160:667687. Chung H, Zhu D, Dobson A, Kuh D, Gold E, Crawford S, et al. Our systematic review shows that different types of assessment tools have been used for the evaluation of QoL considering different components of AA, which varied with sex, settings, and study design, and resulted in a wide variation in association of QoL and active aging determinants. Menopausal symptoms, anxiety and depression according to reproductive age in a multicenter cohort. Food insecurity is associated with poor sleep outcomes among US adults. The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. Limitations include the cross-sectional study design which precludes conclusions on causal inference. J Nutr. (2018) 26:31623. This ageing is attributed to improved living conditions, accessibility and availability of medicines such as antiretroviral therapy (ART), and means more women are now living through menopause [2]. 2023 Chief Executive Officer Study: Decision-making in the age of AI However, there was no statistical evidence to suggest women living with HIV experienced more moderate or severe somatic symptoms (30.3% vs. 21.2%, p=0.250, in those living with and without HIV respectively). (2016) 60:210. doi: 10.4103/0019-557X.189016, 49. 2013 Mar 18; 5(4):p39. doi: 10.1093/geronb/gbu002, 50. Mayo Clinic does not endorse companies or products. Women who had had a hysterectomy (+/- oophrectomy) could not be classified and were excluded from analyses. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/. They lead to all kinds of health problems and deplete our bodies of necessary nutrients. World report on ageing and health. Similarly, VAS was used to assess the personal and behavioral aspects and SWLS and WHO-5 measured personal aspects only (Table 3). You might even become a bit shorter. doi: 10.1007/s11102-015-0636-7, 4. Ann Afr Med. Older adults, those aged 60 or above, make important . National Institute on Aging. World Health Organization. in Building Evidence for Active Ageing Policies. The qualities of cross-sectional and longitudinal studies were assessed through the NOS scale (Table 1). Similarities and differences of the questionnaires/instruments used. Too much weight can make us look older by creating poor muscle tone. There are foods that you can eat that will help you retain a younger body and foods that can contribute to common signs of premature aging. Kegel exercises. 2021;12(3):329. 2017 Nov;28(13):132534. In Zimbabwe, 15.3% of adult women live with HIV and survival rates have greatly improved as a result of widespread ART roll-out [13]; hence increasing numbers of women with HIV are now reaching menopause. Women with HIV were more likely to report moderate (24.9% vs. 18.1%) and severe (9.7% vs. 2.6%) menopausal symptoms, compared to women without HIV (Table2). Smokers develop several signs of premature aging like fine lines around the mouth, deeper forehead wrinkles, and are twice as likely to develop bad teeth. PubMed The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. doi: 10.1097/jnr.0000000000000241, 48. Zhang X, Xia R, Wang S, Xue W, Yang J, Sun S, et al. What Do We Know About Healthy Aging? - National Institute on Aging Due to the importance of AA, as it could interfere with personal as well as relatives' life, the understanding of determinants that affect AA is essential. By 2030, 1 in 6 people in the world will be aged 60 years or over. (2020) 48:0300060520913146. doi: 10.1177/0300060520913146, 24. the unsubscribe link in the e-mail. (2019). Hearing loss: A common problem with older adults. The mind plays a significant role in whether we are aging faster or slower, and we can use the mind to help us accelerate or decelerate the process. According to a recently proposed model, oxidative stress leads to accumulation of . Introduction: Population demography across the globe shows an increasing trend in the aging population due to better healthcare, improved nutrition, advanced health-related technology, and decreased fertility rate. Menopause. Race or ethnicity African Americans and Hispanics have a higher risk of stroke than do people of other races or ethnicities. Post Reprod Health. No woman reported use of menopausal hormone therapy (either vaginal or systemic oestrogens). J Gerontol Ser B Psychol Sci Soc Sci. If you decrease activities as you age, but continue to eat the same as usual, you'll gain weight. Improving experiences of the menopause for women in Zimbabwe and South Africa: co-producing an information resource. Women currently having regular periods were classified as premenopausal. Univariate linear regression was used to determine the association between menopausal symptoms and HRQoL, reporting beta coefficients and their respective 95% confidence intervals. Our findings highlight the importance of making effective treatments available to women experiencing menopause. Geneva. As expected, a history of tuberculosis was more common in women with HIV (50 [27.0%] vs. 2 [1.0%]; p<0.001), whereas more women without HIV reported having a diagnosis of arthritis (26 [13.5%] vs. 7 [3.8%]; p=0.001). The framework intends to inform and guide discussion and formulation of action plans that foster healthy and active aging. Schmidt S, Mhlan H, Power M. The EUROHIS-QOL 8-item index: psychometric results of a cross-cultural field study. Alterations in blood flow parallel this decrease. The qualities of included studies were categorized into three: (1) high (score of 79); (2) moderate (score of 46); and (3) low (score of 03) qualities. No women reported to be breastfeeding. https://www.nia.nih.gov/health/skin-care-and-aging. Aging | Definition, Process, & Effects | Britannica Socio-demographic and medical details were recorded and women staged as pre-, peri- or post-menopause. We evaluated whether the relationship between menopause stage and menopausal symptoms (and symptom sub-domains) was modified by HIV infection using a likelihood ratio test. RM, PK, and SS organized the database. Therefore, understanding the association between active aging determinants and QoL can help policymakers plan early interventions or programs to assist future older adults in both aging actively and optimizing their quality of life (QoL), as these two factors have a bidirectional relationship. In men, an enlarged or inflamed prostate also can cause difficult emptying the bladder and incontinence. Lean Body Mass 2. 2007 Jan;23(4):198205. Cadernos de Saude Publica. Aging Successfully: A Four-Factor Model - Taylor & Francis Online There is a problem with All rights reserved. 2003 Jun;12(4):40512. Several changes in liver physiological features occur with aging. RR is funded by the Wellcome Trust (206764/Z/17/Z). The association of activity and participation with quality of life between Japanese older adults living in rural and urban areas. Occup Ther Int. 10. Generally, with increasing severity of menopause symptoms (total MRS, somatic and psychological sub-domains), trends were seen towards lower mean HRQoL scores in both women with and without HIV (Table4). Lee SJ, Lee KW, Cho MS. Association of food insecurity with nutrient intake and depression among korean and US adults: data from the 2014 Korea and the 20132014 US National Health and Nutrition examination surveys. Analysis: TM, SH, CLG. As a result, we also included key intervention and cohort studies that assessed the association between elements of AA and QoL domains. doi: 10.1016/j.archger.2014.07.005, 42. doi: 10.1016/j.jclinepi.2021.02.003. J Clin Epidemiol. Presbyopia usually becomes noticeable in your early to mid-40s and continues to worsen until around age 65. How Your Nutritional Needs Change as You Age - Healthline Data-led innovation for the modern supply chain. Considering the broader literature, it is necessary to facilitate and encourage the active participation of older adults in physical, social, and economic activities for the maintenance and/or improvement of QoL. 2005 Dec;118(12):37. Accessed Nov. 12, 2018. doi: 10.1111/jgs.12198, 44. Weir CB, Jan A. BMI classification percentile and cut off points. The effectiveness of a short form of the Household Food Security Scale. https://www.niddk.nih.gov/health-information/urologic-diseases/kegel-exercises. Bruce D, Rymer J. You might have difficulty hearing high frequencies or following a conversation in a crowded room. 2023 BioMed Central Ltd unless otherwise stated. Polypharmacy with potentially inappropriate medications as a risk 3. Accessed Oct. 18, 2018. Choosing a diet that is high in fats, sugars, processed foods, and low in fresh fruits and vegetables creates an internal environment that is anything but youth friendly. Your bladder may become less elastic as you age, resulting in the need to urinate more often. In: Cohen B, Menken J, editors. 9 Articles, This article is part of the Research Topic, https://doi.org/10.3389/fpubh.2023.1193789, https://www.frontiersin.org/articles/10.3389/fpubh.2023.1193789/full#supplementary-material, https://population.un.org/wpp/Publications/Files/WPP2019_Highlights.pdf, https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf, https://apps.who.int/iris/bitstream/handle/10665/67215/WHO_NMH_NPH_02.8.pdf, https://www.ncbi.nlm.nih.gov/books/NBK115843/figure/appe.fm3/, Creative Commons Attribution License (CC BY). doi: 10.1080/03601277.2021.1983295, Keywords: active aging, quality of life, older adults, health, participation, security, Citation: Marzo RR, Khanal P, Shrestha S, Mohan D, Myint PK and Su TT (2023) Determinants of active aging and quality of life among older adults: systematic review. The most widely used questionnaire to assess QoL is the World Health Organization Quality of Life AssessmentModule for Older Adults (WHOQoL-Old) (8 studies) (30, 36, 38, 39, 41, 42, 44, 45), followed by the WHOQOLAbbreviated Version (WHOQoL-Bref) (6 studies) (35, 36, 42, 44, 46, 48) and the Short Form-36 (SF-36) (5 studies) (22, 23, 30, 31, 34). All authors take responsibility for their contributions outlined above and have read and approved the final manuscript. BMC Women's Health 23, 343 (2023). Sex Men have a higher risk of stroke than do women. Similarly, the European Quality of Life-5 Dimension (EQ-5D), Control, Autonomy, Self-Realization, and Pleasure (CASP-19), and visual analog scale (VAS) were used in two studies each. Accessed Oct. 16, 2018. Park HK, Chun SY, Choi Y, Lee SY, Kim SJ, Park E-C. Some of these changes can make you prone to nutrient deficiencies, while others can . Although the MRS tool has been validated in Europe, America, and has been widely used in African settings, it has not been specifically validated in Zimbabwe, nor in people living with HIV. Disagreements at this stage were also solved via discussion with a third party/reviewer where necessary. National Institute on Aging. Geriatr Gerontol Int. Int J Environ Res Public Health. Similarly, our systematic review also showed that financial security and ensuring care positively influenced the QoL (48). Disagreements were resolved through discussion to reach the final agreed score. Blumberg SJ, Bialostosky K, Hamilton WL, Briefel RR. Foods that cause inflammation, like refined sugar, white flour, and even excessive dairy products, can readily create inflammation in the body that contributes to the aging process. Approximately 15% of adults aged 60 and over suffer from a mental disorder. OlaOlorun FM, Lawoyin TO. We were unable to measure sex hormone levels to verify menopausal status. Pre-menopausal women with HIV also reported a high level of psychological symptoms (affecting 57%). Gerontology (the study of aging) is concerned primarily with the changes that occur between the attainment of maturity and the death of the individual. Being underweight reduces the natural fats in the facial structure which allows the skin to sag and adds to the appearance of wrinkles. p. 264268. United Nations Department Department of Economic and Social Affairs Population Division. It is a process that goes on over the entire adult life span of any living thing. Ande A, Ande O, Omu O, Olagbuji N. Features and perceptions of menopausal women in Benin City, Nigeria. 2013 Apr;35(2):1216. Presbyopia - Symptoms and causes - Mayo Clinic We aimed to determine the prevalence and severity of self-reported menopause symptoms in women at different stages of menopause transition, by HIV status, and evaluate how symptoms are related to health-related quality of life (HRQoL). In summary, the genetic influences on aging may be highly overrated, with lifestyle choices exerting far more important effects . This systematic review synthesized evidence on the investigation of the association of active aging with QoL determinants among older adults. (2016) 25:312938. Mental and neurological disorders among older adults account for 6.6% of the total disability (DALYs) for this age group. AIDS Behav. Generally, somatic symptoms were most commonly reported as affecting at least 40% of all women, as was physical and mental exhaustion (affecting45%); however, moderate and/or severe sexual problems were a particular issue for women with HIV reported by 35%, as compared to 25% of women without HIV (Fig. (2015). Whilst these factors may not be causal, they are potential clinical indictors of women in whom more severe menopausal symptoms are reported. Nigeria Menopause. Fernndez-Muoz JJ, Cigarn-Mndez M, Navarro-Pardo E, Prez-de-Heredia-Torres M, Pars-Bravo P, Fernndez-de-Las-Peas C. Is the association between health-related quality of life and fatigue mediated by depression in patients with multiple sclerosis? We recommend future studies prioritize nationally representative studies, detailed sampling schemes, and balanced gender distributions to address these limitations. Top M, Dikmeta E. Quality of life and attitudes to ageing in T urkish older adults at old people's homes. Other than hot flushes, all menopausal symptoms, whether mild or moderate/severe, were more commonly seen in women living with HIV (Fig. With age, bones tend to shrink in size and density, weakening them and making them more susceptible to fracture. Experience of menopausal symptoms by women in an urban community in Ibadan. Indian J Psychol Med. Although women experience similar hormonal changes, menopausal experiences vary greatly [5, 6]. Ageing - Wikipedia 7 Factors of Aging | How to Avoid Premature Aging - AFPA Fitness As populations age, HIV services are expected to need to manage growing numbers of women approaching menopause. Aging takes place in a cell, an organ, or the total organism with the passage of time. However, a cross-sectional study of Nigerian women aged 4060 years showed, as we have, that menopausal symptoms are common, particularly joint/muscle pain and hot flashes (somatic), physical and mental exhaustion (psychological) and sexual problems (urogenital) [33]. 6776. Knowledge is power, and the more you know about how to avoid premature aging, the more control you can take toward maintaining a healthier, younger body and mind. More than half of us look older than we really are because we either engage in behaviors that increase our aging, or we do not actively support a more youthful body through inaction. Figure 1. The authors are grateful to all research staff and study participants. The effect of group exercise frequency on health related quality of life in institutionalized elderly. Although this discrepancy among the investigated determinants is due to the use of variable questionnaires, the most commonly used questionnaire in various studies was the World Health Organization Quality of Life AssessmentModule for Older Adults (WHOQoL-Old) followed by WHOQOLAbbreviated Version (WHOQoL-Bref) and the Short Form-36 (SF-36) (5 studies). The Joanna Briggs Institute (JBI) was used to evaluate the quality of the quasi-experimental study and scored 8/9 (88%) low risk of bias (34). Chirwa M, Ma R, Guallar C, Tariq S. Managing menopause in women living with HIV: A survey of primary care practitioners. But do you know how aging will affect your teeth, heart and sexuality? Cell aging: DNA damage and telomeres. BMC Womens Health. Namazi M, Sadeghi R, Behboodi Moghadam Z. Food insecurity is associated with sleep disturbance and mood disorders in older women [47, 48], both symptoms are included in the MRS score. Participant recruitment flow diagram. Active aging emerges as a strategy to achieve QoL, permeated and influenced by six determinants: physical environment, health and social services, social environment, economic, personal, and behavioral determinants (10).
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