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Living well with chronic disease for those older adults living in the community

Published online by Cambridge University Press:  18 January 2017

Richard A. Burns ,
Colette Browning  and
Hal L. Kendig
Richard A. Burns*
Affiliation:
Centre for Research on Ageing, Health and Wellbeing, The Research School of Population Health, The Australian National University, Canberra, ACT, Australia ARC Centre of Excellence in Population Ageing Research (CEPAR), The Australian National University, Canberra, ACT, Australia
Colette Browning
Affiliation:
ARC Centre of Excellence in Population Ageing Research (CEPAR), The Australian National University, Canberra, ACT, Australia Royal District Nursing Service (RDNS) Institute, Melbourne, Victoria, Australia International Institute for Primary Health Care Research, Shenzhen, China School of Primary Health Care, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Victoria, Australia
Hal L. Kendig
Affiliation:
Centre for Research on Ageing, Health and Wellbeing, The Research School of Population Health, The Australian National University, Canberra, ACT, Australia ARC Centre of Excellence in Population Ageing Research (CEPAR), The Australian National University, Canberra, ACT, Australia
*
Correspondence should be addressed to: Richard A. Burns, Centre for Research on Ageing, Health and Wellbeing, The Research School of Population Health, The Australian National University, Canberra, Act, Australia. Phone: +61 02 6125 3123; Fax: +61 02 6125 0733. Email: richard.burns@anu.edu.au.
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Abstract

Background:

Definitions of successful aging that incorporate dimensions of physical capacity and medical conditions are limited owing to the normative nature of experiencing medical conditions with age. We examine the capacity for older adults living in the community to live well with or without chronic disease as they age.

Method:

Participants (n = 1,001) were from the Melbourne Longitudinal Studies on Healthy Ageing (MELSHA) study who were aged 65+ years at baseline, were living in the community and followed for 16 years.

Results:

Aging was associated with not living well (OR = 1.21; p < 0.001) and having a chronic disease (OR = 1.09; p < 0.001). There was increasing proportion of older adults not living well with chronic disease as they aged. Those not living well were at a substantial risk of death with (OR = 3.63; p < 0.001) or without (OR = 3.59; p < 0.001) chronic disease.

Discussion:

The defining normative experience for older adults is that they are more likely to have a chronic disease and importantly not be living well with chronic disease as they age. However, it was the state of not living well that reflected the most substantial vulnerability for mortality, not chronic disease.

Keywords

aginghealth aginglongitudinal studiesquality of life (QoL)
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 5 , May 2017 , pp. 835 - 843
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

AIHW (2016). Australian Burden of Disease Study: Impact and Causes of Illness and Death in Australia, 2011. Australian Burden of Disease Study series no. 3. Cat. no. BOD 4. Canberra: Australian Institute of Health and Welfare (AIHW).Google Scholar
Araujo, L., Ribeiro, O., Teixeira, L. and Paul, C. (2015). Successful aging at 100 years: the relevance of subjectivity and psychological resources. International Psychogeriatrics, 28, 179–188.Google Scholar
Baltes, P. B. and Baltes, M. M. (1993). Successful Aging: Perspectives from the Behavioral Sciences: Workshop: Papers. Cambridge: Cambridge University Press.Google Scholar
Browning, C. J. and Kendig, H. (2010). Cohort profile: the Melbourne longitudinal studies on healthy ageing program. International Journal of Epidemiology, 39, E1–E7.CrossRefGoogle ScholarPubMed
Cheng, S. T. (2014). Defining successful aging: the need to distinguish pathways from outcomes. International Psychogeriatrics, 26, 527–531.Google Scholar
Cosco, T. D., Prina, A. M., Perales, J., Stephan, B. C. and Brayne, C. (2013). Lay perspectives of successful ageing: a systematic review and meta-ethnography. BMJ Open, 3, e002710, doi: 10.1136/bmjopen-2013-002710.CrossRefGoogle ScholarPubMed
Cosco, T. D., Prina, A. M., Perales, J., Stephan, B. C. and Brayne, C. (2014). Operational definitions of successful aging: a systematic review. International Psychogeriatrics, 26, 373–381.CrossRefGoogle ScholarPubMed
Hung, L. W., Kempen, G. I. J. M. and De Vries, N. K. (2010). Cross-cultural comparison between academic and lay views of healthy ageing: a literature review. Ageing & Society, 30, 1373–1391.CrossRefGoogle Scholar
Huppert, F. A. et al. (2009). Measuring well-being across Europe: description of the ESS well-being module and preliminary findings. Social Indicators Research, 91, 301–315.Google Scholar
Kahana, E. and Kahana, B. (1996). Conceptual and empirical advances in understanding well-being through proactive adaptation. In Bengtson, V. (ed.), Adulthood and Aging: Research on Continuities and Discontinuities. New York, NY: Springer.Google Scholar
Kahana, E., Kelley-Moore, J. and Kahana, B. (2012). Proactive aging: a longitudinal study of stress, resources, agency, and well-being in late life. Aging & Mental Health, 16, 438–451.CrossRefGoogle ScholarPubMed
Kendig, H. (1996). Understanding health promotion for older people: sociological contributions. In Chappell, V. M., Kendig, H. and Walker, A. (eds.), The Sociology of Ageing (pp. 360–375). Melbourne: International Sociological Association.Google Scholar
Kendig, H., Browning, C. J., Thomas, S. A. and Wells, Y. (2014). Health, lifestyle, and gender influences on aging well: an Australian longitudinal analysis to guide health promotion. Front Public Health, 2, 70, doi: 10.3389/fpubh.2014.00070.Google Scholar
Kendig, H. L., Pedlow, R. I., Browning, C. J., Wells, Y. D. and Thomas, S. A. (2010). Health, social and lifestyle factors in entry to residential aged care: an Australian longitudinal analysis. Age and Ageing, 39, 342–349.Google Scholar
Lawton, M. P., Kleban, M. H., Dean, J., Rajagopal, D. and Parmelee, P. A. (1992). The factorial generality of brief positive and negative affect measures. Journal of Gerontology, 47, P228–P237.CrossRefGoogle ScholarPubMed
Martin, A. S., Palmer, B. W., Rock, D., Gelston, C. V. and Jeste, D. V. (2015). Associations of self-perceived successful aging in young-old versus old-old adults. International Psychogeriatrics, 27, 601–609.Google Scholar
Rowe, J. W. and Kahn, R. L. (1998). Successful Aging. New York: Pantheon Books.Google ScholarPubMed
Rowe, J. W. and Kahn, R. L. (2000). Successful aging and disease prevention. Advances in Renal Replacement Therapy, 7, 70–77.Google Scholar
Ryff, C. D. (1989). Beyond Ponce de Leon and life satisfaction: new directions in quest of successful aging. International Journal of Behavioral Development, 12, 35–55.CrossRefGoogle Scholar
Wolff, J. L., Starfield, B. and Anderson, G. (2002). Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Archives of Internal Medicine, 162, 2269–2276.Google Scholar
Young, Y., Frick, K. D. and Phelan, E. A. (2009). Can successful aging and chronic illness coexist in the same individual? A multidimensional concept of successful aging. Journal of the American Medical Directors Association, 10, 87–92.Google Scholar