Envejecimiento exitoso en nonagenarios y centenarios valencianosestudio de los centenarios en valencia

  1. Victoria Córdoba 1
  2. Sacramento Pinazo-Hernandis 1
  3. José Viña 2
  1. 1 Departamento de Psicología Social. Facultad de Psicología. Universitat de València
  2. 2 Departamento de Fisiología. Facultad de Medicina. Universitat de València
Journal:
Therapeía: estudios y propuestas en ciencias de la salud

ISSN: 1889-6111,  2660-4264

Year of publication: 2018

Issue: 10

Pages: 33-55

Type: Article

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More publications in: Therapeía: estudios y propuestas en ciencias de la salud

Abstract

People are increasingly facing up to old age in a positive way as a result of genetic factors, appropriate behaviours and lifestyles and a supportive social and family environment. Life expectancy and the number of people reaching their 90s and 100s with a successful old age in Spain are increasing. 12,880 centenarians currently live in Spain. In Valencia, there are 222 people over 100 and 1295 over 90. Method: Descriptive transversal study. Profile data of extreme longevity are presented, describing sociodemographic features, lifestyles, physical, functional and mental health and rates of social engagement. Sample: From an initial sample of 552 Valencian people, 68 were interviewed without cognitive decline (N = 68, M = 96, DT = 3.93): 44.1 % were centenarians (97-105); 69.1 % women; 83.8 % widowers; 48.5 % living at home; 33.8 % in a retirement home and 17.6 % with their children or other family. Their social network was extensive (88.2 % with children or grandchildren) and 77.9 % with long-lived family members. Results: Reported physical health was good for 74.5 %; 84.8 % had very good mental health; 54.5 % were independent in almost all activities of daily living (ADL); 87.2 % had no health problems in the last month and their physical health posed no difficulties; 63.8 % had very little/no pain in the last month. Their lifestyles were healthy with 33.3 % doing regular physical exercise and 89.4 % eating a Mediterranean diet. Half (56.1 %) were participating weekly in some activity, with most of them (76.6 %) reporting a high degree of satisfaction with their leisure activities. Conclusions: Successful ageing in people over 90 years is characterised by good physical and mental health, a good family and social supporting network, history of long-lived family members, healthy lifestyles and participation in diverse activities.

Bibliographic References

  • Abellán A, Ayala A, Pérez J, et al. Una panorámica de la población mayor. CSIC, 2018.
  • Instituto Nacional de Estadística. INE base Cifras de población y censos demográficos. Resultados nacionales. (Consultado 2 de febrero de 2018). Disponible en: <http://www.ine.es>.
  • Abellán A, Ayala A, Pujol, R. Un perfil de las personas mayores en España, 2017. Indicadores estadísticos básicos. Madrid. Informes envejecimiento en Red.
  • Calvert JR, James F, et al. Dementia-free survival among centenarians: an evidence-based review. J Geront Ser A: Biolog Sci and Med Sci. 2006; 61:951-956.
  • Córdoba V, Pinazo-Hernandis S. Una revisión de la investigación en centenarios: factores psicosociales en la extrema longevidad. Búsqueda. 2016; 64-80.
  • Rowe JW, Kahn RL. Successful aging: The MacArthur Foundation Study. New York: Pantheon; 1998.
  • Zamarrón MD, Fernández-Ballesteros R, Díaz J, et al. Estudio bio-psicosocial sobre personas de 90 años y más. Proyecto de investigación I+D+I IMSERSO, 2007. Disponible en: <http//:www.imserso.es/InterPresent2/ groups/imserso/.../idi35_06uam.pdf>.
  • Etxebarria I. Funcionamiento emocional en las personas muy mayores: variables descriptivas y predictoras. (Tesis doctoral). Universidad del País Vasco, Donostia, España, 2014.
  • http//:www.imserso.es/InterPresent2/groups/imserso/.../idi35_06uam.pdf
  • Rabuñal R. Estudio de la población centenaria del área sanitaria de Lugo: factores asociados a independencia funcional y supervivencia. (Tesis doctoral). Universidad de La Coruña, España, 2014.
  • Steptoe A, Dockray S, Wardle J. Positive affect and psychobiological processes relevant to health. J Pers. 2009; 1747-1776.
  • Grant N, Wardle J, Steptoe A. The relationship between life satisfaction and health behavior: a cross-cultural analysis of young adults. Inter J Behav Med. 2009; 259-268.
  • Willcox DC, et al. Caloric restriction and human longevity: what can we learn from the Okinawans? Biogeront. 2006; 173-177.
  • Bernstein AM, Willcox BJ, Tamaki H, et al. First autopsy study of an Okinawan centenarian: absence of many age-related diseases. J Geront S A: Biolog Sci and Med Sci. 2004; 59:1195-1199.
  • Lobo A, Ezquerra J, Burgada FG, et al. El Mini-Examen Cognoscitivo. Un test sencillo para detectar alteraciones intelectuales en pacientes médicos. Actas Luso-Esp Neur. 1979; 7:189-202.
  • Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975; 23:433-441.
  • Suzuki M, Willcox B, Willcox C. Okinawa Centenarian Study. Centro de Investigación en Ciencias de la Longevidad, Urasoe, Okinawa, Japón. 2013. Disponible en: <http://www.okicent.org>.
  • Ware JE, Kosinski M, Dewey JE, et al. How to score and interpret singleitem health status measures: a manual for users of the SF-8 health survey. Lincoln, RI: Quality Metric Incorporated. 2001; 15(10):5.
  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med care. 1992; 473-483.
  • Tuesca Molina R. La calidad de vida, su importancia y cómo medirla. R Cient Sal Unin. 2012; 21:1-12.
  • Vilagut G, Ferrer M, Rajmil L, et al. El cuestionario de salud SF-36 español: una década de experiencia y nuevos desarrollos. Gac Sanit. 2005; 19:135-150.
  • Guillén F, García MA. Ayuda a domicilio. Aspectos médicos en geriatría. Rev Esp Gerontol. 1972; 7:339-346.
  • http://www.okicent.org
  • Katz S, Ford AB, Moscowitz RW, et al. Studies of illness in the aged. The index of ADL: a standarized measure of biological and psychosocial function. J Am Med Assoc. 1963; 185:914-919.
  • Cruz AJ. El índice de Katz. Rev Esp Geriatr Gerontol, 1991; 26:338-348. 24. Araújo L, Ribeiro O, Teixeira L, et al. Successful aging at 100 years: the relevance of subjectivity and psychological resources. Inter Psych Ger. 2016; 28:179-188.
  • Samuelsson SM, Alfredson BB, Hagberg B, et al. The Swedish Centenarian Study: a multidisciplinary study of five consecutive cohorts at the age of 100. Int J Agi & Hum Dev. 1997; 45: 223-253.
  • Beregi E, Klinger A. Health and living conditions of centenarians in Hungary. Inter Psych geriat. 1989; 1:195-200.
  • Willcox BJ, Hsueh WC, He Q, et al. Substantial advantage for longevity in siblings of Okinawan centenarians. GEN EPI. 2005; 29:286-287.
  • Poon LW, Sweaney AL, Clayton GM, et al. The Georgia Centenarian Study. Int J Agi& Hum Dev, 1992; 34:1-17.
  • Hitt R, Young-Xu Y, Silver M, et al. Centenarians: the older you get, the healthier you have been. Lancet. 1999; 354(9179):652.
  • Perls TT, Alpert L, Fretts RC. Middle-aged mothers live longer. Nat. 1997; 389:133-133.
  • Sebastiani P, Riva A, Montano M, et al. Whole genome sequences of a male and female supercentenarian, ages greater than 114 years. Front Genet. 2012; 2:1-28.
  • Rott C, d‘Heureuse V, Kliegel M, et al. Die Heidelberger Hundertjährigen-Studie: Theoretische und methodische Grundlagen zur sozialwissenschaftlichen ochaltrigkeitsforschung. Zeits Geront Geriat. 2001; 34:356-364.
  • Menec VH. The relation between everyday activities and successful aging: a 6-year longitudinal study. J Geront Ser B, Psychol Sci Soc Sci. 2003; 58:S74-82.
  • Mossey J, Shapiro E. Self-rated health: a predictor of mortality among the elderly. 1982; 72: 800-808.
  • Ribeiro O, Duarte N, Teixeira L, et al. Frailty and depression in centenarians. Inter Psychoger, 2018; 30:115-124.
  • Allard M, Robine JM, Fondation IPSEN pour la recherche thérapeutique. Les centenaires français: étude de la Fondation IPSEN: 1990-2000: Report final. 2001; Serdi.
  • Fernández-Ballesteros R, Zamarrón MD, Díez Nicolás J, et al. Estudio Longitudinal sobre Envejecimiento Activo. Informe de Investigación. Universidad Autónoma de Madrid. 2007.
  • Ramos MR. Los centenarios y sus corazones. (Tesis doctoral). Universidad Complutense de Madrid, España. 2016.
  • Yamada M, Sasaki H, Mimori Y, et al. Prevalence and risks of dementia in the Japanese population: RERF’s adult health study Hiroshima subjects. J Am Ger Soc. 1999; 47:189-195.
  • Kokmen E, Özsarfati Y, Beard CM, et al. Impact of referral bias on clinical and epidemiological studies of Alzheimer’s disease. J Clin Epid, 1996; 49: 79-83.
  • Ogura C, Nakamoto H, Uema T, et al. Prevalence of senile dementia in Okinawa, Japan. Inter J Epid. 1995; 24: 373-380.
  • Poon LW, Woodard JL, Miller LS, et al. Understanding dementia prevalence among centenarians. The J Geront Ser A: Bio Sci and Med Sci. 2012; 1-8.
  • Suzuki M, Akisaka M, Ashitomi I, et al. Chronological study concerning ADL among Okinawan centenarians. Jap J Geriatr. 1995; 32: 416-423.
  • Arai Y, Martin-Ruiz CM, Takayama M, et al. Inflammation, but not telomere length, predicts successful ageing at extreme old age: a longitudinal study of semi-supercentenarians. EBioMed. 2015; 2:1549-1558.
  • Buettner D. The Blue Zones: 9 lessons for living longer from the people who´ve lived the longest. National geographic books. 2012. (Consultado 15 de diciembre de 2017). Disponible en: <http://www.bluezones.com>.
  • Murray CJ, Lopez AD, World Health Organization. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: Summary 1996.
  • Arai S. Studies on functional foods in Japan-state of the art. Biosci, biotec, bioch. 1996; 60:9-15.
  • Hitt R, Young-Xu Y, Silver M, et al. Centenarians: the older you get, the healthier you have been. Lancet. 1999; 354:652.
  • http://www.bluezones.com
  • Motta M, Bennati E, Ferlito L, et al. Successful Aging in centenarians: myths and reality. Arch Geront Ger. 2005; 40:241-251.
  • Puga MD. Cien años y más. Las claves de una longevidad exitosa. Proyectos de Investigación I+D+i IMSERSO 2007.
  • Soriano JB, Fernández S, Carretero S, et al. Description of extreme longevity in the Balearic Islands: Exploring a potential Blue Zone in Menorca, Spain. Ger Geront Inter. 2014; 14:620-627.
  • Todoriki H, Willcox DC, Willcox BJ. The effects of post-war dietary change on longevity and health in Okinawa. The Oki J Am Stu. 2004; 1:52-61.
  • Willcox DC, Willcox BJ, Sokolovsky J, et al. The cultural context of “successful aging” among older women weavers in a northern Okinawan village: The role of productive activity. J Cr-Cul Geront. 2007; 22:137- 165.
  • Rowe JW, Kahn RL. Human aging: usual and successful. Sci. 1987; 237:143-149.
  • Rowe JW, Kahn, RL. Successful aging 2.0: conceptual expansions for the 21st century. J Geront: Ser B. 2015; 70:593-596.
  • Hodge AM, English DR, Giles GG, et al. Social connectedness and predictors of successful ageing. Matur. 2013; 75:361-366.
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