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. 1989 Jun;79(6):703–708. doi: 10.2105/ajph.79.6.703

Predictors of healthy aging: prospective evidence from the Alameda County study.

J M Guralnik 1, G A Kaplan 1
PMCID: PMC1349627  PMID: 2729467

Abstract

Long-term predictors of high levels of physical functioning were examined in a representative sample of Alameda County, California residents followed from 1965 through 1984. The cohort investigated in this study was born between 1895 and 1919, with survivors being age 65 to 89 at the time of follow-up. A scale of physical functioning was developed from a comprehensive set of questionnaire items which assessed the full spectrum of physical functioning. Those scoring in the top 20 percent, defined as healthy aging, were compared to the remainder of the cohort, including those who died and those with lower levels of functioning at follow-up. After adjustment for age and functional status at baseline, the following variables were predictive of high functioning at follow-up 19 years later: race (those not Black), higher family income level, absence of hypertension, absence of arthritis, absence of back pain, being a non-smoker, having normal weight, and consuming moderate amounts of alcohol. Sex did not predict high function because of the counterbalancing effects of higher survival in females but greater likelihood of high functioning among surviving males.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arellano M. G., Petersen G. R., Petitti D. B., Smith R. E. The California Automated Mortality Linkage System (CAMLIS). Am J Public Health. 1984 Dec;74(12):1324–1330. doi: 10.2105/ajph.74.12.1324. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Belloc N. B., Arellano M. G. Computer record linkage on a survey population. Health Serv Rep. 1973 Apr;88(4):344–350. [PMC free article] [PubMed] [Google Scholar]
  3. Benfante R., Reed D., Brody J. Biological and social predictors of health in an aging cohort. J Chronic Dis. 1985;38(5):385–395. doi: 10.1016/0021-9681(85)90134-1. [DOI] [PubMed] [Google Scholar]
  4. Branch L. G. Health practices and incident disability among the elderly. Am J Public Health. 1985 Dec;75(12):1436–1439. doi: 10.2105/ajph.75.12.1436. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Branch L. G., Meyers A. R. Assessing physical function in the elderly. Clin Geriatr Med. 1987 Feb;3(1):29–51. [PubMed] [Google Scholar]
  6. Fries J. F. Aging, natural death, and the compression of morbidity. N Engl J Med. 1980 Jul 17;303(3):130–135. doi: 10.1056/NEJM198007173030304. [DOI] [PubMed] [Google Scholar]
  7. Guralnik J. M., Yanagishita M., Schneider E. L. Projecting the older population of the United States: lessons from the past and prospects for the future. Milbank Q. 1988;66(2):283–308. [PubMed] [Google Scholar]
  8. Kaplan G. A., Seeman T. E., Cohen R. D., Knudsen L. P., Guralnik J. Mortality among the elderly in the Alameda County Study: behavioral and demographic risk factors. Am J Public Health. 1987 Mar;77(3):307–312. doi: 10.2105/ajph.77.3.307. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Katz S., Branch L. G., Branson M. H., Papsidero J. A., Beck J. C., Greer D. S. Active life expectancy. N Engl J Med. 1983 Nov 17;309(20):1218–1224. doi: 10.1056/NEJM198311173092005. [DOI] [PubMed] [Google Scholar]
  10. Manton K. G. Changing concepts of morbidity and mortality in the elderly population. Milbank Mem Fund Q Health Soc. 1982 Spring;60(2):183–244. [PubMed] [Google Scholar]
  11. Maxwell M. H., Ford C. E. Cardiovascular morbidity and mortality in HDFP patients 50-69 years old at entry. J Cardiovasc Pharmacol. 1985;7 (Suppl 2):S5–S9. doi: 10.1097/00005344-198507002-00002. [DOI] [PubMed] [Google Scholar]
  12. Palmore E. B., Nowlin J. B., Wang H. S. Predictors of function among the old-old: a 10-year follow-up. J Gerontol. 1985 Mar;40(2):244–250. doi: 10.1093/geronj/40.2.244. [DOI] [PubMed] [Google Scholar]
  13. Pinsky J. L., Branch L. G., Jette A. M., Haynes S. G., Feinleib M., Cornoni-Huntley J. C., Bailey K. R. Framingham Disability Study: relationship of disability to cardiovascular risk factors among persons free of diagnosed cardiovascular disease. Am J Epidemiol. 1985 Oct;122(4):644–656. doi: 10.1093/oxfordjournals.aje.a114144. [DOI] [PubMed] [Google Scholar]
  14. Rowe J. W., Kahn R. L. Human aging: usual and successful. Science. 1987 Jul 10;237(4811):143–149. doi: 10.1126/science.3299702. [DOI] [PubMed] [Google Scholar]
  15. Schneider E. L., Brody J. A. Aging, natural death, and the compression of morbidity: another view. N Engl J Med. 1983 Oct 6;309(14):854–856. doi: 10.1056/NEJM198310063091411. [DOI] [PubMed] [Google Scholar]
  16. Walker S. H., Duncan D. B. Estimation of the probability of an event as a function of several independent variables. Biometrika. 1967 Jun;54(1):167–179. [PubMed] [Google Scholar]

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