Concept Of Healthy Ageing Research Articles

Major clinical outcomes of nutrology and lifestyle in the metabolic processes of healthy aging: a systematic review

Introduction: Centenarians exemplify the concept of healthy aging and therefore provide an invaluable resource for identifying novel host-intestinal microbiota relationships concerning aging. Approximately 18 micronutrients, composed of minerals and vitamins, facilitate the optimal utilization of macronutrients through their role in catalyzing numerous biochemical processes, increasing their bioavailability and absorption, and balancing the microbiome. In the context of aging, a major challenge to maintaining health in old age is unbalanced nutritional intake, resulting in nutritional deficiency or malnutrition. Objective: The main clinical outcomes of nutrology and lifestyle in the metabolic processes of healthy aging were listed through a systematic review. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from July to August 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 118 articles were found. A total of 39 articles were fully evaluated and 29 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 21 studies with a high risk of bias and 15 that did not meet the GRADE and AMSTAR-2 criteria. Most studies showed homogeneity in their results, with X2=82.7%>50%. Zinc and copper govern many functions that characterize the so-called “oxy-aging”. Selenium (Se) is a fundamental cofactor in many redox functions, the role of vitamin C in aging has been investigated particularly for skin health and immunity, particularly in inflammatory and degenerative diseases. Retinoids, which represent a synthetic form of vitamin A, appear effective in preventing skin degeneration due to aging. The role of vitamin E in the prevention and reduction of ROS-induced lesions has been well described. Supplementation with selenium and coenzyme Q10 influenced the analyzed biomarkers in a way that indicated an anti-aging effect. It was concluded that an adequate plasma level of trace elements, such as Zn or copper (Cu), promotes an optimal function of the immune response. Selenium (Se) is a key cofactor in many redox functions, which reduces ROS-induced degeneration in the senescent phenotype. The role of vitamin C in aging has been investigated particularly for skin health and immunity, particularly in inflammatory and degenerative diseases. Vitamin A acts in the prevention of skin degeneration due to aging. The role of vitamin E in the prevention and reduction of ROS-induced lesions has been well described, as well as it has been associated with the prevention of cognitive decline during senescence, particularly in Alzheimer's disease. Good fats, vitamins, minerals, or polyphenols can have antioxidant and anti-inflammatory activities, with anti-aging effects. Recent studies have shown that vitamin K is a vital cofactor in the activation of several proteins, which act against age-related syndromes.

Retracted: Basic Concept of Healthy Aging

RETRACTION NOTICERetraction Notice (31th May 2024): The article by Hom Nath Chalise “Basic Concept of Healthy Aging” [JKAHS | Vol. 6 | No. 1 | Issue 16 | January - April 2023; https://doi.org/10.61814/jkahs.v6i1.763; published on 30 April 2023(submitted:14th December 2022) has been retracted from JKAHS by the editorial team for the duplicate publication on 31th May 2024.In response to the concern of duplicate publication of the article by a reader, the editorial team of JKAHS has reviewed the concern and has taken this decision of retracting the article.This article has been found to be already published in Journal of Patan Academy of Health Sciences (JPAHS) [Vol. 9 No. 3 (2022) https://doi.org/10.3126/jpahs.v9i3.52221] on 31 December 2022 (submitted: 29 May 2022) and in Asian Journal of Population Sciences (AJPS) [Vol. 2 (2023)https://doi.org/10.3126/ajps.v2i1.51096] on 10 January 2023 (submitted: 15 October 2022).As per the retraction policy of JKAHS, the author was contacted by the JKAHS EditorialTeam for an appropriate explanation. The author acknowledged that the article had been already under processing by Jat the time of submission to JKAHS. Based on the date of submission as well as publication on JPAHS, AJPS and JKAHS, the decision of retraction from JKAHS was made by the editorial meeting of JKAHS held on 31th May (Friday) 2024, and the need to correct the scientific record. JKAHS and AJPS were contacted from editorial office of JKAHS and make them aware of this retraction.Both of the involved journals have seen a copy of this retraction notice. The authors agree to this retraction notice.

Assessing intrinsic capacity in Taiwan: Initial psychometric properties of the Integrated Care for Older People Screening Tool for Taiwanese (ICOPES-TW)

BackgroundThe World Health Organization (WHO) proposed the concept of intrinsic capacity (comprising composite physical and mental capacity) which aligns with their concepts of healthy aging and functional ability. Consequently, the WHO promotes the Integrated Care for Older People (ICOPE) framework as guidance for geriatric care. Consequently, each government should have a screening tool corresponding to ICOPE framework to promote geriatric care. The present study examined the initial psychometric properties of the Taiwan version of ICOPE (i.e., ICOPES-TW).MethodsOlder people (n = 1235; mean age = 72.63 years; 634 females [51.3%]) were approached by well-trained interviewers for participation. A number of measures were administered including the ICOPES-TW, WHOQOL-AGE (assessing quality of life [QoL]), Clinical Frailty Scale (assessing frailty), Barthel Index (assessing basic activity of daily living [BADL]), and Lawton Instrumental Activities of Daily Living Scale (assessing instrumental activity of daily living [IADL]).ResultsThe ICOPES-TW had a two-factor structure (body functionality [eigenvalue = 1.932] and life adaptation [eigenvalue = 1.170]) as indicated by the results of exploratory factor analysis. Internal consistency of the ICOPES-TW was low (Cronbach’s α = 0.55 [entire ICOPES-TW], 0.45 (body functionality factor), and 0.52 (life adaptation factor). ICOPES-TW scores were significantly (i) positively correlated with age (r = 0.321), IADL (r = 0.313), and frailty (r = 0.601), and (ii) negatively correlated with QoL (r=–0.447), and BADL (r=–0.447), with all p-values < 0.001.ConclusionThe ICOPES-TW could be a useful screening tool for healthcare providers to quickly evaluate intrinsic capacity for Taiwanese older people given that it has moderate to strong associations with age, BADL, IADL, QoL, and frailty.

Healthy Aging from the Perspective of Older Adults: A Descriptive Qualitative Study

Background: Healthy aging is an important concept developed by the World Health Organization with the aim of enhancing the health of older adults, highlighting the positive aspects of aging, and reinforcing their social roles. Objectives: Since the concept of healthy aging can be interpreted differently by older adults in various societies, this study aimed to explore the perspectives of Iranian older adults regarding healthy aging. Methods: A qualitative descriptive design and content analysis was employed to gather data from 15 purposively selected community-dwelling older adults aged over 60 years in Ilam and Khuzestan provinces, Iran. Semi-structured interviews were conducted and analyzed following Graneheim and Lundman's (2004) content analysis guide. Results: Five main themes and 16 subthemes emerged. These 5 main themes include social participation, mental health, a healthy lifestyle, maintenance of functional ability, and adequacy of economic status. Conclusions: Based on the results, healthy aging is a multidimensional concept. It is recommended that health policy-makers and providers of elderly healthcare services take these factors into account when planning and delivering services aimed at promoting the health of older adults.

Lemon extract reduces the hepatic oxidative stress and persulfidation levels by upregulating the Nrf2 and Trx1 expression in old rats.

Citrus flavanones are recognized as promising bioactives within the concept of healthy aging. Thus, the present study investigated the effects of a nutritionally relevant dose of lemon extract (LE) on liver redox regulation and persulfidation levels in 24-month-old Wistar rats. LE (40 mg/kg b.m.) was administered orally once daily for 4 weeks. Control groups received either vehicle (sunflower oil) or remained intact. The applied methodology considered qPCR, Western blot, protein persulfidation levels evaluation, histochemistry in line with immunofluorescence, liver biochemical assays (glutathione, total -SH groups and malonaldehyde; MDA), liver enzymes in serum and in silico analysis to explore the potential interaction/binding between the proteins studied in the paper. Our results showed that LE increased glutathione peroxidase (GPx), reductase (GR), glutamate-cysteine ligase catalytic and modifier subunit, respectively, as well as Nrf2 gene expressions, but decreased the expression of superoxide dismutase 2 (SOD2). Upon LE application, protein expression showed upregulation of NRF2, SOD2, GPx, GR, and thioredoxin 1 (Trx1). LE significantly decreased the protein persulfidation levels and concentration of MDA, a marker of oxidative damage in the cell. Histological analysis showed a normal liver histoarchitecture without pathological changes, aligning with the normal serum level of hepatic enzymes. Obtained results showed that LE, by modulating hepatic redox regulators Nrf2 and Trx1, diminishes oxidative stress and alters the persulfidation levels, suggesting a considerable beneficial antioxidant potential of lemon flavanones in the old-aged liver.

Social and Cultural Insights into Healthy Aging: A Qualitative Study from the South Indian City of Bengaluru, India.

Qualitative methods through lived experience narratives provide relevant sociocultural insights into healthy aging. The aim of this qualitative study was to explore social and cultural perceptions of healthy aging from older adults (OAs), their next of kin, and those involved in providing services to OAs in Bengaluru, India. We conducted in-depth interviews with 28 participants, all purposefully selected based on specific inclusion criteria, to get as varied a sample as possible. A pilot-tested, open-ended topic guide was used for every interview which was audio recorded with the permission of the respondent. Verbatim data were transcribed, reviewed for errors, and coded using NVivo 12 software and the framework analysis method of combining deductive and inductive codes. In total, 794 codes covering concepts of healthy aging, enablers and threats to healthy aging, and perspectives for the future were categorized into four themes supporting healthy aging, namely emotional well-being and a sense of purpose, family and social support, financial security, and health-care access. Each of these had a bearing on the OA's physical and mental health. Across socioeconomic groups, a sense of purpose at the level of the self, family, and society emerged as a key emotional sustainer. Social and economic deprivations were key threats to healthy aging and hence required social security and governmental interventions. Sociocultural economic factors are key to healthy physical and mental aging in the context of India. The same factor could be an enabler and in its absence a threat.

The WHO Decade of Healthy Ageing 2020–2030: a policy conception review in the gerontology context

This article is a review of the key international documents within the conceptual framework of the “Decade of Healthy Aging 2020–2030” by the World Health Organization (WHO). The aim was to identify potential areas of research in gerontosocial policy in Russia. The methodology employed in this study involved a comprehensive examination of the WHO’s strategic directions for the “Decade of Healthy Aging 2020–2030,” as well as relevant global documents from both the WHO and the United Nations. Additionally, federal sources on population aging policy implemented in the past five years were also considered. In total, 16 texts containing the term “Healthy Aging (Longevity)” in their title or full text, along with 2 texts specifically focused on “Healthy Aging (Longevity) policy,” were sourced from the electronic scientific database eLIBRARY.RU.&#x0D; The evolution of conceptual approaches to population aging policy within the global community is examined in the context of the World Health Organization (WHO) and the United Nations (UN) global documents. This analysis encompasses changing attitudes, opinions, and behaviors towards age and aging, as well as empower older individuals in local communities. Additionally, we explored the importance of personalized comprehensive and primary healthcare that caters to the specific needs of older people, as well as ensuring their access to long-term care. Furthermore, this study identifies the points of contact and synergy between scientific activities focused on the Decade of Aging, UN goals, and other gerontological policy documents. By doing so, we attempted to establish a comprehensive understanding of the conceptual and practical approaches to Healthy Aging policy within both Russian and international research communities.&#x0D; The WHO concept of Healthy Aging has highlighted the need for a paradigm shift in the way we approach the medical and social services provided to the elderly. This shift calls for a personalized and coordinated care model, as well as a greater emphasis on the development of long-term care solutions. Research has consistently shown that the integration of medical, psychological, social, environmental, and economic support, is important in establishing a solid foundation for comprehensive information exchange. This integration is essential in ensuring the provision of effective services that can effectively support the elderly throughout their Healthy Aging process.

Exploring the association of lifestyle behaviors and healthy ageing among the older adults in India: evidence from LASI survey

BackgroundUnderstanding health and developing trends among the older population is essential for countries to tackle the challenges of an ageing population and formulate relevant policies. Facilitating healthy ageing is an essential strategy to address the issues arising among the aged. The concept of healthy ageing is defined as “the process of developing and maintaining the functional ability that enables wellbeing in old age (WHO),“ where “functional ability comprises the health-related attributes that enable people to be and to do what they have reason to value.“ People have different ageing pathways depending on their genetic profile and different life course health risk exposures. Therefore, ageing, more specifically healthy ageing, largely depends on individual lifestyle choices. This study examines the association between lifestyle behaviours and healthy ageing among older adults in India.MethodsBased on the first round of LASI in 2017-18, we conceptualized healthy ageing within the WHO functional ability framework. We developed a Healthy Ageing Index (HAI), which incorporates physiological health, functional health, cognitive functions, psychological well-being, and social engagement. We used principal component analysis to generate a composite score for HAI. We then used multiple linear regression to demonstrate the association between lifestyle behaviours and HAI.ResultThe mean HAI was 82.8%, indicating that the study population is healthier. The study findings show that smoking and drinking are more prevalent among males, rural residents, illiterate individuals, those currently employed, and those belonging to the poorest wealth quintile. Engaging in physical activity is associated with better health outcomes (β = 2.36; 95% CI: 2.16–2.56).ConclusionThis study emphasizes the importance of adopting a healthier lifestyle to achieve healthy ageing. Health behaviours are modifiable, so our results highlight the need for policy interventions to promote a healthier lifestyle from an early age.

The relationships between wisdom, positive orientation and health-related behavior in older adults

The concept of healthy ageing, i.e. maintaining health in late life, is closely connected with the role of health behavior. Although health behavior is determined by personal factors, little is known about its relationships with wisdom and positive orientation. Therefore, the aim of the study was to establish relationships between sociodemographic and health factors, personal resources (wisdom and positive orientation) and health-related behavior in late life. The study included 353 Polish seniors aged 60–99 (M = 71.95; SD = 1.45). The respondents completed the Health-Related Questionnaire for Seniors, Three Dimensional Wisdom Scale, Positive Orientation Scale and a sociodemographic survey. Wisdom and positive orientation were associated with general health behavior and all of its factors. Among the sociodemographic variables, attendance in nonformal education courses had the strongest predictive role for health behavior. A hierarchical regression model demonstrated that personal resources significantly determined healthy lifestyle, after controlling for sociodemographic factors. Additionally, mediational analyses revealed that positive orientation acted as a partial mediator between wisdom and health behavior. Our findings extend knowledge about the factors enhancing healthy lifestyle in older adults, indicating that both wisdom and positive orientation may represent valuable personal resources for health-related behavior.

Медико-социальные проблемы гериатрических пациентов.

Introduction. Currently, the demographic situation is characterized by a serious increase in the aging of the population. Life expectancy is an important indicator that determines the level of public health and socio-economic development of the country, which depends on a number of biological and social factors. Geriatric patients are a category of people in need of medical and social assistance. Much has been done in the Russian Federation to improve the quality of life of older people in order to increase life expectancy. Active longevity is an important aspect of the health and social services system. The aim is to study the medical and social problems of geriatric patients in the historical aspect. Materials and methods. The analysis of Russian-language and English-language literature of domestic and foreign authors was carried out in order to verify the medical and social problems of the elderly and determine methods for helping this category of patients. PRISMA data was used to compile the review. Results. Based on the analysis of scientific literature materials, 3 categories of problems in geriatric patients were identified: decreased mental and physical abilities; geriatric syndromes; support for caregivers. Based on these categories, the following subcategories were identified: Decreased mental and physical abilities (loss of mobility; malnutrition; visual impairment; hearing impairment; cognitive impairment; symptoms of depression); geriatric syndromes: (urinary incontinence; risk of falls); support for caregivers. Discussions. The main goal of public health according to the WHO concept of healthy aging is to maintain functioning throughout the life cycle. Taking measures at an early stage plays a crucial role, since the process of senile decrepitude or dependence on outside help can be delayed, slowed down or even partially reversed if appropriate measures are taken at an early stage of reduced functionality. Conclusions. Geriatric patients are a serious medical and social problem that should be solved by: medical workers, government officials, psychologists, social services, volunteers, scientists, relatives of patients.

Healthy aging of frail older adults in the community: A hybrid concept analysis

Purpose: Although a stream of ‘healthy aging’ has been created, there is no consensus on defining healthy aging perceived by frail older adults. This study was conducted to investigate the concept of healthy aging perceived by frail older adults. Methods: The hybrid model consisted of three phases. In the theoretical phase, defining characteristics of healthy aging among frail older adults were identified through a literature review. A total of 1,166 articles were screened, and 32 relative articles were included. During the field phase, in-depth interviews were conducted with nine frail older adults who met the frailty criteria, and the data were analyzed through content analysis. In the final phase, based on the analysis of the literature review and qualitative interviews, a final definition of healthy aging in frail older adults was extracted. Results: The concept of healthy aging perceived by frail older adults was found in cognitive, behavioral, psychological, social and independent domains. For the frail older adults, healthy aging refers to the ability to maintain one’s own health through self-management, accept aging and natural death with a positive outlook, and be independent without relying on others. Conclusion: In frail older adults, healthy aging consists of a number of multidimensional domains and 10 attributes, including maintaining health, accepting the process of aging, being positive, and being independent. Using this final definition, health promotion strategies could be developed to achieve the optimal goal. To provide effective interventions to frail older adults, further research is needed to develop a reliable and valid assessment scale.

SCOPUS-BASED BIBLIOMETRIC ANALYSIS OF PUBLICATION ACTIVITY IN THE FIELD OF HEALTHY AGING IN 2013-2022

Introduction: Life expectancy is getting longer, and the proportion of the elderly population is increasing. Therefore, the concept of healthy aging gains importance and attracts attention in the scientific community. This article presented a ten-year bibliometric analysis of articles on healthy aging in the Scopus database.&#x0D; Methods: The Scopus database was used for the bibliometric analysis. The publication list was created using the keywords «aging well» and «healthy aging.» The number of articles, active countries-journals, frequent keywords, prolific authors, and funding sources were defined.&#x0D; Results: An upward trend was observed in the number of articles related to healthy aging between 2013 and 2022. The five leading countries in publication activity were the United States, China, the United Kingdom, Germany, and Canada, respectively. The most prolific authors were Ferrucci, L., Franceschi, C., Evans, M.K., Bennett, D.A., and Deary, I.J. The five most active journals were Plos One, Scientific Reports, International Journal of Molecular Sciences, International Journal of Environmental Research and Public Health, and Frontiers in Aging Neuroscience.&#x0D; Conclusion: Bibliometric analysis is a valuable method for assessing global trends in producing scientific literature on particular topics. This study revealed an upward trend in articles on healthy aging over time, indicating an increasing interest and focus on this topic. As the elderly population grows, it is anticipated that interest in healthy aging will progressively increase. It will be advantageous for researchers interested in this field to establish collaborations with prominent authors and institutions. Thus, they will canalize their future investigation in the proper direction.

Constructing the concept of healthy ageing and examining its association with loneliness in older adults

BackgroundWorld Health Organization (WHO) has defined healthy ageing by highlighting five functional ability domains to (meet basic needs, make decisions, be mobile, build and maintain relationships, and contribute to society), which also emphasized the importance of addressing loneliness as priorities within United Nations Decade of Healthy Ageing initiative. However, the level and determinants of healthy ageing and its association with loneliness are rarely examined. This study aimed to construct a healthy ageing index to verify the WHO healthy ageing framework, measure five domains of functional ability of older adults and examine the relationship between functional ability domains and loneliness.MethodsA total of 10,746 older adults from the 2018 China Health and Retirement Longitudinal Study (CHARLS) were included. A healthy ageing index ranging from 0 to 17 was constructed using 17 components related to functional ability domains. Univariate and multivariate logistic regression analyses were utilized to determine the association between loneliness and healthy ageing. The STROBE guidelines with the RECORD statement for observational studies using routinely collected health data were observed.ResultsThe factor analysis verified the five functional ability domains for healthy ageing. After adjusting for confounders, being mobile, building and maintaining relationships, and learning, growing and making decisions were significantly associated with lesser loneliness among participants.ConclusionsThe healthy ageing index of this study can be utilized and further modified with respect to large-scale research with relevant healthy ageing topics. Our findings will support healthcare professionals to provide patient-centered care when identifying their comprehensive abilities and needs.

Ethical challenges in caring for healthy older adults: Qualitative perspectives.

Healthy aging is one of the essential aspects of a health promotion program in the elderly. Exploring ethical challenges in healthy elderly care from the perspective of nurses, older adults, and families in the Iranian context. This qualitative study was conducted using a content analysis approach in 4 health centers in northeastern Iran from 2017 to 2019. Semi-structured interviews, observation, review of elderly files, and focus groups were used to collect data. The ethics committee of the university approved this study in Iran. This study adhered to the principles of the Helsinki Declaration. Ethical principles autonomy, confidentiality, and anonymity were considered for the participants. Participants were informed about the purpose of the study and submitted written informed consent regarding their participation. The central theme was: An unfair approach to caring for healthy older adults. The three categories were as follows: Forgotten human care, disrespect, and lack of a meaningful and trustworthy relationship. The 14 subcategories highlighted the ethical challenges of healthy aging care in health centers. The findings showed that due to nurses' unfamiliarity with the concept of healthy aging, older adults are discriminated against in care centers. Creating a standard care program for healthy older adults ensures that ethical principles are followed for these clients. Various individual and organizational factors lead to an unfair approach to caring for healthy elderly in health centers. The following factors can help improve the care of healthy aging and reduce ethical challenges in this area: Introducing nurses to the concept of healthy old age and its dimensions, creating a community-based approach in health centers, prioritizing health issues over health issues, Involvement of families and older adults in needs assessment-goal setting-implementation and evaluation of health services, and design of home visit programs to provide services to healthy elderly.

Public perception on 'healthy ageing' in the past decade: An unsupervised machine learning of 63,809 Twitter posts

The World Health Organization (WHO) started the initiative on healthy ageing from 2016 to 2020, which has now continued into the United Nations (UN) Decade of Healthy Ageing 2021–2030. Research into healthy ageing and healthy ageing communities have emphasized that the concept of healthy ageing encompasses a plurality of views and has multiple dimensions. Anchored in a transdisciplinary approach, the present report thus aimed to investigate public perceptions of healthy ageing via a deep analysis of social media posts on Twitter. Original tweets, containing the terms “Healthy Ageing” OR “healthy aging” OR “healthyageing” OR “healthyaging”, and posted in English between 1 January 2012 and 30 June 2022 were extracted. Bidirectional Encoder Representations from Transformers (BERT) Named Entity Recognition was applied to select for individual users. Topic modelling, specifically BERTopic was used to generate interpretable topics and descriptions pertaining to the concept of healthy ageing. Subsequently, manual thematic analysis was performed by the study investigators, with independent reviews of the topic labels and themes. A total of 63,809 unique tweets were analyzed and clustered semantically into 16 topics. The public perception of healthy ageing could be broadly grouped into three themes: (1) healthy diet and lifestyle, (2) maintaining normal bodily functions and (3) preventive care. While most perceptions dovetail WHO's definition, there are some points regarding skin appearances, beauty and aging that should be closely considered in the design of initiatives in the UN Decade of Healthy Ageing and beyond.

Resource Utilization for Healthy Aging in Kerala: A Mixed Methods Approach

Abstract Background: An aging population is the most important medical as well as sociodemographic problem globally and countries have tried to address this problem by implementing various resources for healthy aging of society in general and an individual in particular in the form of various schemes and programs for the welfare of older persons. These resources are intended to provide a better quality of life for older persons. Objectives: The present study tried to comprehensively investigate the utilization of these resources by older people as well as the awareness about the availability of these resources and reasons toward poor utilization of such resources in Kerala. Materials and Methods: For this, a mixed method approach was employed involving a cross-sectional survey and qualitative inquiry, targeting 240 randomly selected participants across the state from randomly picked three different districts. Results: The key findings from the quantitative analysis were: Limited knowledge regarding the concept of Healthy Aging among respondents, moderate awareness of specific healthy aging resources, moderate utilization levels of resources, and a noteworthy 66.7% of participants expressing reluctance towards adopting suggested supportive resources for healthy aging. A significant association between socioeconomic status, residence, and awareness scores and a weak correlation between awareness and utilization scores were found out from the study. In the qualitative exploration, three principal themes emerged: Accessibility constraints, utilization patterns, and formulating an operational framework. Conclusion: This study underscores the need for tailored public awareness campaigns to foster resource utilization. The study challenges the practice of exclusively associating eligibility for resource access with socioeconomic class and disabilities. Ultimately, fostering healthy aging necessitates the active engagement and commitment of all stakeholders.

Analysis of the factors influencing chronic diseases in middle-aged and elderly men: a cross-sectional survey in China

The prevalence of chronic diseases has increased in recent years among middle-aged and elderly men in China. This study focuses on the current prevalence and factors influencing chronic diseases among middle-aged and elderly men in the context of population ageing. The aim is to provide a reference for the development of preventive and control measures for chronic diseases and to improve the health of middle-aged and elderly men in China. Data was obtained from the 2018 China Health and Retirement Longitudinal Study (CHARLS), and the middle-aged and older population of men (aged 45 and above) were considered for analysis. The factors affecting the prevalence of chronic diseases were analysed using a binary logistic regression model, with the presence or absence of chronic diseases as the dependent variable and personal characteristics and lifestyle as the independent variables. The results of descriptive statistics showed that the prevalence of chronic diseases among middle-aged and elderly men in China was 42.6%, the top five diseases being hypertension (14.7%), arthritis and rheumatism (12.8%), stomach diseases (9.9%), dyslipidaemia (9.7%) and heart disease (6.6%). The results of the multivariate logistic regression analysis showed that ages between 60 and 70 years (OR (odds Ratio) = 0.565, 95% CI (confidence interval) = 0.398–0.802), living in a combination of urban and rural areas (OR = 1.276, 95%CI = 1.086–1.498), smoking (OR = 0.458, 95% CI = 0.357–0.587), sleeping for 6–7 h (OR = 1.255, 95% CI = 0.994–1.585), self-rated good health (OR = 1.846, 95%CI = 1.549–2.200) and self-rated very good health (OR = 1.758, 95% CI = 1.454–2.126) were factors that influenced the prevalence of chronic diseases among Chinese middle-aged and elderly men. The Chinese government should formulate NCD (Non-communicable diseases) prevention and control measures suitable for the middle-aged and elderly population of men according to different regions and groups. These measures can help improve the health levels of the middle-aged and elderly population and comprehensively promote the concept of healthy ageing.

The concept of healthy aging at work

Based on a thematic review of research by foreign and domestic authors, the analysis of current trends in the aging of the population and labor force as a global demographic problem is carried out. The stages of formation of ideas about healthy aging in the world and Russia are presented. The risks of the development of premature aging and the prospects of prolonging the longevity of workers in modern conditions are considered.

Basic concept of healthy aging

Rapid population aging is a characteristic of 21st century, regardless of a nation’s level of development. An ageing global population results burden in medical and social demographic problem worldwide. Addressing this problem is the highest priority for the care of the ageing population worldwide. Healthy ageing is an individual lived experience that is influenced by healthy behaviours over the course of a lifetime. This includes a person’s ability to: meet their basic needs; learn, grow and make decisions; be mobile; build and maintain relationships; and contribute to society. For the promotion of healthy aging, healthy life style is important. A healthy lifestyle for older adults includes: healthy eating, regular physical activity, staying at a healthy weight, improving mental health, social participation, regular health checkups and health screening, no smoking and taking steps to prevent falls.

Promoting the Integration of Elderly Healthcare and Elderly Nursing: Evidence from the Chinese Government.

The increase of the aging population in China and the rise of the concept of healthy aging have accelerated the transformation and upgrading of the traditional elderly nursing pattern. Nevertheless, there is a critical limitation existing in the current situation of China's elderly care, i.e., the medical institutions do not support elderly nursing and the elderly nursing institutions do not facilitate access to medical care. To eliminate the adverse impact of this issue, twelve ministries and commissions of the Chinese government have jointly issued a document, i.e., the Several Opinions on Further Promoting the Development of Combining the Healthcare with the Elderly care (SOFPDCHE), to provide guidance from the government level for further promoting the integration of elderly healthcare and elderly nursing. Under this background, this paper constructs a healthcare-nursing information collaboration network (HnICN) based on the SOFPDCHE, proposing three novel strategies to explore the different roles and collaboration relationships of relevant government departments and public organizations in this integration process, i.e., the node identification strategy (NIS), the local adjacency subgroup strategy (LASS), and the information collaboration effect measurement strategy (ICEMS). Furthermore, this paper retrieves 484 valid policy documents related to "the integration of elderly healthcare and elderly nursing" as data samples on the official websites of 12 sponsored ministries and commissions, and finally confirms 22 government departments and public organizations as the network nodes based on these obtained documents, such as the National Health Commission of the People's Republic of China (NHC), the Ministry of Industry and Information Technology of the People's Republic of China (MIIT), and the National Working Commission on Aging (NWCA). In terms of the collaboration effect, the results of all node-pairs in the HnICN are significantly different, where the collaboration effect between the NHC and MIIT is best and that between the NATCM and MIIT is second best, which are 84.572% and 20.275%, respectively. This study provides the quantifiable results of the information collaboration degree between different government agencies and forms the optimization scheme for the current collaboration status based on these results, which play a positive role in integrating elderly healthcare and elderly nursing and eventually achieving healthy aging.