Educational differences of healthy life expectancy among the older adults in China: A multidimensional examination using the multistate life table method

2019 ◽  
Vol 45 (10) ◽  
pp. 624-635
Author(s):  
Guogui Huang ◽  
Fei Guo ◽  
Gong Chen
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Life Table ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Life Table Method ◽  
Table Method ◽  
Educational Differences ◽  
Multistate Life Table

scholarly journals 377Smoking, blood pressure, and body mass index to estimate healthy life expectancy: NIPPON DATA90

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Rumi Tsukinoki ◽  
Takehito Hayakawa ◽  
Aya Kadota ◽  
Yoshitaka Murakami ◽  
Katsuyuki Miura ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Life Expectancy ◽  
Life Table ◽  
Body Mass ◽  
Smoking Status ◽  
Healthy Life Expectancy ◽  
Ageing Society ◽  
Healthy Life ◽  
Multistate Life Table

Abstract Background Healthy life expectancy (HLE) is an important measure of an ageing society. We estimated HLE based on combinations of smoking, blood pressure (BP), and body mass index (BMI) in the Japanese population using a multistate life table. Methods A nationwide cohort study of Japan was performed using NIPPON DATA90 (N = 6,676) with the Katz Activities of Daily Living Index as the HLE endpoint. Combinations of smoking (non-smokers and smokers), BP (2018 ESC/ESH Guidelines classification), and BMI (underweight, normal, and overweight) were developed, and the group-specific HLEs were calculated using a multistate life table. Results At age 65, smokers had shorter HLE than non-smokers for all BMI and BP groups. The HLE of men who were overweight, hypertensive (Grade 2 or 3), and smokers was 14.05 years (95% confidence interval: 15.77-21.36); in contrast, the HLE of men who were normal weight, normotensive, and non-smokers was 19.04 years (16.46-21.61). Among all BMI and smoking status groups, HLE decreased linearly as BP increased regardless of sex. The HLE distribution showed a slight inverted U-shape as BMI increased in both sexes. Conclusions This study showed that HLE at age 65 was considerably shorter in smokers and individuals with higher BP. Furthermore, both underweight and overweight had modest effects on HLE at age 65. Key messages HLE was considerably shorter in smokers and individuals with higher BP. In addition, both underweight and overweight had modest effects on HLE.

scholarly journals Changing Educational Gradients in Life Expectancy With and Without Disease Among U.S. Older Adults From 2000 to 2010

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 505-505
Author(s):  
Matthew Farina ◽  
Phillip Cantu ◽  
Mark Hayward
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Chronic Diseases ◽  
Population Aging ◽  
Good Health ◽  
Vital Statistics ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Education Group ◽  
Education Groups

Abstract Recent research has documented increasing education inequality in life expectancy among U.S. adults; however, much is unknown about other health status changes. The objective of study is to assess how healthy and unhealthy life expectancies, as classified by common chronic diseases, has changed for older adults across education groups. Data come from the Health and Retirement Study and National Vital Statistics. We created prevalence-based life tables using the Sullivan method to assess sex-specific life expectancies for stroke, heart disease, cancer, and arthritis by education group. In general, unhealthy life expectancy increased with each condition across education groups. However, the increases in unhealthy life expectancy varied greatly. While stroke increased by half a year across education groups, life expectancy with diabetes increased by 3 to 4 years. In contrast, the evidence for healthy life expectancy provides mixed results. Across chronic diseases, healthy life expectancy decreased by 1 to 3 years for respondents without a 4-year degree. Conversely, healthy life expectancy increased for the college educated by .5 to 3 years. While previous research shows increases in life expectancy for the most educated, trends in life expectancy with chronic conditions is less positive: not all additional years are in lived in good health. In addition to documenting life expectancy changes across education groups, research assessing health of older adults should consider the changing inequality across a variety of health conditions, which will have broad implications for population aging and policy intervention.

scholarly journals Ageism, Healthy Life Expectancy and Population Ageing: How Are They Related?

2020 ◽  
Vol 17 (9) ◽  
pp. 3159 ◽  
Author(s):  
Alana Officer ◽  
Jotheeswaran Amuthavalli Thiyagarajan ◽  
Mira Leonie Schneiders ◽  
Paul Nash ◽  
Vânia de la Fuente-Núñez
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Sex Education ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Personal Characteristics ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Individual Level ◽  
Explanatory Factors

Evidence shows that ageism negatively impacts the health of older adults. However, estimates of its prevalence are lacking. This study aimed to estimate the global prevalence of ageism towards older adults and to explore possible explanatory factors. Data were included from 57 countries that took part in Wave 6 of the World Values Survey. Multilevel Latent Class Analysis was performed to identify distinct classes of individuals and countries. Individuals were classified as having high, moderate or low ageist attitudes; and countries as being highly, moderately or minimally ageist, by aggregating individual responses. Individual-level (age, sex, education and wealth) and contextual-level factors (healthy life expectancy, population health status and proportion of the population aged over 60 years) were examined as potential explanatory factors in multinomial logistic regression. From the 83,034 participants included, 44%, 32% and 24% were classified as having low, moderate and high ageist attitudes, respectively. From the 57 countries, 34 were classified as moderately or highly ageist. The likelihood of an individual or a country being ageist was significantly reduced by increases in healthy life expectancy and the proportion of older people within a country. Certain personal characteristics—younger age, being male and having lower education—were significantly associated with an increased probability of an individual having high ageist attitudes. At least one in every two people included in this study had moderate or high ageist attitudes. Despite the issue’s magnitude and negative health impacts, ageism remains a neglected global health issue.

scholarly journals Age and Frailty as Key Determinants for Nutritional Therapy Individualization in Elderly Adults with Diabetes

2021 ◽  
pp. 1-3
Author(s):  
Zoe Pafili
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Life Expectancy ◽  
Nutritional Therapy ◽  
Diet Therapy ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Social Burden ◽  
Patients With Diabetes ◽  
The Impact

The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus.

scholarly journals Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3367 ◽  
Author(s):  
Yoshiaki Tamura ◽  
Takuya Omura ◽  
Kenji Toyoshima ◽  
Atsushi Araki
Keyword(s):  
Older Adults ◽  
Metabolic Syndrome ◽  
Cognitive Impairment ◽  
Life Expectancy ◽  
Nutritional Therapy ◽  
Diet Therapy ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Social Burden ◽  
The Impact

The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus.

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