequency of low 10Y but high 30Y risk. Conclusions: More than one-fourth of middle-aged U.S. adults have elevated short- or long-term predicted risk for HF. While the majority of middle-aged US adults are at low 10Y risk for HF, a large proportion among this subgroup are at high 30Y HF risk. Application of both short- and long-term HF risk prediction may mitigate the growing morbidity and mortality related to HF and identify strategies to target those at-risk earlier in the life course.

scholarly journals Sleep efficiency and neurophysiological patterns in middle-aged men are associated with cognitive change over their adult life course

2018 ◽  
Vol 28 (4) ◽  
pp. e12793 ◽  
Author(s):  
Markus Waser ◽  
Martin J. Lauritzen ◽  
Birgitte Fagerlund ◽  
Merete Osler ◽  
Erik L. Mortensen ◽  
...  
Keyword(s):  
Life Course ◽  
Adult Life ◽  
Cognitive Change ◽  
Sleep Efficiency ◽  
Middle Aged

The vulnerable life course: poverty and social assistance among middle-aged and older women

2002 ◽  
Vol 22 (6) ◽  
pp. 709-728 ◽  
Author(s):  
EVY GUNNARSSON
Keyword(s):  
Social Security ◽  
Life Course ◽  
Older Women ◽  
Social Assistance ◽  
Social Security System ◽  
Security System ◽  
Security Model ◽  
Middle Aged ◽  
Feminist Perspectives ◽  
Life Courses

In Europe, older women are more likely than older men to be living in poverty, and the contrast is directly related to their domestic roles and labour market position during earlier phases of their life courses. Despite Sweden's well-developed social security system, the generalisation applies to its older women. This paper examines the current incomes and life courses of 14 middle-aged and older Swedish women who have periodically had to rely on social assistance. Their circumstances and living conditions are considered in relation to their earlier lives and to the contextual conditions of the country's welfare state. Both life course and feminist perspectives are applied. All the interviewed women had been the main carers of their children, and had worked part-time or in low-paid jobs. Their formal employment histories have been the foundation of their vulnerable economic situation in older age, which the Swedish social security system does little to combat. Unless the bases and assumptions of the social security model are changed, there will continue to be many older women who live a life of poverty or near poverty.

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