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Bosch-Farré C, Garre-Olmo J, Bonmatí-Tomàs A, Malagón-Aguilera MC, Gelabert-Vilella S, Fuentes-Pumarola C, Juvinyà-Canal D. Prevalence and related factors of Active and Healthy Ageing in Europe according to two models: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE). PLoS One 2018; 13:e0206353. [PMID: 30372472 PMCID: PMC6205806 DOI: 10.1371/journal.pone.0206353] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 10/11/2018] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Active and Healthy Ageing (AHA) is the process of optimizing opportunities related to health, participation, and safety in order to improve quality of life. The approach most often used to measure AHA is Rowe and Kahn's Satisfactory Ageing model. Nonetheless, this model has limitations. One of the strategic objectives of the WHO Global Strategy and Action Plan (2016) is to improve Healthy Ageing measurement. Our objectives were to compare two models of assessing AHA and further compare the results by country and sociodemographic variables. METHODS This was a cross-sectional, observational analysis of a representative sample of the general population aged 50 years and older in Europe. The data analysed were obtained by the Study of Health, Ageing and Retirement in Europe (SHARE). The dependent variable was AHA and its dimensions, measured using the Rowe and Kahn AHA model (AHA-B) and the authors' model based on the WHO definition (AHA-BPS). A descriptive analysis and multivariate models of binary logistical regression were developed. RESULTS The sample consisted of 52,641 participants (mean age 65.24 years [SD = 10.18; Range = 50-104], 53.2% women). Healthy Ageing prevalence in the AHA-B model was 23.5% (95%CI = 23.1%-23.9%). In the AHA-BPS model, this prevalence was 38.9%. In both models, significant variations were observed between countries, and were distributed along a north-western to south-eastern gradient. The sociodemographic variables associated with the absence of AHA were advanced age, female sex, death of spouse, low educational level, lack of employment, and low financial status. Comparing the two models, the strength of association between absence of AHA and advanced age (85 years and older) was four times greater in the AHA-B model. CONCLUSIONS Our results showing differences between these two models provide evidence that the AHA-BPS model does not penalize older age and is more likely to characterize AHA from a health promotion perspective.
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Affiliation(s)
- Cristina Bosch-Farré
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
| | - Josep Garre-Olmo
- Girona Biomedical Research Institute (IDIBGI), Salt, Catalonia, Spain
- Healthcare Institute (IAS), Salt, Catalonia, Spain
- Department of Medical Sciences, University of Girona, Girona, Catalonia, Spain
| | | | - Maria Carme Malagón-Aguilera
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
| | | | - Concepció Fuentes-Pumarola
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
| | - Dolors Juvinyà-Canal
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
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La Barbera D, Bonanno B, Rumeo MV, Alabastro V, Frenda M, Massihnia E, Morgante MC, Sideli L, Craxì A, Cappello M, Tumminello M, Miccichè S, Nastri L. Alexithymia and personality traits of patients with inflammatory bowel disease. Sci Rep 2017; 7:41786. [PMID: 28150800 PMCID: PMC5288771 DOI: 10.1038/srep41786] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 12/28/2016] [Indexed: 12/22/2022] Open
Abstract
Psychological factors, specific lifestyles and environmental stressors may influence etiopathogenesis and evolution of chronic diseases. We investigate the association between Chronic Inflammatory Bowel Diseases (IBD) and psychological dimensions such as personality traits, defence mechanisms, and Alexithymia, i.e. deficits of emotional awareness with inability to give a name to emotional states. We analyzed a survey of 100 patients with IBD and a control group of 66 healthy individuals. The survey involved filling out clinical and anamnestic forms and administering five psychological tests. These were then analyzed by using a network representation of the system by considering it as a bipartite network in which elements of one set are the 166 individuals, while the elements of the other set are the outcome of the survey. We then run an unsupervised community detection algorithm providing a partition of the 166 participants into clusters. That allowed us to determine a statistically significant association between psychological factors and IBD. We find clusters of patients characterized by high neuroticism, alexithymia, impulsivity and severe physical conditions and being of female gender. We therefore hypothesize that in a population of alexithymic patients, females are inclined to develop psychosomatic diseases like IBD while males might eventually develop behavioral disorders.
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Affiliation(s)
- D La Barbera
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
| | - B Bonanno
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
| | - M V Rumeo
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
| | - V Alabastro
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
| | - M Frenda
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
| | - E Massihnia
- Unit of Nefrology II with Dialysis and Renal Transplantation, ARNAS Civico Di Cristina Benfratelli, Palermo, Italy
| | - M C Morgante
- Biomedical Department of Internal and Specialty Medicine, Regional Reference Center for Metabolism rare pathologies, University Hospital, Palermo, Italy
| | - L Sideli
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
| | - A Craxì
- Biomedical Department of Internal and Specialty Medicine, Unit of Gastroenterology, University Hospital, Palermo, Italy
| | - M Cappello
- Biomedical Department of Internal and Specialty Medicine, Unit of Gastroenterology, University Hospital, Palermo, Italy
| | - M Tumminello
- Department of Economics, Management and Statistics, University of Palermo, Palermo, Italy
| | - S Miccichè
- Department of Physics and Chemistry, University of Palermo, Palermo, Italy
| | - L Nastri
- Department of Experimental Biomedicine and Clinical Neuroscience, Unit of Psychiatry, University Hospital, Palermo, Italy
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Fiasconaro A, Tumminello M, Nicosia V, Latora V, Mantegna RN. Hybrid recommendation methods in complex networks. PHYSICAL REVIEW. E, STATISTICAL, NONLINEAR, AND SOFT MATTER PHYSICS 2015; 92:012811. [PMID: 26274229 DOI: 10.1103/physreve.92.012811] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Indexed: 06/04/2023]
Abstract
We propose two recommendation methods, based on the appropriate normalization of already existing similarity measures, and on the convex combination of the recommendation scores derived from similarity between users and between objects. We validate the proposed measures on three data sets, and we compare the performance of our methods to other recommendation systems recently proposed in the literature. We show that the proposed similarity measures allow us to attain an improvement of performances of up to 20% with respect to existing nonparametric methods, and that the accuracy of a recommendation can vary widely from one specific bipartite network to another, which suggests that a careful choice of the most suitable method is highly relevant for an effective recommendation on a given system. Finally, we study how an increasing presence of random links in the network affects the recommendation scores, finding that one of the two recommendation algorithms introduced here can systematically outperform the others in noisy data sets.
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Affiliation(s)
- A Fiasconaro
- School of Mathematical Sciences, Queen Mary University of London, Mile End Road, London E1 4NS, UK
| | - M Tumminello
- Dipartimento di Scienze Economiche, Aziendali e Statistiche, Università di Palermo, Viale delle Scienze Ed. 13, 90128 Palermo, Italy
| | - V Nicosia
- School of Mathematical Sciences, Queen Mary University of London, Mile End Road, London E1 4NS, UK
| | - V Latora
- School of Mathematical Sciences, Queen Mary University of London, Mile End Road, London E1 4NS, UK
- Dipartimento di Fisica ed Astronomia, Università di Catania and INFN, I-95123 Catania, Italy
| | - R N Mantegna
- Center for Network Science, Central European University, Nador 9 ut., H-1051, Budapest, Hungary
- Department of Economics, Central European University, Nador 9 ut., H-1051, Budapest, Hungary
- Dipartimento di Fisica e Chimica, Università di Palermo, Viale delle Scienze, Edif. 18, I-90128, Palermo, Italy
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Nelson LA, Noonan CJ, Goldberg J, Buchwald DS. Social engagement and physical and cognitive health among American Indian participants in the health and retirement study. J Cross Cult Gerontol 2014; 28:453-3. [PMID: 24122523 DOI: 10.1007/s10823-013-9213-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Social engagement has many demonstrated benefits for aging non-Hispanic Whites in the U.S. This study examined data from the U.S. Health and Retirement Study to determine whether these benefits were similar among American Indians and Alaska Natives older than 50 years. Linear regression techniques were used to examine the associations between level of social engagement, scores for memory and mental status, and self-reported health among 203 American Indian and Alaska Native elders who participated in the Health and Retirement Study and had data available between 1998 and 2010. Level of social engagement was significantly associated with memory, mental status, and self-reported health. However, only the association of social engagement with mental status and self-reported health remained significant (p = 0.04 and p = 0.05, respectively) after adjusting for sociodemographic variables, number of known health conditions, and scores on the Center for Epidemiologic Studies Depression scale. Level of social engagement was not associated with patterns of decline across time in cognitive or physical health. Higher levels of social engagement are associated with better physical and cognitive functioning in American Indian and Alaska Native elders. Future studies should examine whether this association acts through cognitive stimulation, increase in physical activity resulting from social engagement, or access to resources that support physical and cognitive health.
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Network Physiology: Mapping Interactions Between Networks of Physiologic Networks. UNDERSTANDING COMPLEX SYSTEMS 2014. [DOI: 10.1007/978-3-319-03518-5_10] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Gallacher J, Mitchell C, Heslop L, Christopher G. Resilience to health related adversity in older people. QUALITY IN AGEING AND OLDER ADULTS 2012. [DOI: 10.1108/14717791211264188] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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The impact of physical activity on menopausal symptoms in middle-aged women. Int J Gynaecol Obstet 2012; 118:34-6. [PMID: 22560287 DOI: 10.1016/j.ijgo.2012.02.016] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2011] [Revised: 02/19/2012] [Accepted: 04/02/2012] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the influence of physical activity on climacteric symptoms among middle-aged women in Brazil. METHODS A population-based sample of women aged 40-65 years was recruited from Natal, Brazil. Enrollment took place in basic health units in each health district of the city from June to September 2011. Data were collected while women waited for routine appointments at the health units. Climacteric symptoms were assessed using the Menopause Rating Scale and the Blatt-Kupperman Menopausal Index. The level of physical activity was assessed via the International Physical Activity Questionnaire. It was classified as low, moderate, or vigorous. RESULTS The mean age of the 370 participants was 49.8 ± 8.1 years. They were predominantly white (72.7%), married (61.6%), non-smokers (93.5%), and had undergone high-school education (70.5%). All domains of climacteric symptoms were significantly affected by physical activity: psychological (P<0.001); somatovegetative (P<0.001); and urogenital (P=0.008). Significant differences were found between the IPAQ groups of physical activity and the Blatt-Kupperman Menopausal Index for the following symptoms: hot flashes (P<0.001); paresthesia (P=0.022); insomnia (P<0.001); impatience (P<0.001); depression (P<0.001); vertigo (P<0.001); fatigue (P<0.001); arthralgia/myalgia (P<0.001); and palpitation (P<0.001). CONCLUSION Physical activity improved climacteric symptoms among middle-aged women in Brazil.
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