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Titolo:
Factors associated with healthy aging: The cardiovascular health study
Autore:
Burke, GL; Arnold, AM; Bild, DE; Cushman, M; Fried, LP; Newman, A; Nunn, C; Robbins, J;
Indirizzi:
Wake Forest Univ, Sch Med, Dept Publ Hlth Sci, Winston Salem, NC 27157 USAWake Forest Univ Winston Salem NC USA 27157 , Winston Salem, NC 27157 USA Wake Forest Univ, Sch Med, JP Sticht Ctr Aging, Winston Salem, NC 27157 USA Wake Forest Univ Winston Salem NC USA 27157 , Winston Salem, NC 27157 USA Univ Washington, Dept Biostat, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 Dept Biostat, Seattle, WA 98195 USA NHLBI, Div Epidemiol & Clin Applicat, Bethesda, MD 20892 USA NHLBI Bethesda MD USA 20892 emiol & Clin Applicat, Bethesda, MD 20892 USA Univ Vermont, Dept Med, Burlington, VT USA Univ Vermont Burlington VT USA niv Vermont, Dept Med, Burlington, VT USA Johns Hopkins Med Inst, Dept Med, Baltimore, MD 21205 USA Johns Hopkins Med Inst Baltimore MD USA 21205 ed, Baltimore, MD 21205 USA Johns Hopkins Med Inst, Dept Epidemiol, Baltimore, MD 21205 USA Johns Hopkins Med Inst Baltimore MD USA 21205 ol, Baltimore, MD 21205 USA Univ Pittsburgh, Dept Epidemiol, Pittsburgh, PA 15261 USA Univ PittsburghPittsburgh PA USA 15261 idemiol, Pittsburgh, PA 15261 USA Univ Calif Davis, Dept Internal Med, Davis, CA 95616 USA Univ Calif DavisDavis CA USA 95616 ept Internal Med, Davis, CA 95616 USA
Titolo Testata:
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
fascicolo: 3, volume: 49, anno: 2001,
pagine: 254 - 262
SICI:
0002-8614(200103)49:3<254:FAWHAT>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY HEART-DISEASE; OLDER ADULTS; RISK-FACTORS; MEN; ATHEROSCLEROSIS; CHOLESTEROL; PREVENTION; WOMEN;
Keywords:
epidemiology; cardiovascular disease; cancer; health; risk factors; disease prevention; aging;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Burke, GL Wake Forest Univ, Sch Med, Dept Publ Hlth Sci, Winston Salem, NC27157 USA Wake Forest Univ Winston Salem NC USA 27157 Salem, NC 27157 USA
Citazione:
G.L. Burke et al., "Factors associated with healthy aging: The cardiovascular health study", J AM GER SO, 49(3), 2001, pp. 254-262

Abstract

OBJECTIVES: To identify factors associated with remaining healthy in olderadults. DESIGN: Longitudinal cohort study. SETTING: Data were collected at the four Cardiovascular Health Study fieldcenters. PARTICIPANTS: 5,888 participants age 65 years and older in the Cardiovascular Health Study. MEASUREMENTS: Presence of chronic disease was assessed at baseline and over a maximum 7-year follow-up period. Participants who were free of chronic disease (no cardiovascular disease (CVD), chronic obstructive pulmonary disease, or self-reported cancer, except nonmelanoma skin cancer) at the baseline examination were then monitored for the onset of incident cancer, cardiovascular disease, and fatal outcomes. RESULTS: A high proportion of these older adults was healthy at the initial examination and remained healthy over the follow-up period. Numerous behavioral factors were associated with continued health, including physical activity, refraining from cigarette smoking, wine consumption (women), highereducational status, and lower waist circumference. A number of CVD risk factors and subclinical disease measures were associated with continued health, including higher high-density lipoprotein (HDL) cholesterol, lack of diabetes, thinner common carotid intimal medial thickness, lower blood pressure, lower C-reactive protein, and higher ankle-arm blood pressure ratio. Among the behavioral factors, exercise, not smelting, and not taking aspirin remained significant predictors of health even after controlling for CVD risk factors and subclinical disease in older adults. CONCLUSIONS: These data suggest that a number of modifiable behavioral factors (physical activity, smelting, and obesity) and cardiovascular risk factors (diabetes, HDL cholesterol, and blood pressure) are associated with maintenance of good health in older adults.

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Documento generato il 25/11/20 alle ore 15:42:43