Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-23T06:38:23.889Z Has data issue: false hasContentIssue false
  • English
  • Français

Identification of determinants of healthy ageing in Italy: results from the national survey IDAGIT

Published online by Cambridge University Press:  14 December 2020

Erika Guastafierro Open the ORCID record for Erika Guastafierro [Opens in a new window] ,
Ilaria Rocco ,
Rui Quintas Open the ORCID record for Rui Quintas [Opens in a new window] ,
Barbara Corso ,
Nadia Minicuci ,
Fabio Vittadello ,
Alessandra Andreotti ,
Floriana Denitto ,
Valeria Crepaldi  and
Margherita Forgione
...Show all authors
Erika Guastafierro
Affiliation:
UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Ilaria Rocco
Affiliation:
CNR, Neuroscience Institute, Padova, Italy
Rui Quintas
Affiliation:
Epilepsy Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Barbara Corso
Affiliation:
CNR, Neuroscience Institute, Padova, Italy
Nadia Minicuci
Affiliation:
CNR, Neuroscience Institute, Padova, Italy
Fabio Vittadello
Affiliation:
Explora Center for Research and Statistical Analysis, Vigodarzere, Padova, Italy
Alessandra Andreotti
Affiliation:
Explora Center for Research and Statistical Analysis, Vigodarzere, Padova, Italy
Floriana Denitto
Affiliation:
UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Valeria Crepaldi
Affiliation:
UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Margherita Forgione
Affiliation:
UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università degli Studi di Padova, Padova, Italy
Matilde Leonardi
Affiliation:
UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Davide Sattin*
Affiliation:
UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
*
*Corresponding author. Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Healthy ageing is a public health problem globally. In Europe, the dependency ratio of the elderly is expected to increase by 21.6 per cent to 51.2 per cent in 2070. The World Health Organization (WHO) study on healthy ageing started in 2002 as a concept whereby all people of all ages should be able to live in a healthy, safe and socially inclusive way. The aim of this study is to present preliminary results of the project Identification of Determinants of Healthy Ageing in Italy (IDAGIT) that aimed to collect data on the active and healthy ageing of the Italian population aged over 18 using the conceptual framework of the WHO's ageing model. To link the determinants of the IDAGIT studies to those of the WHO model, we performed a confirmatory factor analysis which reported these variables as significant (in order of factor loading): smoking, cognition score, comorbidity, outdoor built environment, participation, working expertise and income. Considering comorbidity, 83.8 per cent of the sample declared not having any chronic diseases or to have only one, and regarding neurological diseases, only nine people had received a diagnosis of stroke. Regarding gender, the personal determinants and physical and social environments did not result in statistically significant differences, whereas we found statistical differences between the aged groups in all variables analysed. These results provide a first bio-psycho-social perspective on ageing in the Italian population.

Keywords

ageingdeterminantsactive ageinghealthy ageing
Type
Article
Information
Ageing & Society , Volume 42 , Issue 8 , August 2022 , pp. 1760 - 1780
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdullah, B and Wolbring, G (2013) Analysis of newspaper coverage of active aging through the lens of the 2002 World Health Organization Active Ageing Report: A Policy Framework and the 2010 Toronto Charter for Physical Activity: A Global Call for Action. International Journal of Environmental Research and Public Health 10, 6799–6819.CrossRefGoogle ScholarPubMed
Bull, FC, Maslin, TS and Armstrong, T (2009) Global Physical Activity Questionnaire (GPAQ): nine country reliability and validity study. Journal of Physical Activity & Health 6, 790–804.CrossRefGoogle ScholarPubMed
Dalgard, OS, Dowrick, C, Lehtinen, V, Vazquez-Barquero, JL, Casey, P, Wilkinson, G, Ayuso-Mateos, JM, Page, H and Dunn, G (2006) Negative life events, social support and gender diference in depression. Social Psychiatry and Psychiatric Epidemiology 41, 444–451.CrossRefGoogle Scholar
European Commission (2014) The Role of Nutrition in Active and Healthy Ageing (JRC Science and Policy Reports). Luxembourg: Publications Office of the European Union.Google Scholar
European Commission Directorate-General for Economic and Financial Affairs (2018) The 2018 Ageing Report. Economic and Budgetary Projections for the EU Member States (2017–2070). Luxembourg: European Union.Google Scholar
Ferrucci, L, Izmirlian, G, Leveille, S, Philips, CL, Corti, MC, Brock, DB and Guralnik, JM (1999) Smoking, physical activity, and active life expectancy. American Journal of Epidemiology 149, 645–653.CrossRefGoogle ScholarPubMed
Gehlich, KH, Beller, J, Lange-Asschenfeldt, B, Köcher, W, Meinke, MC and Lademann, J (2019) Fruit and vegetable consumption is associated with improved mental and cognitive health in older adults from non-Western developing countries. Public Health Nutrition 22, 689–696.CrossRefGoogle ScholarPubMed
Granbom, M, Iwarsson, S, Kylberg, M, Petersson, C and Slaug, B (2016) A public health perspective to environmental barriers and accessibility problems for senior citizens living in ordinary housing. BMC Public Health 16, 772.CrossRefGoogle ScholarPubMed
Greiman, L and Ravesloot, C (2015) Housing characteristics of household with wheeled mobility device users from the American Housing Survey: do people live in homes that facilitate community participation? Community Development Journal 47, 63–74.CrossRefGoogle Scholar
Harling, G, Morris, KA, Manderson, L, Perkins, JM and Berkman, L (2018) Age and gender differences in social network composition and social support among older rural South Africans: findings from the HAALSI Study. Journals of Gerontology: Psychological Sciences and Social Sciences 75B, 1–12.Google Scholar
Hawkley, LC and Cacioppo, JT (2010) Loneliness matters: a theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine 40, 218–227.CrossRefGoogle ScholarPubMed
Holley-Moore, G and Beach, B (2016) Drink Wise, Age Well: Alcohol Use and the Over 50s in the UK. Available at www.drinkwiseagewell.org.uk.Google Scholar
Hughes, ME, Waite, LJ, Hawkley, LC and Cacioppo, JT (2004) A short scale for measuring loneliness in large surveys: results from two population-based studies. Research on Aging 26, 655–672.CrossRefGoogle Scholar
Ichida, Y, Hirai, H, Kondo, K, Kawaci, I, Takeda, T and Endo, H (2013) Does social participation improve self-rated health in the older population? A quasi-experimental intervention study. Social Science & Medicine 94, 83–90.CrossRefGoogle ScholarPubMed
Italian National Institute of Statistics (ISTAT) (2013) La classificazione delle professioni. Rome: ISTAT. Available at https://www.istat.it/it/files//2013/07/la_classificazione_delle_professioni.pdf.Google Scholar
Italian National Institute of Statistics (ISTAT) (2018) Il future demografico del paese. Previsioni regionali della popolazione residente al 2065. Rome: ISTAT.Google Scholar
Kimura, D (1992) Sex differences in the brain. Scientific American 267, 118–125.CrossRefGoogle ScholarPubMed
Kirkwood, T (1996) Mechanisms of ageing. In Ebrahim, S and Kalache, A (eds), Epidemiology in Old Age. London: BMJ Publishing Group, p. 13.Google Scholar
Kowal, P, Chatterji, S, Naidoo, N, Biritwum, R, Fan, W, Ridaura, RL, Maximova, T, Arokiasamy, P, Phaswana-Mafuya, N, Williams, S, Snodgrass, JJ, Minicuci, N, D'Este, C, Peltzer, K, Boerma, JT and SAGE Collaborators (2012) Data resource profile: the World Health Organization Study on Global AGEing and Adult Health (SAGE). International Journal of Epidemiology 41, 1639–1649.CrossRefGoogle Scholar
Kryspin-Exner, I, Lamplmayr, E and Felnhofer, A (2011) Geropsychology: the gender gap in human ageing – a mini-review. Gerontology 57, 539–548.CrossRefGoogle ScholarPubMed
Lassen, AJ and Moreira, T (2014) Unmaking old age: political and cognitive formats of active ageing. Journal of Aging Studies 30, 33–46.CrossRefGoogle ScholarPubMed
Leonardi, M, Bickenbach, J, Ustun, TB, Kostanjsek, N, Chatterji, S and MHADIE Consortium (2006) The definition of disability: what is in a name? Lancet 368, 1219–1221.CrossRefGoogle Scholar
Leonardi, M, Chatterji, S, Koskinen, S, Ayusi-Mateos, JL, Haro, JM, Frisoni, G, Frattura, L, Martinuzzi, A, Tobias-Adamczyk, B, Gmmurek, M, Serrano, R, Finocchiaro C on behalf of COURAGE in Europe Project's Consortium (2014) Determinants of health and disability in ageing population: the COURAGE in Europe Project (Collaborative Research on Ageing in Europe). Clinical Psychology and Psychotherapy 21, 193–198.CrossRefGoogle Scholar
Lin, TY, Chen, CY, Tsao, CY and Hsu, KH (2017) The association between personal income and ageing: a population-based 13-year longitudinal study. Archives of Gerontology and Geriatrics 70, 76–83.CrossRefGoogle ScholarPubMed
Liu, L, Gou, Z and Zuo, J (2016) Social support mediates loneliness and depression in elderly people. Journal of Health Psychology 21, 750–758.CrossRefGoogle ScholarPubMed
Maylor, EA, Reimers, S, Choi, J, Collaer, ML, Peters, M and Silverman, I (2007) Gender and sexual orientation differences in cognition across adulthood: age is kinder to women than to men regardless of sexual orientation. Archives of Sexual Behaviors 36, 235–249.CrossRefGoogle ScholarPubMed
McDonalds, S and Mair, CA (2010) Social capital across the life course: age and gender patterns of network resources. Sociological Forum 25, 335–359.CrossRefGoogle Scholar
Miret, M, Caballero, FF, Chatterji, S, Olaya, B, Tobiasz-Adamczyk, B, Koskinen, S, Leonardi, M, Haro, JM and Ayuso-Mateo, JL (2014) Health and happiness: cross-sectional household surveys in Finland, Poland and Spain. Bulletin of the World Health Organization 92, 716–725.CrossRefGoogle ScholarPubMed
Morris, JC, Heyman, A, Mohs, RC, Hughes, JP, van Belle, G, Fillenbaum, G, Mellits, ED and Clark, C (1989) The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology 39, 1159–1165.Google Scholar
Peel, NM, McClure, R and Bartlett, H (2005) Behavioural determinants of healthy ageing. American Journal of Preventive Medicine 28, 298–304.CrossRefGoogle Scholar
Quintas, R, Raggi, A, Bucciarelli, P, Franco, MG, Andreotti, A, Caballero, FF, Olaya, B, Chatterji, S, Galas, A, Meriläinen-Porras, S, Frisoni, G, Russo, E, Minicuci, N, Power, M and Leonardi, M (2014) The COURAGE Built Environment Outdoor Checklist: an objective built environment instrument to investigate the impact of the environment on health and disability. Clinical Psychology and Psychotherapy 21, 204–214.CrossRefGoogle ScholarPubMed
Raggi, A, Quintas, R, Bucciarelli, P, Franco, MG, Andreotti, A, Miret, M, Zawisza, K, Olaya, B, Chatterji, S, Sainio, P, Frisoni, GB, Martinuzzi, A, Minicuci, N, Power, M and Leonardi, M (2014) Validation of the COURAGE Built Environment Self-Reported Questionnaire. Clinical Psychology and Psychotherapy 21, 215–226.CrossRefGoogle ScholarPubMed
Ramsay, SE, Papachristou, E, Watt, RG, Tsakos, G, Lennon, LT, Papacosta, AO, Moynihan, P, Sayer, AA, Whincup, PH and Wannamethee, SG (2018) Influence of poor oral health on physical frailty: a population-based cohort study of older British men. Journal of the American Geriatrics Society 66, 473–479.CrossRefGoogle ScholarPubMed
Rizzuto, D, Orsini, N, Wang, HX and Fratiglioni, L (2012) Lifestyle, social factors, and survival after age 75: population based study. BMJ 345, e5568.CrossRefGoogle ScholarPubMed
Shaw, BA, Krause, N, Liang, J and Bennett, J (2007) Tracking changes in social relations throughout late life. Journals of Gerontology: Psychological Sciences and Social Sciences 62B, S90–S99.CrossRefGoogle Scholar
Sirven, N and Debrand, T (2008) Social participation and healthy ageing: an international comparison using SHARE data. Social Science & Medicine 67, 2017–2126.CrossRefGoogle ScholarPubMed
Smits, CH, Deeg, DM and Schmand, B (1999) Cognitive functioning and health as determinants of mortality in an older population. American Journal of Epidemiology 150, 978–986.CrossRefGoogle Scholar
Sposito, G, Neri, AL and Yassuda, MS (2015) Cognitive performance and engagement in physical, social and intellectual activities in older adults: the FIBRA study. Dementia e Neuropsychologia 9, 270–278.CrossRefGoogle ScholarPubMed
Storti, D (2000) Tipologie di aree rurali in Italia (Studi & Ricerche INEA). Rome: Istituto Nazionale di Economia Agraria.Google Scholar
Tobiasz-Adamczyk, B, Galas, A, Zawisza, K, Chatterji, S, Haro, JM, Koskinen, S and Leonardi, M (2017) Gender-related differences in the multi-pathway effect of social determinants on quality of life in older age – the COURAGE in Europe project. Quality of Life Research 26, 1865–1878.CrossRefGoogle ScholarPubMed
United Nations Department of Economic and Social Affairs (2017) World Population Ageing 2017. New York, NY: United Nations.Google Scholar
Van Malderen, L, Mets, T, De Vriendt, P and Gorus, E (2013) The active ageing-concept translated to the residential long-term care. Quality of Life Research 22, 929–937.CrossRefGoogle Scholar
Wang, HX, Xu, W and Pei, JJ (2012) Leisure activities, cognition and dementia. Biochimica and Biophysica Acta 1822, 482–491.CrossRefGoogle ScholarPubMed
Wechsler, D (2002) The WAIS III – WMS III Updated Technical Manual. San Antonio, TX: Psychological Corporation.Google Scholar
World Health Organization (WHO) (2000) International Guide for Monitoring Alcohol Consumption and Related Harm. Geneva: WHO.Google Scholar
World Health Organization (WHO) (2001) The International Classification of Functioning, Disability and Health (ICF). Geneva: WHO.Google Scholar
World Health Organization (WHO) (2002) Active Ageing. A Policy Framework. Geneva: WHO.Google Scholar
World Health Organization (WHO) (2003) Fruit and Vegetable Promotion Initiative – Report of the Meeting, Geneva, 25–27 August 2003. Geneva: WHO. Available at https://www.who.int/dietphysicalactivity/publications/f&v_promotion_initiative_report.pdf.Google Scholar
World Health Organization (WHO) (2006) WHO SAGE Survey Manual: The WHO Study on Global Ageing and Adult Health (SAGE). Geneva: WHO.Google Scholar
World Health Organization (WHO) (2015a) World Report on Ageing and Health. Geneva: World Health Organization.Google Scholar
World Health Organization (WHO) (2015b) Global Physical Activity Surveillance. Geneva: WHO. Available at http://www.who.int/ncds/surveillance/steps/GPAQ/en/ (accessed on 24 July 2019).Google Scholar
World Health Organization (WHO) (2017) Global Strategy and Action Plan on Ageing and Health. Geneva: WHO.Google Scholar
World Health Organization (WHO) Commission on Social Determinants of Health (2008) Closing the Gap in a Generation. Health Equity Through Action on the Social Determinants of Health. Final Report. Geneva: WHO.Google Scholar
Zhou, P, Grady, SC and Chen, G (2017) How the built environment affects change in older people's physical activity: a mixed-methods approach using longitudinal health survey data in urban China. Social Science & Medicine 192, 74–84.CrossRefGoogle ScholarPubMed
Ziegler, R and Mitchell, DB (2003) Ageing and fear of crime: an experimental approach to an apparent paradox. Experimental Aging Research 29, 173–187.CrossRefGoogle Scholar
Supplementary material: File

Guastafierro et al. supplementary material

Guastafierro et al. supplementary material

Download Guastafierro et al. supplementary material(File)
File 24 KB