Well-being In Old Age Research Articles

Non-exercise-based interventions to support healthy ageing in older adults: A systematic review and meta-analysis of randomised controlled trials.

Healthy ageing is a multidimensional construct, where various factors play a role in influencing wellbeing in older age. Many studies heavily emphasise the importance of physical activity, negating other aspects such as psychosocial or cognitive influences. This review aimed to evaluate the effectiveness of non-exercise-based interventions on the quality of life (QoL) and life satisfaction of community-dwelling, healthy older adults. A systematic review and meta-analysis of randomised controlled trials was conducted. Four electronic databases were searched from inception. Three independent reviewers screened the articles and appraised the risk of bias. Data relating to study characteristics, intervention and outcomes were extracted. The mean difference and standardised mean difference with 95% confidence intervals were synthesised to pool effect sizes. Outcomes that could not be included in the meta-analysis were synthesised narratively. Thirty-six articles from 35 randomised controlled trials, involving 6,127 older adults, were included. Most were multi-component interventions and involved supporting lifelong learning. Most participants were females (70.2%). Pooled analyses revealed small but statistically significant effects on overall QoL (SMD=0.26, CI: 0.00 to 0.53), and QoL subscales relating to mental health and psychological wellbeing (SMD=0.26, CI: 0.12-0.41) and environment (SMD=0.31, CI: 0.03-0.58). Effects on social health and functioning, and role functioning related to physical health were marginal. There were no improvements in other subscales. Results revealed non statistically significant improvements in life satisfaction. Multicomponent non-exercise-based interventions that support lifelong learning in older adults can support healthy ageing, particularly in improving overall QoL, and mental health, social health and environment QoL subscales.

Трансформация систем здравоохранения и социального обеспечения в условиях старения населения: проект «Школа здоровья» в экосистеме «Московское долголетие»

All countries face the difficult task of preparing their health and social care systems to work as effectively as possible in the context of the demographic shift associated with population ageing. This paper presents a thematic review of scientific literature sources and an analysis of data provided by the State Budgetary Institution «Directorate for Coordination of Activities of Medical Organizations of the City of Moscow» of the Moscow Department of Health. Long-term comprehensive care for the ageing population of Moscow involves bringing the health care system in line with the needs of older people and creating a social environment and communities favorable for older people. The implementation of the initiative aimed at creating an environment favorable for older people within the framework of the «School of Health» project is a socially significant strategy in line with the state policy of promoting longer and healthier lives of people, maintaining a high quality of life and well-being in old age.

Association between physical activity and costs in very mild to moderately frail community-dwelling older adults: a cross-sectional study.

Physical activity (PA) plays a vital role in maintaining the functional ability that enables well-being in older age (healthy aging), potentially also saving costs for the healthcare system and society. The aim of this study was to examine the association between PA and healthcare and societal costs in a sample of very mild to moderately frail older adults. This cross-sectional study is a secondary analysis using baseline data from the PromeTheus randomized-controlled trial, which included 385 very mild to moderately frail community-dwelling older adults (70 + years) from Germany. Participants self-reported their health-related resource use in the previous 6 months (FIMA questionnaire), which was monetarily valued using standardized unit costs. PA was also self-reported using the German Physical Activity Questionnaire for middle-aged and older adults (German-PAQ-50+) and categorized as 'insufficient'/'sufficient' or 'insufficient'/'moderate'/'high' in accordance with the World Health Organization guidelines for PA. Mean and median healthcare costs (including outpatient, inpatient, rehabilitation, formal care, and medication costs) and societal costs (healthcare costs plus informal care costs) for different PA groups were estimated using generalized linear models and quantile regression, with sociodemographic variables and physical capacity (Short Physical Performance Battery) as covariates. Of the sample, 24% were classified as insufficiently, 23% as moderately, and 54% as highly active. Sufficient PA, especially high PA, was associated with lower costs in the 6 months prior to data collection compared to insufficient PA (-€6,237, 95% CI [-10,656; -1,817] and -€8,333, 95% CI [-12,183; -4,483], respectively). The cost difference between PA intensity groups was largely driven by differences in informal care costs and decreased substantially when physical capacity was accounted for in the analyses; e.g., the mean difference in societal costs between sufficient and insufficient PA decreased from -€7,615 (95% CI [-11,404; -3,825]) to -€4,532 (95% CI [-7,930; -1,133]). Promoting PA throughout the lifespan as a means of promoting healthy aging and reducing dependency in old age could potentially provide economic benefits and help to mitigate the economic consequences of an aging population with increasing health and long-term care needs. Future longitudinal studies should attempt to disentangle the mediating and confounding role of physical capacity and health status in the association between PA and costs.

Design and development of a gamified cognitive training program targeting executive functions for older adults

With increased population aging, cognitive training has emerged as a popular intervention for combating age-related cognitive decline. Considering the purpose of cognitive interventions, the development of cognitive training programs typically focuses on properties that may enhance cognition, often neglecting the key element of user engagement. Consequently, many cognitive training studies have reported poor adherence and high participant attrition. To increase the likelihood of long-term cognitive benefits, there must be sustained use of the intervention (i.e., good training program adherence). Utilizing a research-through-design approach, this paper presents the design and development of a cognitive training program for older adults. Specifically, the primary focus was on outlining a conceptual framework for developing this program, which draws from gamification principles to foster motivation and enjoyment, as well as cognitive plasticity and transfer principles to foster cognitive engagement. Overall, the program encompasses gamified, adaptive, multidomain training of core executive functions (working memory, inhibitory control, and cognitive flexibility). This program will be the basis for future works exploring older adults’ experiences and preferences of cognitive training, and evaluating the efficacy of multidomain executive functions training in enhancing cognition and well-being in older age.

Subjective Well-Being of Parents and Childless People in Older Age in Germany

AbstractThe growing number of older childless individuals in Western societies has raised concerns about their subjective well-being. In this study, we scrutinize the subjective well-being of parents and childless individuals aged 60 years and older. We examine subjective well-being as a multi-dimensional construct encompassing life satisfaction, positive affect, and negative affect. Based on the value-of-children approach, we hypothesize that childless individuals experience lower subjective well-being than parents and that the disparity in well-being differs with age, gender, and the quality of the parent-child relationship. For our analysis, we use data from a nationally representative sample of adults aged 60 years and older (n = 10,682) drawn from the German Ageing Survey. Our findings from random effects regression models show that childless individuals report lower life satisfaction, less positive affect, and more negative affect than parents. These associations are larger for men than for women but do not vary significantly across age groups. Furthermore, our results suggest that the benefits of parenthood strongly depend on the quality of the parent-child relationship. Childless people report lower subjective well-being than parents with a close emotional bond with their children, but similar or even higher subjective well-being than parents with an emotionally distant parent-child relationship. In sum, our study indicates that childless people experience, on average, lower well-being across all three dimensions of subjective well-being in older age. However, under specific circumstances, childless individuals may fare better than parents.

Predictors of Attitudes toward Aging in Middle-Aged Individuals: A Cross-Sectional Study

Objective: Attitudes toward aging (ATA) are among the most important determinants of well-being in old age. However, little research has examined factors contributing to their formation in middle-aged individuals. This study aimed to investigate predictors of attitudes toward aging among Iranian middle-aged individuals in 2022. Method: This study recruited 330 people with a mean age of 56.5 ± 5.6 using multistage cluster sampling. Data were collected using a three-part questionnaire, including demographic factors, an attitude toward aging questionnaire (AAQ), and a multidimensional scale of perceived social support (MSPSS). The obtained data were analyzed using SPSS (v.22) statistical software to conduct t-tests, ANOVA, Pearson correlation, and linear regression. Results: According to bivariate analysis, perceived social support (PSS), age, level of education, and perceived income adequacy (PIA) had a significant relation with the total ATA score (P < 0.05). According to regression analysis, family support (β = 0.288, P < 0.001), friend support (β = 0.188, P < 0.001), significant others support (β = 0.130, P = 0.04), age (β = 0.118, P = 0.002), and PIA (β = 0.290, P < 0.001) were the predictor factors of ATA and explained 41% of the variance. PSS and PIA were the predictors of all dimensions of ATA. Conclusion: The results highlight the role of potentially modifiable factors, such as PSS, PIA, and level of education, in shaping ATA. This requires interventions and policies that effectively promote social and financial support in middle-aged individuals.

Pensions and the Capture of Social Reproduction

Pensions are the conceptual basis of social welfare. Through contributions from the entire labour force towards the end of each individual’s labour life, the pension system has an underlying effect that binds together the means of social reproduction. Banking on our need for security in future old age, pension funds have captured and supported financialisation of multiple areas for social reproduction. Despite their scale, pensions are failing to secure wellbeing in old age, and elderly poverty has become a political issue exploited by right wing populism in Germany. Looking at the notion of saving for old age as essentially misguided, I argue that a contractual framework of welfare will be fundamentally challenged by the ageing population. Examining the current failings of the PAYGO system, I consider how public provision of care and a capabilities based pension discourse can have much to contribute to economic organisation, the re-design of the pension system and to securing the means of social reproduction.

Well-being in middle-aged and older adults who volunteer: a qualitative network analysis

Objective Social participation is essential for the health of older adults. Formal volunteering can reduce loneliness and is associated with numerous positive health outcomes. Older adults have limited resources to meet their social and well-being needs. We explore factors contributing to the well-being of middle-aged and older adults who engage in formal volunteering using a qualitative social network approach. Methods Between 2022 and 2023, qualitative semi-structured interviews were conducted with 28 members of social clubs in Germany, aged 45–80 (mean age 62 years). Thirteen participants were retired. Eight interviewees were female and twenty were male. Participants created unstructured egocentric network maps of individuals or organisations important to their well-being. Participants reflected on their social networks using these maps, which allowed for deeper insights into changing network dynamics. The data were analysed using thematic analysis. Results We developed six themes: intrapersonal, interpersonal and social network characteristics affecting well-being, self-fulfilment, feeling indispensable and unfulfilled expectations. Formal social participation, particularly through volunteering, contributed significantly to the well-being. Conclusion Formal volunteering can aid successful role substitution and compensation, especially after retirement. This may prevent loneliness and increase well-being in older age.

Relationship Between Nostalgia Proneness, Generativity, and Ego Integrity.

This study examined the effect of nostalgia proneness on the level of achievement of developmental tasks during the later stages of adulthood (generativity and ego integrity) and the indirect effect of nostalgia on ego integrity. The level of nostalgia proneness changes with age and contributes to subjective well-being in old age. We assumed that nostalgia proneness affects generativity and ego integrity. To confirm the causal relationship between nostalgia proneness and achievement of developmental tasks, a longitudinal study was conducted. We conducted an Internet survey twice with 600 Japanese adults (aged 20-87). The first and second surveys (T1 and T2) were conducted in March 2021 and March 2022, respectively. The questionnaire comprised the Inventory of Psychosocial Balance scale, positive/negative nostalgia proneness scale, and state functions of the nostalgia scale. An autoregressive path model indicated that high and low levels of positive and negative proneness, respectively, predicted ego integrity. The results of the mediation analysis suggested that social connections have an indirect effect on ego integrity and that people who tend to feel positive emotions are less likely to feel negative emotions when they remember nostalgic memories, which leads to a sense of social connection and the acquisition of ego integrity. The findings provide an understanding of the processes through which developmental tasks are facilitated in later adulthood and elucidate the efficacy of psychosocial interventions in older adults.

Later Life Food Insecurity and Social Isolation in Ghana: The Importance of Psychological Factors.

Social isolation (SI) and food insecurity (FI) are important social determinants of health that can negatively impact well-being in old age. While research on the association between FI and SI is limited in LMICs, the mediators of this association are largely unknown. This cross-sectional study examined whether FI is associated with SI among older adults in Ghana and whether psychological factors (i.e., depression, anxiety, and sleep problems) mediated the association. Our study consisted of adults aged ≥50years in the Aging, Health, Well-being, and Health-seeking Behavior Study. SI was assessed with the Berkman-Syme Social Network Index, while FI was assessed with dietary inadequacy-related items. We used an ordinary least squares regression(OLS), logistic regressions, and bootstrapping modeling approach to examine our hypotheses with p<0.05. The analysis included 1201 individuals (Mage=66 [SD=12], women=63%). In the full sample (β=0.21; p<0.001) and in women (β=0.30, p<0.001) but not in men, FI was independently associated with SI. FI was comparably associated with increases in SI for the 50-64 age group (β=0.21, p<0.001) and ≥65 age cohort (β=0.19, p<0.01). Moreover, FI showed differential associations with specific domains of SI (OR=1.81 to 1.45, p<0.001). Finally, the FI-SI association was mediated by depressive symptoms (65.16%), anxiety symptoms (30.16%), and sleep problems (9.50%). Our data highlight the fundamental role of FI in SI among older adults, and the effect is explained by psychosocial factors. Interventions targeted toward strengthening interpersonal ties in old age should include addressing FI and older adults' psychosocial outcomes.

Meaning of home attenuates the relationship between functional limitations and active aging

Background and aimsActive aging is the process through which people strive to maintain wellbeing when growing old. Addressing the lack of research on active aging in the context of housing, the aim was to describe active aging among people aged 55 and older considering relocation and investigate whether perceived housing moderates the relationship between functional limitations and active aging.MethodsWe utilized cross-sectional data from a sub-sample (N = 820; mean age = 69.7; 54% women) of the Prospective RELOC-AGE. Functional limitations were reported using 10 dichotomous questions. Active aging was assessed with the University of Jyvaskyla Active Aging Scale (UJACAS; 17 items, self-rated for four perspectives). Perceived housing was self-rated with four usability questions and meaning of home (MOH; 28 items). Cross-sectional associations and interactions were analysed using linear regression models, adjusting for gender and educational level.ResultsEach functional limitation decreased the active aging score by almost five points (p < 0.001). Usability did not moderate that relationship while MOH significantly attenuated the association between functional limitations and active aging (p = 0.039). Those with high MOH had two points less decrease in active aging score compared to those with low MOH.Discussion and conclusionsHaving a home with more personal meaning attached to it seems to provide more ability and opportunity for meaningful activities, thus supporting active aging despite functional limitations. This sheds new light on the known association between MOH and different aspects of wellbeing in old age and has relevance for theory development, housing policies and housing counselling targeting younger older adults.

What are the components of healthy ageing?: Nurses' awareness of these components can help improve older people's well-being.

Healthy ageing is defined as 'the process of developing and maintaining the functional ability that enables well-being in older age' ( World Health Organization 2015 ). Key factors for healthy ageing are subdivided into intrinsic capacity such as motor, cognitive and sensory function, and extrinsic factors such as health and social care systems, and support from charities, volunteers and the private sector ( Ellis et al 2018 ).

Association of frailty with workplace social activity, physical activity, and well-being among older employees: a moderated mediation in two income-variant samples

BackgroundResearch suggests that frailty is associated with lower physical activity and well-being in old age, but social activities at work may facilitate physical activity and its positive effect on well-being among older employees with frailty. This study, therefore, ascertained whether there is a moderated mediation of the association of frailty, Workplace Social Activity (WSA), and well-being by Physical Activity (PA).MethodsThe study adopted a cross-sectional design with relevant sensitivity analyses for confounding. The participants were within two Ghanaian samples with different income levels (low-income, n = 897, and higher income, n = 530). The minimum samples were calculated, and the statistical models were tested with Haye’s Process Model through structural equation modelling.ResultsFrailty was negatively associated with PA, and this relationship was moderated by WSA in both samples. Higher frailty was directly and indirectly associated with lower well-being in the higher-income sample but only indirectly associated with lower well-being in the low-income sample. The mediation of PA in the frailty-well-being relationship is partial in the higher-income sample but complete in the low-income sample. There was evidence of moderated mediation in both samples.ConclusionWSA may reduce the strength of the negative association of frailty with PA and well-being among older employees in both samples. Workplace interventions aimed at enhancing WSA may encourage PA and enhance well-being among older employees with frailty.

Does losing family members in midlife matter for late-life mental and cognitive health? A longitudinal study of older Swedes spanning 30 years

Objectives Mental and cognitive health is crucial to ensure well-being in older age. However, prolonged periods of stress, grief, and bereavement might compromise mental health balance, leading to profound changes. This study investigated the sex-stratified associations between midlife bereavement experiences (e.g. sibling loss, spousal loss, and multiple losses) and late-life depression (LLD) and cognitive impairment. Method Linked data from the Swedish Level-of-Living Survey and the Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD) were used. Multiple logistic regressions were performed to examine the associations between midlife bereavement and LLD (n = 1078) and cognitive impairment (n = 995), separately. Results Sibling loss and multiple losses in midlife were associated with lower odds of LLD, especially among women. Among men, sibling loss in midlife was associated with lower odds of cognitive impairment, while the experience of two losses among women suggested an increased (but non-significant) risk of cognitive impairment. Interaction analyses did not show significant effects between bereavement and gender on LLD and cognitive impairment. Conclusion Midlife bereavement might have gendered implications on LLD and cognitive impairment, but associations need to be confirmed by well-powered studies. Further research is warranted to elucidate the association between multiple midlife losses and reduced LLD risk.

Routineness of Social Interactions Is Associated With Higher Affective Well-Being in Older Adults.

Some research conceptualizes routineness of daily life as an indicator of cognitive vulnerability that would lead to lower well-being in older age, whereas other research expects routineness to give rise to more meaning and stability in life and thus to higher well-being. Further research is needed to understand routineness in older adults in relation to cognitive abilities and well-being. This study examined routineness of social interactions. We examined data from an event-contingent experience sampling study with 103 Swiss community-dwelling older adults (aged 65 to 84 years). Participants completed in-lab cognitive assessments (reasoning, episodic memory, speed, and vocabulary) and reported their well-being (positive affect, negative affect, and life satisfaction). For more than 21 days, participants reported the time and context of their social interactions (including modality, partner type, and location). Routineness of social interactions was defined as social interactions that occurred at the same time of day over the study period. It was calculated using recurrence quantification analysis. Linear regressions showed that higher routineness of social interaction in general, of social interaction through the same modality, and of social interaction with the same partner type were associated with higher positive affect. Higher routineness of social interaction in general was associated with lower negative affect. Routineness of social interactions was not associated with life satisfaction or cognitive abilities. A routine social life may increase older adults' affective well-being. Results are discussed in the context of activity engagement and time use in older age.

Activity Diversity and Well-Being in Daily Life: Evidence for Heterogeneity Between Older Adults.

Although higher activity diversity is associated with higher well-being at the between-person level, it is unknown whether a day with higher activity diversity is related to higher well-being within persons. Within 24hr per day, there are a limited number of activities on which individuals could spend their time and energy. Personal resources could influence the expenditure of energy and thus the experience with daily activities. This study examined daily associations between activity diversity and well-being and whether age and self-related health moderated the associations. For seven times per day over 2 weeks, 129 retired older adults (Mage = 73.9 years, SDage = 5.6) reported their present activity engagement and positive and negative affect. Daily activity diversity was operationalized as the number of different activity types reported per day. Daily positive and negative affect were assessed as the average of a range of high- and low-arousal affective states. Self-rated health was assessed with an item from the 12-Item Short-Form Health Survey at baseline. Multilevel models showed that daily activity diversity was unrelated, on average, to daily positive or negative affect at the between- and within-person levels. Daily activity diversity was associated with lower daily positive affect in participants with lower self-rated health, but the Johnson-Neyman regions of significance were outside of the range of observed data. Divergent patterns were observed in the within-person associations between activity diversity and well-being across participants. Results are discussed in the context of time use and well-being in older age.

Sexual attitudes and utilization of sexual and reproductive health services among older women in southern China: a qualitative study.

Sexual health plays a vital role in healthy aging. However, little is known about the sexual attitudes of and the utilization of sexual and reproductive health services by older women in China. This article is based on a qualitative study of older Chinese women in suburban areas to examine their attitudes toward sexuality and their utilization of sexual and reproductive health services. Face-to-face semi-structured interviews were conducted with older women (ages 50 to 74) from suburbs of southern China. Participants were purposively sampled on a convenience basis and recruited when they were visiting community health facilities between June and December 2021. Inclusion criteria were older women aged 50 years and older who had sexual experience. A topic guide was used that focused on sexual activity, sexual attitudes, the utilization of sexual and reproductive health services, and the factors that influence these. Interviews were audio recorded and transcribed verbatim. We coded the data inductively and conducted a thematic analysis. Twenty-six Chinese women participated in the study. These older women had varying attitudes regarding sexual activity and its significance for older adults. The gender norms they held concerning sexual desire deemed that men had higher sexual desire than women. Most asymptomatic women did not actively seek sexual and reproductive health services. In most cases, women only sought professional services when they started to have sexual and reproductive health problems. Factors influencing the uptake of sexual and reproductive health services by older women were cost (affordability), availability, distance (accessibility), and conservative cultural norms towards sexuality. The attitudes of older women towards sexual activity are diverse. While some view sexual activity as common and essential for maintaining a sense of well-being in older age, others may hold different perspectives, considering it less significant. The utilization of sexual and reproductive health services by older Chinese women, except for when they were having a specific health issue, was low. Sexual health messages and services tailored for older women are needed.

Biopsychosocial determinants of sexual health in older age: the role of health-related, relationship, and psychosexual factors.

Given the unprecedented aging of the population and the increased focus on overall well-being in older age, investigating the determining factors of sexual well-being in older adults becomes essential as it offers insights into promoting healthy aging and overall quality of life. By applying the biopsychosocial model of sexuality in older age, we aimed to identify the role of biomedical and psychosocial factors in predicting sexual well-being in partnered older adults (≥55years old). A total of 111 participants (mean[SD], 63.2 [5.96]) completed a self-report questionnaire assessing biopsychosocial dimensions. Bivariate correlational analyses and hierarchical multiple regression were conducted to investigate factors associated with sexual well-being. Health-related factors were entered into the first regression model. The second model included factors pertaining to relationship dimensions. Sexual beliefs were introduced in the third regression model. Self-rated health, psychological distress, subjective cognitive decline, sexual beliefs, duration of the relationship, relationship satisfaction, and sexual well-being were assessed. Findings from the hierarchical regression revealed that duration of relationship [t(104) = -3.07, P < .01], relationship satisfaction [t(104) = 8.49, P < .001], and age-related sexual beliefs [t(104) = -2.75, P < .01] were significant predictors of sexual well-being of partnered older adults [F(6, 104) = 22.77, P < .001, R2 = .57], after controlling for health-related factors. These findings suggest that relationship factors and sexual beliefs play a significant role in predicting sexual well-being of older adults, above and beyond health-related dimensions. Interventional approaches aimed at promoting sexual well-being in older age might benefit from incorporating exercises that demystify age-related sexual beliefs, by normalizing changes that occur with aging and fostering positive attitudes toward sexual expression in older age; particularly for older adults in long-term relationships, relationship satisfaction must also be considered as an important intervention target. Further investigation using longitudinal designs is required to examine the causal links between these factors and sexual well-being in older age. Findings from this study underscore the role of relationship dimensions and age-related sexual beliefs for the sexual well-being of partnered older adults.

What it means to be poor: dimensions of economic hardship among older people living in poverty across Europe

Abstract There is a lack of comparative and quantitative research on how poverty manifests itself in the economic wellbeing of older people across European countries. In this study, we focus in on two central dimensions of economic wellbeing: the ability to pay for usual expenses and unexpected expenses. Our aim is to find out how often older people living at risk of poverty experience hardship on these dimensions, how these dimensions overlap, and whether the incidence of hardship differs between the poor and the non-poor. The study is based on the cross-sectional component of the European Union Statistics on Income and Living Conditions (EU-SILC) 2018 survey, involving 29 countries and 148,432 respondents aged 65+ years. The analysis builds on both descriptive statistics and multinomial logistic regression, which takes into account differences in household characteristics between the poor and the non-poor. The results reveal that for the poor, meeting unexpected expenses is a more common problem than meeting usual expenses, although they typically experience hardship on both dimensions. Hardship among the poor is more frequent in Central Eastern and some Southern European countries, while poor people living in Continental and Nordic countries tend to fare better, even though relatively large numbers in these countries lack cash margin. The non-poor do also experience hardship, but to a lesser extent. The poor experience combined hardship relatively often in Continental European countries. Based on the results, we conclude that studies should pay closer attention to the different dimensions of economic wellbeing in old age.

Egyptian framework for an age-friendly built environment

In recent years, the Egyptian demographic has changed with an increasing number of older citizens who require special attention. The World Health Organization (WHO) identified 2020–2030 as the “Decade of Healthy Ageing” in response to the worldwide demographic changes. Many international organizations have identified the built environment features of age‐friendly communities, yet they have not been thoroughly analyzed in the Egyptian context. Today, urban designers and city planners have to establish age-friendly communities that can facilitate well-being in old age. The paper aims to provide “Egyptian framework for an age-friendly built environment E-FAB”, that can help architects, urban designers, and decision-makers evaluate Egyptian urban communities towards being age-friendly. The E-FAB is created and designed based on an analytical theoretical approach focused on active older people’s definitions, needs, their relation to the built and social environments, and previous practices of age-friendly cities and communities. In addition, a comparative analysis between previous studies in age-friendly communities. Then, the paper conducted semi-structured interviews targeting active older people, aiming to refine and rank the built environment features of the E-FAB by using SPSS. The findings revealed that the E-FAB is expected to be an initial simple evaluating framework that could contribute positively to improving Egyptian urban areas to be more friendly to older people and address their needs in the built environment.