Evidence map›Paper›PMID 30584642›Full record

ArticleAging clinical and experimental research2019

Midlife predictors of active and healthy aging (AHA) among older businessmen.

Annele Urtamo, Emmi Huohvanainen, Kaisu H Pitkälä, Timo E Strandberg

Open access · hybridAbstract read
In one paragraph

Article in Aging clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Annele UrtamoDepartment of General Practice and Primary Health Care, and Helsinki University Central Hospital, Unit of Primary Health Care, University of Helsinki, Helsinki, Finland. Annele.Urtamo@helsinki.fi.ORCID http://orcid.org/0000-0002-7195-8414
Emmi HuohvanainenDepartment of General Practice and Primary Health Care, and Helsinki University Central Hospital, Unit of Primary Health Care, University of Helsinki, Helsinki, Finland.
Kaisu H PitkäläDepartment of General Practice and Primary Health Care, and Helsinki University Central Hospital, Unit of Primary Health Care, University of Helsinki, Helsinki, Finland.
Timo E StrandbergClinicum, and Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
University of Helsinki · FI

Funding

Academy of Finland 311492
6 · The paper itself

Abstract

backgroundActive and healthy aging (AHA) is an important phenomenon in aging societies.

aimsOur aim was to investigate midlife predictors of AHA in a socioeconomically homogenous male cohort.

methodsIn 2010, AHA was defined in the Helsinki Businessmen Study (men born in 1919-1934) with six criteria: (1) being alive, (2) responding to the mailed survey, (3) no reported cognitive problems, (4) feeling of happiness, (5) no difficulties in activities of daily living (ADL), and (6) no significant chronic diseases. Midlife factors were assessed in 1974 (n = 1759, mean age 47 years). Of the survivors in 2010 (n = 839), 10.0% (n = 84) fulfilled all AHA criteria, whilst 13.7% (n = 115) had chronic diseases but fulfilled other five criteria. Midlife predictors of AHA were analyzed with logistic models.

resultsOf the midlife factors, smoking [Odds ratio (OR) 0.44, 95% confidence interval (CI) 0.25-0.77], higher body mass index (BMI) (OR 0.75, 0.59-0.96), and higher total cholesterol (OR 0.76, 0.60-0.97) prevented significantly full AHA criteria, whereas higher self-rated health (SRH) (OR 1.73, 1.07-2.80) predicted significantly of fulfilling all AHA criteria. Midlife smoking (OR 0.87, 0.84-0.91), higher BMI (OR 0.73, 0.61-0.86), and higher alcohol consumption (OR 0.73, 0.60-0.90) prevented significantly of fulfilling the five AHA criteria with chronic diseases, and higher SRH (OR 1.90, 1.37-2.63) predicted significantly the five AHA criteria (chronic diseases present). DISCUSSION: Our study suggests that midlife factors, especially good SRH and low levels of cardiovascular risk factors, are associated with AHA.

conclusionsThe study emphasizes the importance of life-course predictors of healthy aging.

Indexed as

Healthy AgingActivities of Daily LivingAdultBody Mass IndexChronic DiseaseHumansLogistic ModelsMaleMiddle AgedSmokingCardiovascular risk factorsLife courseLongevitySelf-rated healthSuccessful aging

Identifiers

PMID30584642
PMCPMC6373373
OpenAlexW2906528454

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.