Aging Successfully: The Key to Aging in Place.

摘要: In their classic paper, Rowe and Kahn1 proposed a multidimensional understanding of successful aging, which was to large extent due genetic factors healthy lifestyle. There were 3 major components aging: limited disease-associated disability, high cognitive physical function, continued engagement with life. More recently, they have expanded this model include greater focus on social factors.2 our Journal, Young et al3,4 argued that chronic illnesses disease can coexist aging. At Saint Louis University, we distinguish these 2 viewpoints, “aging successfully” should be used those older persons who overcome disability productive third age.5 Artistic examples Grandma Moses, took up painting miniatures when arthritis prevented her from making quilts; Lee Allen, whose macular degeneration allowed him create paintings holes in them; Renoir, painted the brush held clenched hand crippled his fingers; Monet, cataracts created modern impressionism; Matisse, led famous paper cutouts. issue European Innovative Partnership provides definition active aging.6 They theWorld Health Organization’s concept aging as reasonable goal all could aim.7 propose variety domains, including physical, cognitive, psychological, well-being, are dependent lifelong learning, lifestyles, environment (social, economic, physical). suggested function measured by 36-item World Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).8 Although find Physical Activity Scale for Elderly (PASE) satisfactory,9 favor accelerometry means gauge activity. provide choices scales health-related quality As yet, not found suitable measuring socioenvironmental interaction. Importantly, provided an innovative spider net approach reporting scores health